International Journal of STD & AIDS > Volume 18, Number 11 > Pp. 741-747

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Original research articles

Inadequate adherence to antiretroviral treatment and prevention in hospital and community sites in Burkina Faso and Mali: a study by the ATARAO group

S Ag Aboubacrine, P Niamba, C Boileau, M V Zunzunegui, N Machouf, V K Nguyen and S Rashed

Service de médecine interne, Hôpital National du Point G, Bamako, Mali; Unité de formation et de recherche des sciences de la santé, Université de Ouagadougou, Ouagadougou, Burkina Faso; Institute for Health and Social Policy, McGill University, Montreal, Canada; Department de Médicine Sociale et Préventive, Université de Montreal, Canada; Clinique Médicale Actuel, Canada; Department de Médicine Sociale et Préventive, Université de Montreal, Canada; Unité de Santé Internationale, University of Montreal, Canada

Our objective was to determine the prevalence and identify the factors that influence antiretroviral therapy (ART) adherence among patients in Bamako and Ouagadougou. A cross-sectional study was conducted among 94 men and 176 women receiving ART. Data were collected through questionnaires and chart reviews. Logistic regressions were performed to isolate determinants of adherence.

Overall, 58% of the patients were adherent, but there were differences in the levels of adherence according to country and treatment site. Sociodemographic factors were not associated with adherence. However, social characteristics such as having children, in Ouagadougou, or being a housewife and not planning to have a child in the next year, in Bamako were associated with adherence. Time on ART was negatively associated with adherence in both countries with decline occurring later in Bamako.

Levels of adherence are inadequate particularly among more experienced patients. Further adherence research and monitoring using longitudinal designs are warranted to assess the extent to which adherence is declining with time on treatment.

Key Words: ADHERENCE • ANTIRETROVIRAL THERAPY • SUB-SAHARAN AFRICA • SEROSTATUS DISCLOSURE • CONDOM USE

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