Adherence to antiretroviral medications among persons who inject drugs in transitional, low and middle income countries: an international systematic review.
Adherence to antiretroviral medications among persons who inject drugs in transitional, low and middle income countries: an international systematic review.
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在过渡,低收入国家注射药物的人中遵守抗逆转录病毒药物:国际系统审查。
DOI:
10.1007/s10461-014-0928-3
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发表时间:
2015-04
影响因子:
4.4
通讯作者:
Uuskula, Anneli
中科院分区:
文献类型:
--
作者:
Feelemyer, Jonathan;Des Jarlais, Don;Arasteh, Kamyar;Uuskula, Anneli
Adherence to antiretroviral (ART) medication is vital to reducing morbidity and mortality among HIV positive persons. People who inject drugs (PWID) are at high risk for HIV infection in transitional/low/middle income countries (TLMIC). We conducted a systematic review of studies reporting adherence to ARTs among persons with active injection drug use and/or histories of injection drug use in TLMIC. Meta-regression was performed to examine relationships between location, adherence measurements, and follow-up period. Fifteen studies were included from seven countries. Adherence levels ranged from 33% to 97%; mean weighted adherence was 72%. ART adherence was associated with different methods of measuring adherence and studies conducted in Eastern Europe and East Asia. The great heterogeneity observed precludes generalization to TLMIC as a whole. Given the critical importance of ART adherence more research is needed on ART adherence among PWID in TLMIC, including the use of standardized methods for reporting adherence to ARTs.
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影响因子:
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通讯作者:
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