HIV treatment adherence, patient health literacy, and health care provider-patient communication: results from the 2010 AIDS Treatment for Life International Survey.
HIV treatment adherence, patient health literacy, and health care provider-patient communication: results from the 2010 AIDS Treatment for Life International Survey.
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DOI：
10.1177/1545109712437244
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发表时间：
2012-03-01
期刊：
影响因子：
--
通讯作者：
Sherer, Renslow
中科院分区：
文献类型：
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作者：
Nachega, Jean B;Morroni, Chelsea;Sherer, Renslow
背景：人们对患者关于抗逆转录病毒治疗 (ART) 依从性和耐药性的健康素养以及患者与提供者关于这些主题的沟通知之甚少。 设计和方法：艾滋病终身治疗国际调查是一项多国横断面研究（2010 年 1 月至 3 月），包括 2035 名 HIV 感染成年人。使用标准化自我报告依从性调查问卷进行了 40 分钟的访谈。 结果：总体而言，57% 的患者报告 30 天的依从性为 100%（拉丁美洲：89%；非洲：73% vs 北美：45% 和亚太地区：47%；P < .01）。总体而言，在北美 (35%) 和非洲 (24%)，18% 的人认为 HIV 耐药性是一件“好事”。只有 71% 的患者表示他们的医疗保健提供者提供了有关依从性的实用建议，其中北美患者的比例为 62%，拉丁美洲和非洲的患者比例为 80%。 结论：最佳的 ART 依从性仍然是全球范围内的一项挑战。迫切需要改善患者与医疗服务提供者之间的沟通，以了解坚持 ART 的重要性及其对患者健康的益处。
BACKGROUND: Little is known about patients' health literacy regarding antiretroviral therapy (ART) adherence and drug resistance and patient-provider communication about these topics.DESIGN AND METHODS: The AIDS Treatment for Life International Survey was a multicountry cross-sectional study (January-March 2010) including 2035 HIV-infected adults. A 40-minute interview was conducted using a standardized self-report adherence questionnaire.RESULTS: Overall, 57% of patients reported a 30-day recall of 100% adherence (Latin America: 89%; Africa: 73% vs North America: 45% and Asia Pacific: 47%; P < .01). Overall, 18% identified HIV drug resistance as a "good thing" in North America (35%) and Africa (24%). Only 71% said their health care providers had offered practical recommendations about adherence, 62% of the patients in North America and 80% in Latin America and Africa.CONCLUSIONS: Optimal ART adherence remains a challenge globally. There is a critical need to improve patient-provider communication about the importance of ART adherence and its benefits for patient's health.