The human immunodeficiency
virus (HIV) and the acquired immune deficiency syndrome (AIDS) represent a
serious public health problem in Equatorial Guinea, with a prevalence of 6.2%
among adults. the high-activity antiretroviral treatment (HAART) coverage data
is 10 points below the overall estimate for Sub-Saharan Africa, and only 61%
patients continue with HAART 12 months after it started.
This study aims to
assess HAART adherence and related factors in Litoral Province of Equatorial
Guinea. In this cross-sectional study, socio-demographic and clinical data were
collected at Regional Hospital of Bata, during June-July 2014.
Adherence to
treatment was assessed by using the Spanish version of CEAT-VIH. Bivariate and
linear regression analyses were employed to assess HAART adherence-related
factors. We interviewed 50 men (35.5%) and 91 women (64.5%), with a mean age of
47.7 ± 8.9 and 36.2 ± 11.2, respectively (p < .001).
Overall, 55% patients
had low or insufficient adherence. CEAT-VIH score varied by ethnic group
(p = .005). There was a positive correlation between CEAT-VIH score and current
CD4 T-cells count (p = .013). The Cronbach's α value was 0.52.
To our
knowledge, this is the first study to assess HAART adherence in Equatorial
Guinea. Internal reliability for CEAT-VIH was low, nonetheless the positive
correlation between the CEAT-VIH score and the immunological status of patients
add value to our findings.
Our results serve as baseline for future research
and will also assist stakeholders in planning and undertaking contextual and
evidence-based policy initiatives.
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By: Salmanton-García J1, Herrador Z2,3, Ruiz-Seco P4, Nzang-Esono J2,5, Bendomo V6, Bashmakovic E6, Nseng-Nchama G7, Benito A2,3, Aparicio P2,3.
- 1a Intern of the Spanish Society of Tropical Medicine and International Health , Madrid , Spain.
- 2b National Centre for Tropical Medicine, Instituto de Salud Carlos III (ISCIII) , Madrid , Spain.
- 3c Tropical Diseases Research Network (RICET in Spanish) , Madrid , Spain.
- 4d National Institute of Social Security of Equatorial Guinea (INSESO in Spanish) , Bata , Equatorial Guinea.
- 5e Reference Centre for Epidemics Control of Equatorial Guinea (CRCE in Spanish) , Malabo , Equatorial Guinea.
- 6f Reference Unit for Infectious Diseases (UREI in Spanish) , Regional Hospital of Bata , Bata , Equatorial Guinea.
- 7g National Plan Against AIDS (PNLS in Spanish) , Ministry of Healthcare and Social Welfare , Malabo , Equatorial Guinea (MINSABS in Spanish).
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