Evidence map›Paper›PMID 17579723›Full record

ArticlePloS one2007

Patient and regimen characteristics associated with self-reported nonadherence to antiretroviral therapy.

Patrick S Sullivan, Michael L Campsmith, Glenn V Nakamura, Elin B Begley, Jeffrey Schulden, Allyn K Nakashima

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 5 pooled it
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 5 syntheses or guidelines pooled it, 80 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Alcohol use and antiretroviral adherence: review and meta-analysis.Journal of acquired immune deficiency syndromes (1999) · 2009
    Pooled it
  6. A Longitudinal Analysis of Antiretroviral Adherence Among Young Black Men Who Have Sex With Men.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2017
    Trial
  7. Observational
  8. Observational
  9. Article
  10. Article
  11. Article
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  13. Article
  14. "It's Almost Like a Crab-in-a-Barrel Situation": Stigma, Social Support, and Engagement in Care Among Black Men Living With HIV.AIDS education and prevention : official publication of the International Society for AIDS Education · 2018
    Article
  15. Article
  16. Article
  17. Article
  18. Appreciating Reasons for Nonadherence in Women.Health care for women international · 2015
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Patrick S SullivanCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America. pss0@cdc.gov
Michael L Campsmith
Glenn V Nakamura
Elin B Begley
Jeffrey Schulden
Allyn K Nakashima
Centers for Disease Control and Prevention · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNonadherence to antiretroviral therapy (ARVT) is an important behavioral determinant of the success of ARVT. Nonadherence may lead to virological failure, and increases the risk of development of drug resistance. Understanding the prevalence of nonadherence and associated factors is important to inform secondary HIV prevention efforts. METHODOLOGY/PRINCIPAL

findingsWe used data from a cross-sectional interview study of persons with HIV conducted in 18 U.S. states from 2000-2004. We calculated the proportion of nonadherent respondents (took <95% of prescribed doses in the past 48 hours), and the proportion of doses missed. We used multivariate logistic regression to describe factors associated with nonadherence. Nine hundred and fifty-eight (16%) of 5,887 respondents reported nonadherence. Nonadherence was significantly (p<0.05) associated with black race and Hispanic ethnicity; age <40 years; alcohol or crack use in the prior 12 months; being prescribed >or=4 medications; living in a shelter or on the street; and feeling "blue" >or=14 of the past 30 days. We found weaker associations with having both male-male sex and injection drug use risks for HIV acquisition; being prescribed ARVT for >or=21 months; and being prescribed a protease inhibitor (PI)-based regimen not boosted with ritonavir. The median proportion of doses missed was 50%. The most common reasons for missing doses were forgetting and side effects. CONCLUSIONS/SIGNIFICANCE: Self-reported recent nonadherence was high in our study. Our data support increased emphasis on adherence in clinical settings, and additional research on how providers and patients can overcome barriers to adherence.

Indexed as

Antiretroviral Therapy, Highly ActiveMedication AdherencePatient ComplianceAdolescentAdultAnti-HIV AgentsAttitude to HealthCross-Sectional StudiesData CollectionFemaleHIV InfectionsHumansInterviews as TopicMaleTreatment RefusalYoung AdultAnti-HIV Agents

Identifiers

PMID17579723
PMCPMC1891091
OpenAlexW2028607051

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.