Evidence map›Paper›PMID 29973167›Full record

Observational studyBMC public health2018

Medication adherence to antiretroviral therapy among newly treated people living with HIV.

Yang Yu, Dan Luo, Xi Chen, Zhulin Huang, Min Wang, Shuiyuan Xiao

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03862196 (Efficacy of an Intervention With Text Messaging to Improve Early Retention in HIV Care for People With HIV Who Receive Treatment at VIA LIBRE), which is not on this map. Cited by 42 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT03862196 naunknown statusnot on this map

Efficacy of an Intervention With Text Messaging to Improve Early Retention in HIV Care for People With HIV Who Receive Treatment at VIA LIBRE

TypeinterventionalSponsorNGO Via LibreRan2018 to 2019Enrolled144ConditionsHIVArmsTailored text messages to improve retention in HIV care
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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.

Yang YuDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, 410078, China.
Dan LuoDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, 410078, China. luodan_csu_2011@126.com.
Xi ChenHunan Provincial Center for Disease Prevention and Control, Changsha, China.
Zhulin HuangChangsha Center for Disease Prevention and Control, Changsha, China.
Min WangHIV/AIDS Research Institute, The First Hospital of Changsha, Changsha, China.
Shuiyuan XiaoDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, 410078, China.

Funding

China-Rochester Suicide Research Training Program (CRSRT)D43TW009101 · FIC · UNIVERSITY OF ROCHESTER · PI CAINE, ERIC D. · 2011 to 2015
$1.2M
FIC NIH HHS D43 TW009101Foundation for the National Institutes of Health D43 TW009101the National Natural Science Foundation of China 81202290
6 · The paper itself

Abstract

backgroundFree antiretroviral therapy has been implemented in China since 2004, but adherence to antiretroviral therapy among people living with HIV is suboptimal. The effectiveness of antiretroviral therapy is subject to medication adherence, which decreases with prolonged treatment times. The aim of this study was to investigate medication adherence and related factors among people living with HIV with newly initiated antiretroviral therapy.

methodsThis observational study was conducted in consecutive samples of people living with HIV who had newly initiated antiretroviral therapy. Participants were recruited between March 1, 2013, and August 31, 2014, from the local Center for Disease Control and Prevention and Infectious Disease hospital in a capital city in central China. A standard set of questionnaires was adopted, including the Community Programs for Clinical Research on AIDS Antiretroviral Medications and Self-Report Questionnaire (CPCRA), the Patient Health Questionnaire-9 (PHQ-9) and the 7-item Generalized Anxiety Disorder Scale (GAD-7). T-test, Chi square test and multivariate logistic regression analysis with backward stepwise were performed to explore factors that might influence medication adherence.

resultsOf the 207 participants, 85.5% of the participants (177/207) were categorized with good adherence, and 14.5% (30/207) with poor adherence. The multivariate logistic regression analyses showed that participants with positive depression (OR = 5.95, 95% CI: 2.34-15.11) and without disclosure of their HIV status to others (OR = 2.62, 95% CI: 1.06-6.50) were more susceptible to poor adherence.

conclusionsOne-sixth of the participants reported suboptimal medication adherence within the first 6 months. Factors associated with poor adherence included non-disclosure of their HIV status, had positive depression. Tailored interventions, such as effective psychological coping strategies, should be implemented for people living with HIV with newly initiated antiretroviral therapy to improve their medication adherence.

Indexed as

Drug MonitoringAdolescentAdultAgedAnti-HIV AgentsChinaDepressionDisclosureFemaleHIV InfectionsHumansMaleMiddle AgedSurveys and QuestionnairesYoung AdultAnti-HIV AgentsAntiretroviral therapyMedication adherencePeople living with HIV

Identifiers

PMID29973167
PMCPMC6030792

What OpenQuestion holds

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Registered trials

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.