Evidence map›Paper›PMID 31138303›Full record

ArticleBMC health services research2019

Knowledge, attitudes, perception and practices regarding antiretroviral therapy among HIV-infected adults in Antananarivo, Madagascar: a cross-sectional survey.

Mihaja Raberahona, Zinara Lidamahasolo, Johary Andriamamonjisoa, Volatiana Andriananja, Radonirina Lazasoa Andrianasolo, Rivonirina Andry Rakotoarivelo, Mamy Jean de Dieu Randria

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Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

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

9 citing papers in PubMed.

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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

7 authors.

Mihaja RaberahonaInfectious Diseases Department, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar. raberahona@gmail.com.ORCID http://orcid.org/0000-0001-8857-5834
Zinara LidamahasoloDepartment of Pharmacy, Faculty of Medicine, University of Antananarivo, Antananarivo, Madagascar.
Johary AndriamamonjisoaFaculty of Medicine, University of Antananarivo, Antananarivo, Madagascar.
Volatiana AndriananjaInfectious Diseases Department, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar.
Radonirina Lazasoa AndrianasoloFaculty of Medicine, University of Antananarivo, Antananarivo, Madagascar.
Rivonirina Andry RakotoariveloInfectious Diseases Department, University Hospital Tambohobe, Fianarantsoa, Madagascar.
Mamy Jean de Dieu RandriaInfectious Diseases Department, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdherence to antiretroviral therapy (ART) may be influenced by knowledge, perception and perception regarding ART. The purpose of this study was to assess knowledge, attitude/perception and practice regarding ART among people living with HIV/AIDS (PLHIV).

methodsWe conducted a cross-sectional survey to assess knowledge, attitudes, perception and practices ART in PLHIV. The survey was suggested to all PLHIV of at least 18 years old and who were on ART for at least 1 month. PLHIV who were unable to answer questions correctly and those who did not complete the survey for any reason were excluded.

resultsDuring the study period, 234 PLHIV were included. Participants were mostly men (75.2%). The median age was 33 years (IQR: 27-41). The median time since HIV diagnosis was 25 months (IQR: 9-56) and the median duration of ART was 18 months (IQR: 8-48). 87.6% had an overall good knowledge of ART. However, only 3.2% knew the name of their ART, 31.2% were aware that ART should be taken at a fixed time and 17.1% knew how to take ART in relation to food intake. 75.6% of participants had an overall positive attitude/perception of ART. However, 10.7% were convinced that other methods were more effective than ART for treating HIV and 42.7% thought that taking ART was shameful. The assessment of practices showed that in case of missed dose, 48.3% of participants routinely skipped this dose instead of trying to take it as soon as possible. In multivariate analysis, good knowledge of ART was independently associated with high level of education (aOR: 4.7, IC95%: 1.6-13.7, p = 0.004) and disclosure of HIV status (aOR: 2.7, IC95%: 1.1-6.6, p = 0.029).

conclusionsThis study showed an overall good knowledge and a predominantly positive attitude/perception of ART. However, accurate knowledge of ART intake was insufficient and the stigma associated with taking ART remained very present. Furthermore, very heterogeneous practices may reflect lack of instruction given by the physician regarding ART intake.

Indexed as

Health Knowledge, Attitudes, PracticeAdultAnti-HIV AgentsCross-Sectional StudiesDrug MonitoringFemaleHIV InfectionsHumansMadagascarMalePerceptionSexual BehaviorSocial StigmaSurveys and QuestionnairesAnti-HIV AgentsAntiretroviral therapyAttitudeKnowledgePerceptionPractices

Identifiers

PMID31138303
PMCPMC6537363

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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.