Evidence map›Paper›PMID 34434060›Full record

ArticleHIV/AIDS (Auckland, N.Z.)2021

Levels of Adherence and Associated Factors Among Children on ART Over Time in Northwest, Ethiopia: Evidence from a Multicenter Follow-Up Study.

Fisha GebreEyesus, Dagninet Mitku, Tadesse Tarekegn, Bogale Temere, Tamene Terefe, Amsalu Belete, Getasew Legas, Dejen Feleke, Moges Gelaw Taye, Nega Baye and 5 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in HIV/AIDS (Auckland, N.Z.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 34% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

Fisha GebreEyesusDepartment of Nursing, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia.ORCID 0000-0001-7358-0577
Dagninet MitkuDebreTabor University, DebreTabor, Ethiopia.
Tadesse TarekegnDepartment of Nursing, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia.
Bogale TemereDepartment of Nursing, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia.
Tamene TerefeDepartment of Nursing, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia.
Amsalu BeleteDebreTabor University, DebreTabor, Ethiopia.
Getasew LegasDebreTabor University, DebreTabor, Ethiopia.ORCID 0000-0002-1230-3952
Dejen FelekeDebreTabor University, DebreTabor, Ethiopia.ORCID 0000-0002-0816-1744
Moges Gelaw TayeDebreTabor University, DebreTabor, Ethiopia.ORCID 0000-0002-9597-1613
Nega BayeDebreTabor University, DebreTabor, Ethiopia.ORCID 0000-0003-1849-2616
Fitalew AdmasuDebreTabor University, DebreTabor, Ethiopia.ORCID 0000-0002-7191-2942
Enyew DagnewDebreTabor University, DebreTabor, Ethiopia.ORCID 0000-0001-5956-0705
Tewachew LiyehDebreTabor University, DebreTabor, Ethiopia.
Melkamu JimmaDepartment of Nursing, College of Health Sciences, Assosa University, Assosa, Ethiopia.ORCID 0000-0002-2214-3366
Ermias ChanieDebreTabor University, DebreTabor, Ethiopia.ORCID 0000-0002-3124-5380
Debre Tabor University · ETWolkite University · ETAsossa University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the increased availability of antiretroviral therapy (ART), its success depends on a high level of adherence to a life-long antiretroviral therapy. However, the extent and factors associated with adherence to ART are not well known, especially in the current study setup. Therefore, this study aimed to assess the level of adherence and associated factors among children on ART in Northwest, Ethiopia.

methodsA retrospective follow-up study was conducted on human immunodeficiency virus (HIV)-infected children receiving ART at South Gondar public hospitals. Children receiving ART from January 1, 2015, to November 30, 2020, were included in the study. A computer-generated simple random sampling technique was employed. The data were entered into the EpiData version 3.1 and analyzed by STATA 14 statistical software. Bivariable logistic regression was fitted for each predictor variable. Moreover, those variables having a p-value ≤0.25 in bivariate analysis were fitted into a multivariable logistic regression model. P-value <0.05 was used to declare significance.

resultsA total of 363 HIV-infected children were involved in the study. From 363 HIV-infected children, the level of adherence to ART was found to be 78.2%, 95% CI (73.6, 82.2). TB co-infection [adjusted odds ratio (AOR) = 3.8, 95% CI (1.41, 10.1)], short duration on ART (AOR = 3.4, 95% CI (1.60, 7.20)), treatment failure (AOR = 10.2, 95% CI (3.95, 26.2)), and Zidovudine containing ART regimen (AOR = 3.5, 95% CI (1.1, 10.9)) were significant predictors of poor adherence.

conclusionThe current study showed that the level of adherence to ART was found to be low TB co-infection, short duration of ART, Zidovudine-containing ART regimen, and treatment failure were found to be significantly associated with poor adherence. Further studies on adherence rate and its determinants with multiple adherence measurements using prospective and multicenter studies were recommended.

Indexed as

adherenceARTchildrenEthiopia

Identifiers

PMID34434060
PMCPMC8380805
OpenAlexW3195795274

What OpenQuestion holds

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LicenceCC BY-NC
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.