Evidence map›Paper›PMID 34539951›Full record

ArticleThe Pan African medical journal2021

Factors associated with non-adherence to antiretroviral therapy among HIV-infected adolescents aged 15-19 years: a snapshot from the Mother and Child Center in Yaounde, Cameroon.

Martial Wandji Lantche, Joseph Fokam, Anne Jocelyne Nguemedyam Cheudjui, Jules Brice Mbougua Tchatchueng, Thierry Serge Joël Noumsi, Francis Ndongo Ateba, Paul Ndombo Koki, Clotaire Serge Billong

Abstract read
In one paragraph

Article in The Pan African medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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.

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, 1 synthesis or guideline 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

8 authors.

Martial Wandji LantcheDepartment of Epidemiology, School of Health Sciences, Catholic University for Central Africa, Yaounde, Cameroon.
Joseph FokamDepartment of Medical Laboratory Sciences, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Anne Jocelyne Nguemedyam CheudjuiDepartment of Gynecology and Obstetrics, University of Yaounde I, Yaounde, Cameroon.
Jules Brice Mbougua TchatchuengDepartment of Epidemiology, Pasteur Center of Cameroon, Yaounde, Cameroon.
Thierry Serge Joël NoumsiDepartment of Epidemiology, Pasteur Center of Cameroon, Yaounde, Cameroon.
Francis Ndongo AtebaMother and Child Center, Chantal Biya Foundation, Yaounde, Cameroon.
Paul Ndombo KokiMother and Child Center, Chantal Biya Foundation, Yaounde, Cameroon.
Clotaire Serge BillongDepartment of Public Health, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionnon-adherence to antiretroviral therapy (ART) constitutes the main cause of therapeutic failure among HIV-infected adolescents, especially in the aged group 15 to 19 years. We aimed to determine factors associated with this non-adherence in this specific population.

methodswe conducted a cross-sectional study at the Mother and Child Center in Yaounde from August to October 2018. Delayed clinic appointment was referred to as defaulters. Non-adherence was measured during the 3 days preceding inclusion by self-reported method following quantitative (missing dosage of ART), qualitative (ART taken with a delay of more than 2 hours) and combined measure. A threshold of non-adherence > 20% was considered high, with p<0.05 statistically significant.

resultsoverall, 195 out of 251 (77.7%) eligible adolescents were included, of which 56.9% were girls (sex-ratio = 4/3). The mean age was 16.8 ± 1.5 years. The rate of defaulters was 21.0%. Following quantitative approach, 33.8% were non-adherent. Using combined approach, we had 41.0%. This non-adherence was associated with duration on ART > 5 years (adjusted Odds Ratio [aOR]: 2.33;95% Confidence Interval [CI]: 1.08-5.00; p:0.030), defaulters (aOR: 2.56;95% CI: 1.12-5.82; p:0.025) and HIV Viral Load (VL) ≥ 40 copies/ml (aOR: 0.42; 95% CI: 0.21-0.83; p:0.013).

conclusionat this reference pediatric center, 4 out of 10 adolescents aged 15-19 years on ART are non-adherent, driven by missing dosage of drug intake. Strategies for enhanced adherence for late age adolescents are therefore warranted, by prioritizing interventions on defaulters and duration on ART > 5 years.

Indexed as

Drug MonitoringAdolescentAnti-HIV AgentsCameroonCross-Sectional StudiesFemaleHIV InfectionsHumansMaleSelf ReportViral LoadYoung AdultAnti-HIV AgentsadolescentsCameroonFactors associatednon-adherenceYaounde

Identifiers

PMID34539951
PMCPMC8434790

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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.