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Factors Affecting Adherence to Antiretroviral Therapy among HIV/AIDS Patients in Cape Coast Metropolis, Ghana

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dc.contributor.author Prah, James
dc.contributor.author Hayfron-Benjamin, Anna
dc.contributor.author Abdulai, Mohammed
dc.contributor.author Lasim, Obed
dc.contributor.author Nartey, Yvonne
dc.contributor.author Obiri-Yeboah, Dorcas
dc.date.accessioned 2022-04-08T15:58:00Z
dc.date.available 2022-04-08T15:58:00Z
dc.date.issued 2018-02
dc.identifier.issn 23105496
dc.identifier.uri http://hdl.handle.net/123456789/8172
dc.description 7p:, ill. en_US
dc.description.abstract Optimal adherence to antiretroviral therapy (ART) among HIV/AIDS patients has proved elusive despite increasing access to ART worldwide. Methods: This analytical cross-sectional study was conducted to assess factors that influence adherence to ART among HIV/AIDS patients in Cape Coast, Ghana. Three hospitals that provide full ART services were used as study sites. Data collection was done using a semi-structured questionnaire that was interviewer administered. The primary outcome of this study was respondents’ lifetime adherence to ART. Data was analyzed using SPSS version 20.0 with a p-value of 0.05 considered as statistical evidence of an association. Results: A total of 381 patients (mean age: 43.9 ± 11.8 years) were involved in the study. Life time adherence was found to be 73.0%. Only 79.5% adhered to their ART clinic appointments. Lifetime non-adherence was predicted by male sex (AOR 2.0, 95% CI 1.1–3.5, p=0.021), more than once daily dosing ART regimens (AOR 1.7, 95% CI 1.1-2.8, p=0.024), not disclosing HIV status (AOR: 2.4, CI:1.3-4.5, p=0.005), not having a way to remember to take drugs (AOR: 1.9, CI:1.1-3.4, p=0.033) and not having a treatment monitor (AOR: 2.9, 95% CI 1.7-5.0, p=0.011). Conclusions and Recommendation: Patients on ART in the Cape Coast metropolis, Ghana, were found to have a sub optimal life time adherence to their medications as well as a high rate of missed clinic visits. The study results suggest that clinicians should ensure that the clients are well educated on the importance of disclosing their sero-status and obtaining a treatment monitor prior to initiating ART for optimal adherence. en_US
dc.language.iso en en_US
dc.publisher University of Cape Coast en_US
dc.subject Adherence en_US
dc.subject Antiretroviral therapy en_US
dc.subject Cape Coast en_US
dc.subject HIV/AIDS en_US
dc.title Factors Affecting Adherence to Antiretroviral Therapy among HIV/AIDS Patients in Cape Coast Metropolis, Ghana en_US
dc.type Article en_US


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