Factors associated with regular counselling attendance of HIV outpatients of a national referral hospital in Jakarta, Indonesia: a cross sectional study
Autor: | Katja Taxis, Masdalina Pane, Philip Bautista, Yin Mei Fiona Kong, Herlina, Elfride Irawati Sianturi |
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Přispěvatelé: | PharmacoTherapy, -Epidemiology and -Economics, Real World Studies in PharmacoEpidemiology, -Genetics, -Economics and -Therapy (PEGET) |
Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Adult
Counseling Male medicine.medical_specialty Referral Cross-sectional study HIV Infections Health Services Accessibility Medication Adherence 03 medical and health sciences 0302 clinical medicine ADHERENCE Epidemiology Ambulatory Care medicine Humans Outpatient clinic 030212 general & internal medicine Referral and Consultation 030505 public health BARRIERS business.industry lcsh:Public aspects of medicine Public health Public Health Environmental and Occupational Health Attendance PLHIV lcsh:RA1-1270 MEN Odds ratio ANTIRETROVIRAL TREATMENT Cross-Sectional Studies Anti-Retroviral Agents Socioeconomic Factors Indonesia Health Care Surveys Family medicine Female Counselling HEALTH Biostatistics 0305 other medical science business ACCESS Research Article |
Zdroj: | BMC Public Health, 18(1):1030. BMC BMC Public Health, Vol 18, Iss 1, Pp 1-6 (2018) BMC Public Health |
ISSN: | 1471-2458 |
Popis: | Background Counselling has been shown to improve adherence to medication in people living with HIV (PLHIV). The aim of this study was to investigate factors associated with regular counselling attendance of patients taking antiretroviral therapy (ART). Methods We conducted a cross-sectional, paper-based survey among 880 PLHIV patients on ART attending outpatient clinics of a referral hospital in Jakarta. Patients on ART, above 18 years old, providing written consent were included. The primary outcome was regular counselling attendance (i.e., having attended at least 3 sessions in the previous 3 months) using records from counsellors. Factors associated with regular counselling attendance were assessed using logistic regression analysis. Results The majority of patients were male (71.1%) and had regular counselling (78.4%). Being 31 to 40 years old (odds ratio (OR) = 0.55, 95% confidence interval (CI) = 0.32–0.93, > 40 years (OR = 0.30, 95% CI = 0.16–0.55) vs 20 km from the hospital (OR = 0.55, 95% CI = 0.33–0.93), transmission male-to-male (OR = 0.13, 95% CI = 0.04–0.44), unemployment (OR = 1.88, 95% CI = 1.02–3.44), part-time employment (OR = 10.71, 95% CI = 4.09–28.02), household member with HIV (OR = 3.31, 95% CI = 1.70–6.44), and Christianity (OR = 1.82, 95% CI = 1.12–2.94) were associated with regular counselling attendance. Conclusion This study suggests that counselling services should be reviewed to ensure that they are near home and fit the needs of older patients or patients with co-morbidities and minorities. Tailoring counselling may improve attendance. Electronic supplementary material The online version of this article (10.1186/s12889-018-5924-5) contains supplementary material, which is available to authorized users. |
Databáze: | OpenAIRE |
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