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AIDS and Behavior
Published in: AIDS and Behavior 7/2011

01-10-2011 | Original Paper

Risk Factors for Medication Non-Adherence in an HIV Infected Population in the Dominican Republic

Authors: Julian Harris, Mara Pillinger, Deborah Fromstein, Bayardo Gomez, Ivelisse Garris, Peter A. Kanetsky, Pablo Tebas, Robert Gross

Published in: AIDS and Behavior | Issue 7/2011

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Abstract

High levels of medication adherence are central to HIV treatment success. Barriers to medication adherence may differ by cultural setting. We aimed to determine risk factors for medication non-adherence in HIV infected individuals in the Dominican Republic. Adherence was measured in 300 individuals using a visual analog scale assessing the prior month and dichotomized at 95%. High levels of adherence were reported by 228 (76%). Risk factors for non-adherence included heavy alcohol use: 2.5 times odds (95% CI: 1.4–4.5), having children: 2.2 times higher odds (95% CI: 1.1–4.9) and perceptions of less social support related to adherence: 2 times higher odds (95% CI: 1.1–3.6). Culturally appropriate interventions are needed to address alcohol use, which is common in this setting. Parenting may represent a competing demand on time and resources and be an adherence barrier. Self-reported perceived lack of adherence support may be a useful marker for need for adherence interventions.
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Metadata
Title
Risk Factors for Medication Non-Adherence in an HIV Infected Population in the Dominican Republic
Authors
Julian Harris
Mara Pillinger
Deborah Fromstein
Bayardo Gomez
Ivelisse Garris
Peter A. Kanetsky
Pablo Tebas
Robert Gross
Publication date
01-10-2011
Publisher
Springer US
Published in
AIDS and Behavior / Issue 7/2011
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-010-9781-1

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