摘要：Introduction: Adherence to antiretroviral treatment (ART) is vital in achieving virological treatment success. This study assessed the prevalence of optimal ART adherence and its determinants among HIV/AIDS patients in Vietnam.Method: A cross-sectional survey was conducted with 1,016 HIV/AIDS patients at seven hospitals and health centers providing antiretroviral treatment services in three provinces, including Hanoi, Hai Phong, and Ho Chi Minh City. Self-reported medication adherence was measured using a 30-day visual analog scale (VAS) and 7-day missed-doses questions.Results: The mean adherence VAS-score was 94.5 out of 100 (SD=8.2), ranging from 40 to 100%. The rate of suboptimal adherence was 25.9%. The rate of missed-doses was 25.2%. In multivariate analysis, increased perceived self-efficacy, use of mobile phone alarms, and reminders from family members were associated with optimal adherence; higher CD4 level, single status, and unstable employment were associated with suboptimal adherence.Conclusion: High rate of suboptimal adherence observed in this study highlights the importance of adherence support interventions during ART. The use of mobile phone reminders, involvement of relatives, and HIV self-management training programs have the potential to improve ART adherence in Vietnam.Keywords: HIV/AIDS; adherence; antiretroviral treatment; drug users; adherence aid; Vietnam(Published: 15 March 2013)Citation: Glob Health Action 2013, 6: 19570 - http://dx.doi.org/10.3402/gha.v6i0.19570
关键词：HIV/AIDS, Global Health,;HIV/AIDS; adherence; antiretroviral treatment; drug users; adherence aid; Vietnam;RA421-790.95
