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Comparison of treatment adherence outcome among PLHIV enrolled in economic strengthening program with community control

机译:与社区控制的经济加强计划中普希夫人的治疗遵守结果比较

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摘要

Economic strengthening (ES) interventions are increasingly promoted to support the economic well-being and food security of people living with HIV (PLHIV) in resource poor settings. This study aims to assess the impact of ES interventions in Ethiopia designed to address poverty and food insecurity on antiretroviral treatment (ART) adherence. A comparative cross-sectional design was employed to compare treatment adherence between food insecure PLHIV benefitting from the ES project of WFP Ethiopia to food insecure PLHIV not participating in ES. Using the visual analogue scale (VAS) to measure ART adherence, only 9.9% of the ES group reported less than 95% adherence compared to 25.9% of the comparison group. Controlling for socio-economic and demographic variables using logistic regression models, engagement in ES activities increased the likelihood of having 95% or greater ART adherence by a factor of 2.4 and 5.6 respectively (as measured by VAS and ACTG approaches) compared to those PLHIV that were not engaged in ES. The findings of the study suggest that engagement in ES contributes to improved ART adherence among food insecure PLHIV. If further studies validate this result, ES should be adopted as a key strategy to improve HIV treatment adherence in resource poor settings where adherence is an issue of concern.
机译:越来越多地促进经济加强干预措施,以支持艾滋病毒(Plhiv)的经济福祉和粮食安全在资源差的环境中。本研究旨在评估埃塞俄比亚均旨在解决贫困和粮食不安全对抗逆转录病毒治疗(艺术)依从性的影响的影响。采用比较横截面设计比较食品不安全的PLHIV之间的治疗依赖于WFP埃塞俄比亚的ES项目与未参加ES的粮食不安全。使用视觉模拟量表(VAS)来衡量艺术遵守,只有9.9%的ES组报告的依从性比较小组的25.9%。使用Logistic回归模型控制社会经济和人口变量,ES活动的参与增加了95%或更高的艺术遵守的可能性分别为2.4和5.6(通过VAS和ACTG方法测量)与那些PLHIV相比没有从事es。该研究的调查结果表明,ES的参与有助于改善粮食不安全的Plhiv之间的艺术依从性。如果进一步研究验证了这一结果,则应作为改善资源贫困环境中的艾滋病毒治疗遵守的关键策略,以遵守问题是一个关注的问题。

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