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Social, clinical, and adherence factors in patients co-infected with HIV/Tuberculosis: a descriptive study

Gabriela Souza Damásio, Heloisa Martins França, Isabelle Christine Marinho de Oliveira, Isabelle Christine Marinho de Oliveira, Aryele Rayana Antunes de Araújo, Alexsandra Rodrigues Feijão

Abstract


Aim: To evaluate the influence of social and clinical aspects in terms of medication adherence of patients co-infected with HIV/Tuberculosis. Method: This is a descriptive  cross-sectional  study  using  a  quantitative  approach,  performed  in  a  public institution in the state of Rio Grande do Norte, Brazil, in the period from August 2014 to January  2015,  with  34  users  co-infected  with  HIV/TB.  The  instruments  used  were: sociodemographic and clinical assessment; the Morisky-Green test and evaluation of the difficulty   level   for   adherence.   Results:   adherence   to   treatment   was   significantly associated  with  the  time  of  diagnosis  for  HIV  over  five  years,  with  moderate  difficulty regarding  medication  adherence  (p=0.019).  Conclusion:  professionals need  to  consider the compliance with treatment in the general context in which users are found, including the associated factors and the actions planned by the service significantly influencing the treatment outcome.


Keywords


Coinfection; Tuberculosis; Human Immunodeficiency Virus

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DOI: https://doi.org/10.17665/1676-4285.20165397