학술논문
Antiretroviral therapy abandonment among adolescents and young people with HIV/AIDS during COVID-19: A case-control study.
Document Type
Article
Author
Source
Subject
*CLINICAL drug trials
*HIV-positive persons
*MATHEMATICAL statistics
*NONPARAMETRIC statistics
*PARAMETERS (Statistics)
*CONFIDENCE intervals
*INDEPENDENT variables
*CASE-control method
*FISHER exact test
*MANN Whitney U Test
*HIGHLY active antiretroviral therapy
*MATHEMATICAL variables
*CONTENT mining
*PEARSON correlation (Statistics)
*T-test (Statistics)
*MEDICAL records
*CHI-squared test
*DESCRIPTIVE statistics
*PATIENT compliance
*SOCIODEMOGRAPHIC factors
*RESEARCH bias
*DATA analysis software
*LOGISTIC regression analysis
*ODDS ratio
*RECEIVER operating characteristic curves
*DATA analysis
*AIDS
*COVID-19 pandemic
*OUTPATIENT services in hospitals
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Language
ISSN
1518-8345
Abstract
Objective: to identify the factors associated with antiretroviral therapy abandonment among adolescents and young people living with HIV/AIDS during the COVID-19 pandemic. Method: a case-control study carried out between 2020 and 2021 in Maringá, Paraná. The cases corresponded to the following: adolescents and young people (aged from 10 to 24 years old) diagnosed with HIV/AIDS and who abandoned treatment, while the Control Group consisted of people with similar sociodemographic characteristics, diagnosed with HIV/AIDS and with no history of treatment abandonment. Pairing of the cases and controls was by convenience, with four controls for each case. The research instrument presented sociodemographic variables, clinical characteristics and others, whose association with treatment abandonment was analyzed by means of logistic regression. Results: a total of 27 cases and 109 controls were included in the study (1/4 ratio). The variable associated with an increased chance of abandonment was age close to 22.8 years old (ORadj: 1.47; 95% CI: 1.07-2.13; p=0.024). Sporadic condom use (ORadj: 0.22; 95% CI: 0.07-0.59; p=0.003) and having an opportunistic infection (OR: 0.31; 95% CI: 0.10-0.90; p=0.030) were protective factors. Conclusion: age close to 23 years old at the last consultation was associated with antiretroviral therapy abandonment. The presence of opportunistic infections and condom use are determining factors for treatment continuity during COVID-19. [ABSTRACT FROM AUTHOR]