Adherence to antiretroviral therapy among HIV-infected prison inmates (Spain)

This cross-sectional study was carried out in two Spanish prisons. A group of 177 HIV-infected prison inmates were interviewed. Standardized personal interviews using a structured questionnaire were conducted to assess sociodemographic features and prison setting characteristics, clinical variables,...

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Bibliographic Details
Published in:International journal of STD & AIDS 2005-02, Vol.16 (2), p.133-138
Main Authors: SOTO BLANCO, José M, RUIZ PEREZ, Isabel, MARCH, Joan C
Format: Article
Language:English
Subjects:
Adult
AIDS/HIV
Anti-HIV Agents - therapeutic use
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antiviral agents
Biological and medical sciences
Cross-Sectional Studies
Epidemiology. Vaccinations
Female
General aspects
HIV Infections - drug therapy
Human immunodeficiency virus
Human viral diseases
Humans
Infectious diseases
Male
Medical sciences
Patient Compliance
Pharmacology. Drug treatments
Prisoners
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Summary:This cross-sectional study was carried out in two Spanish prisons. A group of 177 HIV-infected prison inmates were interviewed. Standardized personal interviews using a structured questionnaire were conducted to assess sociodemographic features and prison setting characteristics, clinical variables, social support and drug consumption. A simplified four-item questionnaire for self-reported adherence was used. A total of 24.3% were non-adherent. Predictors of non-adherence in the multivariate analysis included poor or lack of ability to follow the prescribed treatment regimen, no visits in a month, anxious and/or depressed mood, difficulty in taking medication, receiving methadone treatment, cannabis consumption and robbery as the reason for imprisonment. Adherence to antiretroviral therapy was higher than in the wider community. However, other variables related to the correctional setting, such as assignments within the facility, adaptability of the prison system to authorize the cell being opened in the event of missed medication, or legal situation had no effect on adherence for inmates with HIV disease.
ISSN:0956-4624
1758-1052
DOI:10.1258/0956462053057503