An investigation on the Dropout of Patients with HIV/AIDS Receiving Antiviral Therapy in an Area of Yunnan Province

Lou Jin Cheng; Wu Xin Hua; Chen Xi; Lei Hong Tao; Li Tian Shu; An Liang; Lao Yun Fei

Article Contents

Article Navigation > Journal of Kunming Medical University > 2018 > 39(04): 121-124

Lou Jin Cheng , Wu Xin Hua , Chen Xi , Lei Hong Tao , Li Tian Shu , An Liang, Lao Yun Fei . An investigation on the Dropout of Patients with HIV/AIDS Receiving Antiviral Therapy in an Area of Yunnan Province[J]. Journal of Kunming Medical University, 2018, 39(04): 121-124.

Citation:

Lou Jin Cheng , Wu Xin Hua , Chen Xi , Lei Hong Tao , Li Tian Shu , An Liang, Lao Yun Fei . An investigation on the Dropout of Patients with HIV/AIDS Receiving Antiviral Therapy in an Area of Yunnan Province[J]. Journal of Kunming Medical University, 2018, 39(04): 121-124.

Citation:

Lou Jin Cheng , Wu Xin Hua , Chen Xi , Lei Hong Tao , Li Tian Shu , An Liang, Lao Yun Fei . An investigation on the Dropout of Patients with HIV/AIDS Receiving Antiviral Therapy in an Area of Yunnan Province[J]. Journal of Kunming Medical University, 2018, 39(04): 121-124.

PDF( 189 KB)

An investigation on the Dropout of Patients with HIV/AIDS Receiving Antiviral Therapy in an Area of Yunnan Province

Funds:

基金：云南省重点新产品开发项目基金资助项目 (2016BC005);

Received Date: 2017-09-22

Abstract

Abstract

Objective To investigate the cause of dropout among people living with HIV/AIDS receiving free antiretroviral therapy (ART) in Yunnan province and its associated factors. Me thods Data of patients with HIV/AIDS receiving ART were collected from ART initiative in July 2004 to May 2015 in four counties of Yunnan Province. The possible factors influencing the patients' dropout during the treatment were analyzed by χ2 test and logistic regression analysis. Re s ults Among 6614 patients with HIV/AIDS receiving antiretroviral therapy older than 15 years old, 540 patients dropped out of ART for various reasons, accounting for 8.2%. Among 540 patients who dropped out from ART, 74.4% were lost to follow-up and 25.6% quitted ART but could be reached by health workers. The main factors of dropout during the ART included the baseline CD4 count above 500, being non-marital, intravenous drug using, and receiving treatment for less than 6 months. Conclus ion We should pay attention to patients addicted to drug, receiving treatment less than 6 months, being non-marital or divorced and with baseline CD4 count above 500 in order to reduce the dropout rate by strengthening compliance and giving more care.
- AIDS,
- Antiviral therapy,
- Dropout

FullText(HTML)

References(18)

References

[1]李道平, 徐娟, 王春容.湖北省中学生预防艾滋病知识态度行为调查[J].中国艾滋病性病, 2012, 18 (5) :313-315.
[2]向青青, 黄缅.接受ART HIV/AIDS病人的依从性影响因素及干预对策[J].中国艾滋病性病, 2013, 19 (3) :166-168.
[3]	[3]ZHANG F J, PAN J, YU L, et al, Current progress of China’s free ART program[J].Cell Res, 2005, 15 (11/12) :877-822.
[4]	[4]ZHOU J L, TANUMA J, CHAIWARITH R, et al.Loss to follow up in HIV-infected patients from Asia-Pacific region:Results from TAHOD[J].AIDS Res Treat, 2012, 2012 (1) :375217.
[5] 王安绪.艾滋病患者终止抗病毒治疗原因分析[J].中国公共卫生, 2007, 23 (12) :1436.
[6]邱月锋, 夏品苍.福建省艾滋病患者抗病毒治疗终止原因分析[J].中国预防医学杂志, 2015, 16 (1) :350001
[7]陈亚丹, 绳宇.艾滋病患者抗病毒药物治疗依从性的干预现状[J].中华护理杂志, 2010, 45 (4) :375-376.
[8]李雷, 雷纪丽, 王卫民, 等.南阳市AIDS病人抗逆转录病毒治疗依从性影响因素的调查分析[J].中国艾滋病性病, 2005, 11 (1) :50-51.
[9]王安绪.AIDS病人终止HAART原因分析[J].中国公共卫生, 2007, 23 (12) :1436-1437.
[10] 李韩平, 刘伟, 刘海霞, 等.广西壮族自治区133例AIDS病人HAART效果评价[J].中华流行病学杂志, 2007, 28 (4) :338-342.
[11]支玉红, 王水旺, 张世霞.农村成人艾滋病抗病毒治疗管理模式探讨[J].中国初级卫生保健, 2008, 22 (1) :77-78.
[12]陆娟, 刘中夫, 马烨, 等.62例静脉吸毒艾滋病病人抗病毒治疗疗效观察[J].中国艾滋病性病, 2008, 14 (6) :569-571.
[13]	[13]ZHU H, NAPRAVNIK S, ERON J, et al.Attrition among human immunodeficiency virus (HIV) -infected patients initiating antiretroviral therapy in China, 2003-2010[J].PLOS One, 2012, 7 (6) :e39414
[14]	[14]BRINKHOF M W, DABIS F, MYER L, et al.Early loss of HIV-infected patients on potent antiretroviral therapy programmes in lower-income countries[J].Bull World Health Organ, 2008, 86 (7) :559-567.
[15]	[15]HACKER M A, KAIDA A, HOGG R S, et al.The first ten years:Achievements and challenges of the Brazilian program of universal access to HIV/AIDS comprehensive management and care, 1996-2006[J].Cad Saude Publica, 2007, 23 (Suppl 3) :S345-S359.
[16]	[16]OGUNTIBEJU O O.Quality of life of people living with HIV and AIDS and antiretroviral therapy[J].HIV AIDS (Auckl) , 2012, 4 (4) :117-124.
[17]陆林.云南省艾滋病流行20年[J].昆明医科大学学报, 2013, 34 (6) :1-4.
[18]周贵, 邓阳, 陈怡蓉, 等.HIV/AIDS患者在进行抗病毒治疗中的生命质量研究[J].昆明医科大学学报, 2013, 34 (7) :131-146.

Relative Articles(20)

Relative Articles

[1]	Yihan LIU, Jun LIU, Yongmei JIN, Bo TIAN, Jinsong BAI. Risk Assessment and Analysis of Risk Factors for Cardiovascular Disease in HIV Antiviral Therapy Patients. Journal of Kunming Medical University, 2024, 45(10): 140-146. doi: 10.12259/j.issn.2095-610X.S20241022
[2]	Xuelin XIANG, Hongrui ZHAO, Zhongjie WANG, Yu XIA, Min MA, Huadan WANG, Liping. HE. Social Support Status and Influencing Factors of HIV-infected Patients on Antiviral Therapy. Journal of Kunming Medical University, 2024, 45(9): 156-162. doi: 10.12259/j.issn.2095-610X.S20240924
[3]	Bo TIAN, Jun LIU, Chongxi LI, Wei ZHANG, Meiqin FANG, Haiyun CHEN, Jingping BAI, Xin ZHOU, Lei CHENG, Yongmei JIN. Effect Observation and Influencing Factors Analysis of Rapid Initiation of Antiretroviral Therapy. Journal of Kunming Medical University, 2024, 45(9): 163-167. doi: 10.12259/j.issn.2095-610X.S20240925
[4]	Mengjun LIU, Shoukun CHEN, Liuxin HAN, Jing PENG, Weisha ZHOU, Yunying ZHANG, Yiying WANG, Jiawei XIA. Efficacy of Roxadustat in the Maintenance Hemodialysis of HIV/AIDS Patients Resistant to EPO. Journal of Kunming Medical University, 2024, 45(8): 139-144. doi: 10.12259/j.issn.2095-610X.S20240820
[5]	Ti WU, Kang HUANG, Zhirong ZHAO, Haiwen LI, Xiaofei LI, Yongrui YANG. The Efficacy and Safety of Different Antiviral Treatment Regimens in Patients with ALT Elevation and Low Viral Load in the Indeterminate Phase of Chronic Hepatitis B. Journal of Kunming Medical University, 2023, 44(1): 97-103. doi: 10.12259/j.issn.2095-610X.S20230117
[6]	Xiaomei JIN, Jieyan HE, Jichang SHI, Hui XING, Hong WANG, Ju ZHANG, Lijuan DONG, Lihua HUANG, Min CHEN, Zhijuan CHEN, Huichao CHEN. Virus Genotypes and Drug Resistance among HIV/AIDS Patients before Antiretroviral Therapy in Dali Bai Autonomous Prefecture in 2018. Journal of Kunming Medical University, 2023, 44(11): 152-157. doi: 10.12259/j.issn.2095-610X.S20231123
[7]	Bo TIAN, Chongxi LI, Yongmei JIN, Wei GUAN, Haiyun CHEN, Jun LIU. Use and Replacement of Treatment Regimens for AIDS Patients on Antiretroviral Therapy. Journal of Kunming Medical University, 2023, 44(5): 162-167. doi: 10.12259/j.issn.2095-610X.S20230508
[8]	Le ZHANG, Yuanqiang HE, Jiawei XIA, Shu LIU, Bin BAI, Xing LIU. Effect of Early Interventional Therapy with Bronchoscopic Alveolar Lavage on AIDS Patients Complicated with Severe Pneumonia. Journal of Kunming Medical University, 2022, 43(11): 151-155. doi: 10.12259/j.issn.2095-610X.S20221120
[9]	Diandian ZENG, Bo TIAN, Yongmei JIN, Chongxi LI, Fen TENG, Jun LIU. A Cross-sectional Survey on Quality of Life of AIDS Patients with Different Antiretroviral Regimens in Kunming Area. Journal of Kunming Medical University, 2022, 43(12): 147-152. doi: 10.12259/j.issn.2095-610X.S20221227
[10]	Yong-rui YANG, Hai-wen LI, Zhi-rong ZHAO, Lu WANG, Ting JIA, Zhi-jian DONG, Xiao-fei LI, Ni-hong LU. Clinical Efficacy and Safety of Sofosbuvir and Vipatavir in the Treatment of Patients with Chronic Hepatitis C and HCV/HIV co-infection. Journal of Kunming Medical University, 2021, 42(7): 130-136. doi: 10.12259/j.issn.2095-610X.S20210722
[11]	Shi Ai Yun, Wang Ya Ling , Bai Jing Song , Xia Jia Wei , Liu Li , Qian Li Yun . . Journal of Kunming Medical University, 2019, 40(11): 161-164.
[12]	Yang Yong Rui , Li Xiao Fei , Liu Jun , Guo Ying Wu , Shen Ling . . Journal of Kunming Medical University, 2018, 39(11): 110-113.
[13]	Yang Yong Rui , Li Fei , Yang Yin , Wen Pin Yuan , Feng Yu , Shen Jiu Cheng , Zhang Jian Qing , Shen Ling . . Journal of Kunming Medical University, 2018, 39(10): 126-129.
[14]	Yang Yong Rui . . Journal of Kunming Medical University,
[15]	Zhou Gui . . Journal of Kunming Medical University,
[16]	Li Xian Li . . Journal of Kunming Medical University,
[17]	Li Xian Li . . Journal of Kunming Medical University,
[18]	Li Xian Li . . Journal of Kunming Medical University,
[19]	. Clinical Application of T-SPOT.TB in Diagnosis of HIV/AIDS and TB Patients. Journal of Kunming Medical University,
[20]	. Clinical Results of 232 Treatment-naive HIV/AIDS Patients after HAART. Journal of Kunming Medical University,