背景:获得性免疫缺陷综合征(AIDS)是全球最严重的公共卫生紧急情况之一。然而,同样勇敢的是,全球承诺阻止新的艾滋病毒感染的发生,并确保每个患有这种疾病的人都能获得艾滋病毒治疗。
方法:在兰契的抗逆转录病毒治疗(ART)中心进行了一项横断面分析研究,Jharkhand,印度,2023年。由于全州的大多数患者都在那里注册了ART治疗,它被选为研究地点。从这个中心,通过随机数字表选择了30个部落和30个非部落人口。MicrosoftExcel电子表格(MicrosoftCorp.,雷德蒙德,WA)用于输入数据,并生成了一个模板。使用IBMSPSSStatistics软件forWindows分析数据,第25版(IBM公司,Armonk,NY).使用卡方和t检验来找到关联,P值小于0.05被认为具有统计学意义。
结果:大多数患者,即,40%,来自40-50岁年龄段,平均年龄为35.25岁,平均体重49.41公斤,平均人均收入为卢比。2,215.72。我们发现患有人类免疫缺陷病毒(PLHIV)的人群中ART药物依从性的患病率为88.3%,不依从程度为21.7%,不坚持的原因是通勤时间长,旅行费用高,以及参观ART中心时的工资损失。
结论:尽管国家艾滋病控制组织(NACO)提供了最好的支持系统,其中包括免费药物,咨询,和提醒,五分之一的患者仍然不符合他们的治疗。我们需要关注旅行成本和距离来改善这一点,因为这些是不坚持ART的主要原因。
BACKGROUND: Acquired immunodeficiency syndrome (AIDS) is one of the most serious public health exigencies across the globe. However, equally brawny is the global commitment to halt new HIV infections from occurring and ensure that everyone with the disease has access to HIV treatment.
METHODS: A cross-sectional analytical study was carried out at an antiretroviral therapy (
ART) center in Ranchi, Jharkhand, India, in 2023. Since most patients across the state were registered for
ART treatment there, it was selected as the study site. From this center, 30 tribal and 30 non-tribal people were chosen by a random number table. A Microsoft Excel spreadsheet (Microsoft Corp., Redmond, WA) was used to enter the data, and a template was generated. Data were analyzed using IBM SPSS Statistics software for Windows, version 25 (IBM Corp., Armonk, NY). Chi-square and t-test were used to find an association, and a p-value of less than 0.05 was considered statistically significant.
RESULTS: The majority of the patients, i.e., 40%, were from the 40-50 age category with a mean age of 35.25 years, mean weight was 49.41 kg, and mean per capita income was Rs. 2,215.72. We found the prevalence of
ART medication adherence among people living with human immunodeficiency virus (PLHIV) to be 88.3%, the degree of nonadherence was 21.7%, and the causes of the nonadherence were long commutes, high travel costs, and wage loss while visiting an
ART center.
CONCLUSIONS: Despite the best support system by the National AIDS Control Organisation (NACO), which encompasses free drugs, counseling, and reminders, a fifth of patients still were not consistent with their treatments. We need to focus on travel costs and distance to improve this, as these were the main causes of nonadherence to
ART.