Use of non-HIV medication among people living with HIV and receiving antiretroviral treatment in Côte d’Ivoire, West Africa: A cross-sectional study
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Mariam Mama Djima aff001; Didier Koumavi Ekouevi aff001; Jean-Pierre Gregoire aff003; Boris Tchounga aff001; Patrick Ahuatchi Coffie aff001; Viet-Thi Tran aff001; Franck Y. Touré aff001; Jocelyne Moisan aff003
Působiště autorů:
PACCI, CHU Treichville, Abidjan, Côte d’Ivoire
aff001; Institut Pasteur de Côte d’Ivoire, Abidjan, Côte d’Ivoire
aff002; Faculté de pharmacie, Université Laval, Québec, Canada
aff003; Centre Inserm U 1219, ISPED, Université Victor Segalen, Bordeaux, France
aff004; Université de Lomé, Département de Santé Publique, Lomé, Togo
aff005; Axe Santé des populations et pratiques optimales en santé, Centre de recherche du CHU de Québec–Université Laval, Québec, Canada
aff006
Vyšlo v časopise:
PLoS ONE 14(9)
Kategorie:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0221335
Souhrn
Background
In Côte d’Ivoire, people living with HIV (PLHIV) have free access to antiretroviral therapy (ART) and cotrimoxazole. Yet, they may use other medications to treat non-HIV diseases. Scarce data are available regarding the use of non-HIV medications in Africa. This study describes the use of non-HIV medications and identifies the factors associated with their use by PLHIV on ART in Côte d’Ivoire.
Methods
A cross-sectional study was conducted in six HIV clinics in 2016. HIV-1-infected adults receiving ART for at least one year were eligible. A standardized questionnaire was used to collect demographics, HIV characteristics and medication use data. Associated factors were identified using a multivariate adjusted Poisson regression.
Results
A total of 1,458 participants (74% women) were enrolled. The median age was 44 years, and the median duration of ART was 81 months. A total of 696 (48%) participants reported having used at least one non-HIV medication. Among the 1,519 non-HIV medications used, 550 (36%) had not been prescribed and 397 (26%) were from the nervous system class. Individuals who were more likely to report the use of at least one non-HIV medication included those who had been treated in an Abidjan HIV clinic, had a high school education level, had a monthly income between 152 and 304 euros, had a poor perceived health status, had WHO advanced clinical stage, had used traditional medicine products and had not used cotrimoxazole.
Conclusion
Almost half PLHIV on ART reported using non-HIV medication. Further research is needed to assess whether the use of non-HIV medication is appropriate given about a third of those medications are not being prescribed.
Klíčová slova:
Biology and life sciences – Microbiology – Medical microbiology – Microbial pathogens – Viral pathogens – Immunodeficiency viruses – HIV – Retroviruses – Lentivirus – Organisms – Viruses – RNA viruses – Vaccination and immunization – Anatomy – Nervous system – Medicine and health sciences – Pathology and laboratory medicine – Pathogens – Immunology – Public and occupational health – Preventive medicine – Antiviral therapy – Diagnostic medicine – HIV diagnosis and management – Cardiology – Pharmaceutics – Drug therapy – Complementary and alternative medicine – Social sciences – Sociology – Education – Schools
Zdroje
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