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Factors associated with suboptimal adherence to antiretroviral therapy in Viet Nam: a cross-sectional study using audio computer-assisted self-interview (ACASI)

Overview of attention for article published in BMC Infectious Diseases, March 2013
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Mentioned by

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3 tweeters

Citations

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33 Dimensions

Readers on

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147 Mendeley
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Title
Factors associated with suboptimal adherence to antiretroviral therapy in Viet Nam: a cross-sectional study using audio computer-assisted self-interview (ACASI)
Published in
BMC Infectious Diseases, March 2013
DOI 10.1186/1471-2334-13-154
Pubmed ID
Authors

Hoa M Do, Michael P Dunne, Masaya Kato, Cuong V Pham, Kinh V Nguyen

Abstract

BACKGROUND: Optimal adherence to antiretroviral therapy (ART) is necessary for people living with HIV/AIDS (PLHIV). There have been relatively few systematic analyses of factors that promote or inhibit adherence to antiretroviral therapy among PLHIV in Asia. This study assessed ART adherence and examined factors associated with suboptimal adherence in northern Viet Nam. METHODS: Data from 615 PLHIV on ART in two urban and three rural outpatient clinics were collected by medical record extraction and from patient interviews using audio computer-assisted self-interview (ACASI). RESULTS: The prevalence of suboptimal adherence was estimated to be 24.9% via a visual analogue scale (VAS) of past-month dose-missing and 29.1% using a modified Adult AIDS Clinical Trial Group scale for on-time dose-taking in the past 4 days. Factors significantly associated with the more conservative VAS score were: depression (p < 0.001), side-effect experiences (p < 0.001), heavy alcohol use (p = 0.001), chance health locus of control (p = 0.003), low perceived quality of information from care providers (p = 0.04) and low social connectedness (p = 0.03). Illicit drug use alone was not significantly associated with suboptimal adherence, but interacted with heavy alcohol use to reduce adherence (p < 0.001). CONCLUSIONS: This is the largest survey of ART adherence yet reported from Asia and the first in a developing country to use the ACASI method in this context. The evidence strongly indicates that ART services in Viet Nam should include screening and treatment for depression, linkage with alcohol and/or drug dependence treatment, and counselling to address the belief that chance or luck determines health outcomes.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 147 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Portugal 1 <1%
Unknown 145 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 25 17%
Researcher 21 14%
Student > Ph. D. Student 16 11%
Student > Bachelor 14 10%
Student > Postgraduate 11 7%
Other 36 24%
Unknown 24 16%
Readers by discipline Count As %
Medicine and Dentistry 44 30%
Social Sciences 23 16%
Nursing and Health Professions 18 12%
Psychology 16 11%
Agricultural and Biological Sciences 4 3%
Other 13 9%
Unknown 29 20%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 April 2013.
All research outputs
#7,141,632
of 12,373,180 outputs
Outputs from BMC Infectious Diseases
#2,100
of 4,592 outputs
Outputs of similar age
#68,365
of 144,894 outputs
Outputs of similar age from BMC Infectious Diseases
#7
of 11 outputs
Altmetric has tracked 12,373,180 research outputs across all sources so far. This one is in the 40th percentile – i.e., 40% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,592 research outputs from this source. They receive a mean Attention Score of 4.8. This one has gotten more attention than average, scoring higher than 50% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 144,894 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 50% of its contemporaries.
We're also able to compare this research output to 11 others from the same source and published within six weeks on either side of this one. This one is in the 18th percentile – i.e., 18% of its contemporaries scored the same or lower than it.