Socioeconomic predictors of adherence behavior among HIV-positive patients receiving antiretroviral therapy in Selangor, Malaysia

Medication adherence remains a critical link between the prescribed ART regimen and treatment outcome. Several factors may influence adherence behavior. This cross-sectional study aimed to highlight socioeconomic predictors of adherence behavior among a cohort of 242 adult Malaysian patients receivi...

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Main Authors: Abdulrahman, Surajudeen Abiola, Rampal, Lekhraj, Othman, Norlijah, Ibrahim, Faisal B., Shahar, Hayati Kadir, Radhakrishnan, Anuradha P.
Format: Article
Language:English
Published: Sage Publications 2017
Online Access:http://psasir.upm.edu.my/id/eprint/63245/
http://psasir.upm.edu.my/id/eprint/63245/1/Socioeconomic%20predictors%20of%20adherence%20behavior%20among%20HIV-positive%20patients%20receiving%20antiretroviral%20therapy%20in%20Selangor%2C%20Malaysia.pdf
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author Abdulrahman, Surajudeen Abiola
Rampal, Lekhraj
Othman, Norlijah
Ibrahim, Faisal B.
Shahar, Hayati Kadir
Radhakrishnan, Anuradha P.
author_facet Abdulrahman, Surajudeen Abiola
Rampal, Lekhraj
Othman, Norlijah
Ibrahim, Faisal B.
Shahar, Hayati Kadir
Radhakrishnan, Anuradha P.
author_sort Abdulrahman, Surajudeen Abiola
building UPM Institutional Repository
collection Online Access
description Medication adherence remains a critical link between the prescribed ART regimen and treatment outcome. Several factors may influence adherence behavior. This cross-sectional study aimed to highlight socioeconomic predictors of adherence behavior among a cohort of 242 adult Malaysian patients receiving antiretroviral therapy in Hospital Sungai Buloh, Malaysia, where they were enrolled in a parent study (single-blinded randomized controlled trial) between January and December 2014. Statistical analysis of secondary data on adherence behavior and sociodemographic characteristics of the patients revealed mean age of 33.4 years and ranged from 18 to 64 years; 88.8% were males. A total of 224 (93%) patients who completed 6 months' adherence assessment were included in the model. Of these, 135 (60.3%) achieved optimal adherence. Multivariate binary logistic regression analysis revealed that patient's income and ethnicity were significant predictors of adherence behavior. This may be valuable for targeted programmatic interventions to further enhance successful treatment outcomes among the target population.
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spelling upm-632452018-09-26T01:45:26Z http://psasir.upm.edu.my/id/eprint/63245/ Socioeconomic predictors of adherence behavior among HIV-positive patients receiving antiretroviral therapy in Selangor, Malaysia Abdulrahman, Surajudeen Abiola Rampal, Lekhraj Othman, Norlijah Ibrahim, Faisal B. Shahar, Hayati Kadir Radhakrishnan, Anuradha P. Medication adherence remains a critical link between the prescribed ART regimen and treatment outcome. Several factors may influence adherence behavior. This cross-sectional study aimed to highlight socioeconomic predictors of adherence behavior among a cohort of 242 adult Malaysian patients receiving antiretroviral therapy in Hospital Sungai Buloh, Malaysia, where they were enrolled in a parent study (single-blinded randomized controlled trial) between January and December 2014. Statistical analysis of secondary data on adherence behavior and sociodemographic characteristics of the patients revealed mean age of 33.4 years and ranged from 18 to 64 years; 88.8% were males. A total of 224 (93%) patients who completed 6 months' adherence assessment were included in the model. Of these, 135 (60.3%) achieved optimal adherence. Multivariate binary logistic regression analysis revealed that patient's income and ethnicity were significant predictors of adherence behavior. This may be valuable for targeted programmatic interventions to further enhance successful treatment outcomes among the target population. Sage Publications 2017 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/63245/1/Socioeconomic%20predictors%20of%20adherence%20behavior%20among%20HIV-positive%20patients%20receiving%20antiretroviral%20therapy%20in%20Selangor%2C%20Malaysia.pdf Abdulrahman, Surajudeen Abiola and Rampal, Lekhraj and Othman, Norlijah and Ibrahim, Faisal B. and Shahar, Hayati Kadir and Radhakrishnan, Anuradha P. (2017) Socioeconomic predictors of adherence behavior among HIV-positive patients receiving antiretroviral therapy in Selangor, Malaysia. Asia-Pacific Journal of Public Health, 29 (4). 304 - 314. ISSN 1010-5395; ESSN: 1941-2479 10.1177/1010539517700471
spellingShingle Abdulrahman, Surajudeen Abiola
Rampal, Lekhraj
Othman, Norlijah
Ibrahim, Faisal B.
Shahar, Hayati Kadir
Radhakrishnan, Anuradha P.
Socioeconomic predictors of adherence behavior among HIV-positive patients receiving antiretroviral therapy in Selangor, Malaysia
title Socioeconomic predictors of adherence behavior among HIV-positive patients receiving antiretroviral therapy in Selangor, Malaysia
title_full Socioeconomic predictors of adherence behavior among HIV-positive patients receiving antiretroviral therapy in Selangor, Malaysia
title_fullStr Socioeconomic predictors of adherence behavior among HIV-positive patients receiving antiretroviral therapy in Selangor, Malaysia
title_full_unstemmed Socioeconomic predictors of adherence behavior among HIV-positive patients receiving antiretroviral therapy in Selangor, Malaysia
title_short Socioeconomic predictors of adherence behavior among HIV-positive patients receiving antiretroviral therapy in Selangor, Malaysia
title_sort socioeconomic predictors of adherence behavior among hiv-positive patients receiving antiretroviral therapy in selangor, malaysia
url http://psasir.upm.edu.my/id/eprint/63245/
http://psasir.upm.edu.my/id/eprint/63245/
http://psasir.upm.edu.my/id/eprint/63245/1/Socioeconomic%20predictors%20of%20adherence%20behavior%20among%20HIV-positive%20patients%20receiving%20antiretroviral%20therapy%20in%20Selangor%2C%20Malaysia.pdf