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儿童对抗逆转录病毒疗法和相关因素的坚持:多中心横截面研究
Getahun B Gemechu1, Habtemu Hebo2, Zarihun Kura2
1Ilu Woreda Health Office, Shaggar, Oromia Regional State, Ethiopia.
HIV/AIDS (Auckland, N.Z.)
|July 27, 2023
概括
儿童对抗逆转录病毒疗法 (ART) 的坚持率低于最佳水平. 改善ART遵守的关键因素包括生物照顾者,城市居住和照顾者知识. 建议针对农村家庭和非生物护理人员提供有针对性的咨询.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 对抗逆转录病毒治疗 (ART) 的不良坚持是治疗失败和儿童死亡的重要原因.
- 有限的研究已经调查了埃塞俄比亚的儿科ART坚持,突出了知识差距.
研究的目的:
- 评估15岁以下儿童对ART的坚持状态.
- 在研究区域的儿科患者中确定与ART坚持相关的因素.
主要方法:
- 一项基于设施的横截面研究与282名接受ART的15岁以下儿童进行.
- 数据是通过面对面采访采用标准化问卷收集的,护理人员/儿童在一个月的回忆期内报告了遵守.
- 使用双变量和多变量逻辑回归分析来确定相关因素.
主要成果:
- 在儿童中,ART的整体坚持率 (≥95%) 为87.2%.
- 与更高的坚持相关的护理人员因素包括居住在城市地区 (OR=3.3),是生物父母 (OR=2.37),并拥有ART知识 (OR=4.5).
结论:
- 尽管报告的高率,但在研究区域的儿科ART坚持率低于最佳水平.
- 生物护理人员,城市居住和护理人员知识是ART坚持的关键促进者.
- 建议包括为农村环境中的非生物照顾者和家庭提供有针对性的遵守咨询.
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