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Original Articles
Factors Associated With Long-term Retention in Antiretroviral Therapy Among People Living With HIV: Evidence From a Tertiary Hospital in Jakarta, Indonesia
Ifael Yerosias Mauleti, Krishna Adi Wibisana, Djati Prasetio Syamsuridzal, Sri Mulyati, Vivi Lisdawati, Ika Saptarini, Nurhayati , Armedy Ronny Hasugian, Harimat Hendarwan
J Prev Med Public Health. 2024;57(3):252-259.   Published online April 30, 2024
DOI: https://doi.org/10.3961/jpmph.23.512
  • 1,652 View
  • 260 Download
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
This study investigated factors associated with the retention of people living with human immunodeficiency virus (HIV) on antiretroviral therapy (ART) during the first 3 years of treatment.
Methods
A retrospective study using electronic health records was conducted at a tertiary hospital in Jakarta, Indonesia. Adult HIV-positive patients who started ART from 2010 until 2020 were included. A binary logistic regression model was used to identify factors associated with ART retention in the first 3 years.
Results
In total, 535 respondents were included in the analysis. The ART retention rates for the first, second, and third years were 83.7%, 79.1%, and 77.2%, respectively. The multivariate analysis revealed a negative association between CD4 count when starting ART and retention. Patients with CD4 counts >200 cells/mL were 0.65 times less likely to have good retention than those with CD4 counts ≤200 cells/mL. The year of starting ART was also significantly associated with retention. Patients who started ART in 2010-2013 or 2014-2016 were less likely to have good retention than those who started ART in 2017-2020, with adjusted odds ratios of 0.52 and 0.40, respectively. Patients who received efavirenz-based therapy were 1.69 times more likely to have good retention than those who received nevirapine (95% confidence interval, 1.05 to 2.72).
Conclusions
Our study revealed a decline in ART retention in the third year. The CD4 count, year of enrollment, and an efavirenz-based regimen were significantly associated with retention. Patient engagement has long been a priority in HIV programs, with interventions being implemented to address this issue.
Summary
Key Message
The administration of antiretroviral therapy to HIV patients has resulted in increased rates of survival, enhanced quality of life, and less transmission of the virus. Nevertheless, a negative correlation exists between the length of antiretroviral therapy and patient retention in care. Our study used data from a tertiary hospital and indicated a decrease in the retention rate of antiretroviral therapy over the third year. Retention was associated with the CD4 count, year of enrollment, and the use of an efavirenz-based treatment. Emphasizing patient engagement has been a longstanding focus in HIV programs, with initiatives being implemented to tackle this matter.
A Peer-support Mini-counseling Model to Improve Treatment in HIV-positive Pregnant Women in Kupang City, East Nusa Tenggara, Indonesia
Artha Camellia, Plamularsih Swandari, Gusni Rahma, Tuti Parwati Merati, I Made Bakta, Dyah Pradnyaparamita Duarsa
J Prev Med Public Health. 2023;56(3):238-247.   Published online April 11, 2023
DOI: https://doi.org/10.3961/jpmph.22.516
  • 2,558 View
  • 144 Download
  • 2 Web of Science
  • 2 Crossref
AbstractAbstract PDF
Objectives
Low adherence to antiretroviral (ARV) therapy in pregnant women with human immunodeficiency virus (HIV) increases the risk of virus transmission from mother to newborn. Increasing mothers’ knowledge and motivation to access treatment has been identified as a critical factor in prevention. Therefore, this research aimed to explore barriers and enablers in accessing HIV care and treatment services.
Methods
This research was the first phase of a mixed-method analysis conducted in Kupang, a remote city in East Nusa Tenggara Province, Indonesia. Samples were taken by purposive sampling of 17 people interviewed, consisting of 6 mothers with HIV, 5 peer facilitators, and 6 health workers. Data were collected through semi-structured interviews, focus group discussions, observations, and document review. Inductive thematic analysis was also performed. The existing data were grouped into several themes, then relationships and linkages were drawn from each group of informants.
Results
Barriers to accessing care and treatment were lack of knowledge about the benefits of ARV; stigma from within and the surrounding environment; difficulty in accessing services due to distance, time, and cost; completeness of administration; drugs’ side effects; and the quality of health workers and HIV services.
Conclusions
There was a need for a structured and integrated model of peer support to improve ARV uptake and treatment in pregnant women with HIV. This research identified needs including mini-counseling sessions designed to address psychosocial barriers as an integrated approach to support antenatal care that can effectively assist HIV-positive pregnant women in improving treatment adherence.
Summary

Citations

Citations to this article as recorded by  
  • Letter to the Editor: Supporting the Sick and the Vulnerable
    Fides A. del Castillo
    Journal of Preventive Medicine and Public Health.2023; 56(4): 392.     CrossRef
  • Author Response: Supporting the Sick and the Vulnerable
    Artha Camellia, Gusni Rahma
    Journal of Preventive Medicine and Public Health.2023; 56(4): 394.     CrossRef
Perspective
Introduction of Phylodynamics for Controlling the HIV/AIDS Epidemic in Korea
Jong-Myon Bae
J Prev Med Public Health. 2018;51(6):326-328.   Published online October 22, 2018
DOI: https://doi.org/10.3961/jpmph.18.150
  • 4,910 View
  • 77 Download
AbstractAbstract AbstractSummary PDFSupplementary Material
As over 1000 new cases of HIV/AIDS occur in Korea annually, preventive health programs against HIV/AIDS are urgently needed. Since phylodynamic studies have been suggested as a way to understand how infectious diseases are transmitted and evolve, phylodynamic inferences can be a useful tool for HIV/AIDS research. In particular, phylodynamic models are helpful for dating the origins of an epidemic and estimating its basic reproduction number. Thus, the introduction of phylodynamics would be a highly valuable step towards controlling the HIV/AIDS epidemic in Korea.
Summary
Korean summary
국내 HIV/AIDS 신환자가 지속적으로 발생하고 있는 상황에서, 다른 나라에서는 HIV 감염관리에 계통역동학을 적용하고 있다. 이는 감염원과 감염경로를 알아내고, 기본재생산지수를 산출하도록 해주기 때문이다. 따라서 국내 HIV/AIDS 관리를 위해 계통역동학 적용을 적극 제안한다.”
Original Articles
Barriers to Health Service Utilization Among Iranian Female Sex Workers: A Qualitative Study
Mehran Asadi-Aliabadi, Jamileh Abolghasemi, Shahnaz Rimaz, Reza Majdzadeh, Fereshteh Rostami-Maskopaee, Effat Merghati-Khoei
J Prev Med Public Health. 2018;51(2):64-70.   Published online February 6, 2018
DOI: https://doi.org/10.3961/jpmph.17.174
  • 14,359 View
  • 323 Download
  • 14 Crossref
AbstractAbstract PDF
Objectives
In most countries around the world, sex work is an illegal activity. Female sex workers (FSWs) in Iran hide their identities, and they are known to be a hard-to-reach population. Despite free access to HIV testing, fewer than half of FSWs receive HIV testing. The purpose of this study was to characterize the reasons for which FSWs do not seek testing at drop-in centers (DICs) and voluntary counseling and testing (VCT) centers in Iran. Methods: A qualitative study was conducted in 2016. The participants were 24 FSWs who received services at VCT centers and DICs for vulnerable females in the north of Iran and 9 males who were the clients of FSWs. In this study, we made use of purposive sampling and carried out a thematic analysis. Results: We found 4 major and 6 minor themes. The major themes were: fear of being infected (with HIV), stigma, indifference, and knowledge. Conclusions: Despite the significant efforts made by the government of Iran to establish and expand DICs for vulnerable females, the number of FSWs receiving services at these centers has not been very considerable. Consequently, by introducing and implementing training programs for peer groups, it may be possible to take steps toward establishing strategic programs for the control and prevention of HIV/AIDS.
Summary

Citations

Citations to this article as recorded by  
  • HIV Treatment and Care of Adolescents: Perspectives of Adolescents on Community-Based Models in Northern Uganda
    Charles Miyingo, Teddy Mpayenda, Ruth Nyole, Joan Ayinembabazi, Mujib Ssepuuya, Eddie Marvin Ssebuwufu, Sean Steven Puleh, Samson Udho, Amir Kabunga
    HIV/AIDS - Research and Palliative Care.2023; Volume 15: 105.     CrossRef
  • Sex Workers' Self-conceptualization in Iran: An Empathetic Approach for the Redefinition of Prostitution
    Ali Asghar Firouzjaeian, Mansoureh Shifteh, Hadis Feli
    Sexuality & Culture.2023; 27(5): 1862.     CrossRef
  • Prevalence and predictor factor of lifetime abortion in female sex workers in Iran: results of the national rapid assessment and response in 2017
    Payam Roshanfekr, Leila Moftakhar, Sakineh Narouee, Delaram Ali, Meroe Vameghi, Christopher Fairley
    Sexual Health.2023; 20(4): 366.     CrossRef
  • “My condition is my secret”: perspectives of HIV positive female sex workers on differentiated service delivery models in Kampala Uganda
    Lydia Atuhaire, Constance S. Shumba, Peter S. Nyasulu
    BMC Health Services Research.2022;[Epub]     CrossRef
  • Frequency and Factors Associated with Violence Against Female Sex Workers in Tehran, Iran
    Nasim Sadat Hosseini Divkolaye, Javad Khalatbari, Marjan Faramarzi, Fariba Seighali, Shokoufeh Radfar, Ali ArabKhazaeli, Frederick M. Burkle
    Sexuality & Culture.2021; 25(1): 1.     CrossRef
  • The mediated effect of HIV risk perception in the relationship between peer education and HIV testing uptake among three key populations in China
    Yuxi Lin, Chuanxi Li, Lin Wang, Kedi Jiao, Wei Ma
    AIDS Research and Therapy.2021;[Epub]     CrossRef
  • Access to HIV-prevention in female sex workers in Ukraine between 2009 and 2017: Coverage, barriers and facilitators
    Natasha Blumer, Lisa M. Pfadenhauer, Jacob Burns, Zixin Wang
    PLOS ONE.2021; 16(4): e0250024.     CrossRef
  • Sexual and Reproductive Health Challenges in Temporary Marriage: A Systematic Review
    Farzaneh Valizadeh, Abolfazl Mohammadbeigi, Reza Chaman, Fatemeh Kashefi, Ali Mohammad Nazari, Zahra Motaghi
    Journal of Research in Health Sciences.2021; 21(1): e00504.     CrossRef
  • Determinants of safe sexual behavior of female sex workers in Tehran: the woman, her network, and the sexual partner
    Zahra Jorjoran Shushtari, Yahya Salimi, Seyed Ali Hosseini, Homeira Sajjadi, Tom A. B. Snijders
    BMC Public Health.2021;[Epub]     CrossRef
  • Exploring the reasons for women to engage in sex work in Tehran, Iran: A qualitative study
    Javad Yoosefi Lebni, Seyed Fahim Irandoost, Ali Akbar Dehghan, Arash Ziapour, Bahar Khosravi, Nafiul Mehedi
    Heliyon.2021; 7(12): e08512.     CrossRef
  • Social Capital and HIV Testing Uptake among Indirect Female Sex Workers in Bali, Indonesia
    I Gusti Ngurah Edi Putra, Pande Putu Januraga
    Tropical Medicine and Infectious Disease.2020; 5(2): 73.     CrossRef
  • Experiences and challenges of Prostitute Women in Iran: A phenomenological qualitative study
    Javad Yoosefi lebni, Seyed Fahim Irandoost, Arash Ziapour, Mohammad Ali Mohammadi Gharehghani, Farbod Ebadi Fard Azar, Goli Soofizad, Bahar Khosravi, Mahnaz Solhi
    Heliyon.2020; 6(12): e05649.     CrossRef
  • The Effects of Socio-demographic Characteristics on Indonesian Women’s Knowledge of HIV/AIDS: A Cross-sectional Study
    Putu Erma Pradnyani, Arief Wibowo, Mahmudah
    Journal of Preventive Medicine and Public Health.2019; 52(2): 109.     CrossRef
  • Challenges of Seeking HIV Testing Among Marginalized Populations in Iran: A Letter to the Editor
    Mehran Rostami, Aboubakr Neshati-Khorram, Shahab Rezaeian
    International Journal of High Risk Behaviors and Addiction.2019;[Epub]     CrossRef
Food Security in Households of People Living With Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome: A Cross-sectional Study in a Subdivision of Darjeeling District, West Bengal
Pallabi Dasgupta, Sharmistha Bhattacherjee, Dilip Kumar Das
J Prev Med Public Health. 2016;49(4):240-248.   Published online July 19, 2016
DOI: https://doi.org/10.3961/jpmph.16.023
  • 9,693 View
  • 154 Download
  • 9 Crossref
AbstractAbstract PDF
Objectives
Human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) adversely impacts food security in households of people living with HIV/AIDS (PLWHA). Little research has focused on food insecurity among PLWHA in India. The purpose of this study was to identify the prevalence of and factors relating to food security in households of PLWHA in the Siliguri subdivision of Darjeeling, West Bengal, India.
Methods
A cross-sectional community-based study was carried out among 173 PLWHA residing in Siliguri and registered at the Anti-retroviral Therapy Centre of North Bengal Medical College & Hospital. Data was collected at the household level with interviews of PLWHA using a food security survey instrument. We analyzed the associations using logistic regression.
Results
The prevalence of household food security among the participants was 50.9% (88/173). Five years or more of schooling, higher socioeconomic class and males were found to be significantly associated with a higher likelihood of food security. A later stage of the disease and the presence of other family members with HIV/AIDS were significantly associated with a lower likelihood of food security. The major coping strategies to deal with food insecurity in the acute phase HIV infection included borrowing money (56.1%), followed by spousal support, loans from microfinance institutions, banks, or money lenders, borrowing food, or selling agricultural products.
Conclusions
The present study revealed that only about half of households with PLWHA were food secure. Prior interventions relating to periods of food and economic crisis as well as strategies for sustaining food security and economic status are needed in this area.
Summary

Citations

Citations to this article as recorded by  
  • Food insecurity and its severity among adults receiving antiretroviral therapy in health facilities, northcentral Ethiopia: a multi-facility-based cross-sectional study
    Dube Jara Boneya, Ahmed Ali Ahmed, Alemayehu Worku Yalew
    Frontiers in Public Health.2024;[Epub]     CrossRef
  • Measuring Food Insecurity in India: A Systematic Review of the Current Evidence
    Fiona H. McKay, Alice Sims, Paige van der Pligt
    Current Nutrition Reports.2023; 12(2): 358.     CrossRef
  • Food insecurity and associated factors among adult HIV patients on anti-retroviral therapy in Dessie referral hospital, South Wollo Zone, North central Ethiopia
    Amanuel Demisse, Melake Demena, Behailu Hawulte Ayele, Abrham Mengistu, Dickson Abanimi Amugsi
    PLOS Global Public Health.2022; 2(9): e0000445.     CrossRef
  • The short-term effects of COVID-19 outbreak on dietary diversity and food security status of Iranian households (A case study in Tehran province)
    Mohammad Reza Pakravan-Charvadeh, Fatemeh Mohammadi-Nasrabadi, Saeed Gholamrezai, Hassan Vatanparast, Cornelia Flora, Ashkan Nabavi-Pelesaraei
    Journal of Cleaner Production.2021; 281: 124537.     CrossRef
  • High magnitude of food insecurity and malnutrition among people living with HIV/AIDS in Ethiopia: A call for integration of food and nutrition security with HIV treatment and care Programme
    Fikadu Tadesse Nigusso, Azwihangwisi Helen Mavhandu-Mudzusi
    Nutrition and Health.2021; 27(2): 141.     CrossRef
  • Food insecurity status and associated factors among rural households in the north of Iran
    Maryam Shakiba, Arsalan Salari, Marjan Mahdavi-Roshan
    Nutrition and Health.2021; 27(3): 301.     CrossRef
  • Added socioeconomic burden of non-communicable disease on HIV/AIDS affected households in the Asia Pacific region: A systematic review
    Sithara Wanni Arachchige Dona, Shalika Bohingamu Mudiyanselage, Jennifer J Watts, Rohan Sweeney, Ben Coghlan, Ishani Majmudar, Julie Abimanyi-Ochom
    The Lancet Regional Health - Western Pacific.2021; 9: 100111.     CrossRef
  • Elevated highly sensitive C-reactive protein and d-dimer levels are associated with food insecurity among people living with HIV in Pune, India
    Sandesh Patil, Dileep Kadam, Nicky Mehtani, Shashikala Sangle, Ivan Marbaniang, Vandana Kulkarni, Dhananjay Shere, Prasad Deshpande, Gauri Dhumal, Nishi Suryavanshi, Nikhil Gupte, Robert Bollinger, Andrea DeLuca, Neetal Nevrekar, Pramila Menon, Rama Kawad
    Public Health Nutrition.2019; 22(11): 2022.     CrossRef
  • Growth pattern in Ethiopian infants – the impact of exposure to maternal HIV infection in relation to socio-economic factors
    John König Walles, Taye Tolera Balcha, Niclas Winqvist, Per Björkman
    Global Health Action.2017;[Epub]     CrossRef

JPMPH : Journal of Preventive Medicine and Public Health
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