期刊
INTERNATIONAL JOURNAL OF STD & AIDS
卷 26, 期 4, 页码 257-261出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/0956462414535206
关键词
HIV; AIDS; Africa; antiretroviral therapy; screening; viral disease; treatment; adherence; depression
资金
- Doris Duke Clinical Research Fellowship Program
- Department of Global Health and Social Medicine Research Core (at Harvard Medical School)
We determined the prevalence of depression in HIV-infected adults on antiretroviral therapy in rural Rwanda and measured the association of depression with non-adherence. In all, 292 patients on antiretroviral therapy for >= 6 months were included. Adherence was self-reported by four-day recall, two-and seven-day treatment interruptions, and the CASE Index, which is a composite score accounting for difficulty taking medications on time, the average number of days per week a dose is missed, and the most recent missed dose. A total of 84% and 87% of participants reported good adherence by the four-day recall and CASE Index, respectively; 13% of participants reported two-day treatment interruptions; and 11% were depressed. Depression was significantly associated with two-day treatment interruptions but not with other measures of non-adherence. Self-reported adherence to antiretroviral therapy in rural Rwanda is high. Adherence assessments that do not consider treatment interruptions may miss important patterns of non-adherence, which may be especially prevalent among depressed individuals. Mental health interventions incorporated into routine HIV care may lead to improvements in mental health and adherence.
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