TY - JOUR
T1 - Highly active antiretroviral therapy adherence and its determinants in selected regions in Indonesia
AU - Widjaja, Felix F.
AU - Puspita, Caroline G.
AU - Daud, Ferdi
AU - Yudhistrie, Ienag
AU - Tiara, Marita R.
AU - Suwita, Christopher S.
AU - Zain, Ekachaeryanti
AU - Husna, Lailatul
AU - Djauzi, Samsuridjal
N1 - Funding Information:
The contributions of AMSA Universitas Indonesia, AMSA Universitas Brawijaya, AMSA Universitas Padjajaran, AMSA Universitas Hasanuddin, and AMSA Universitas Syiah Kuala as members of AMSA Indonesia are gratefully acknowledged. We also thank Professor Rianto Setiabudy for his advices to us.
Publisher Copyright:
© 2008, Faculty of Medicine, Universitas Indonesia. All rights reserved.
PY - 2011/2
Y1 - 2011/2
N2 - Background: Highly active antiretroviral therapy (HAART) can reduce morbidity and mortality of HIV-patients infected. However, it depends upon adherence to medication. The objective of this study was to examine the adherence to HAART and to evaluate individual patient characteristics i.e. self-efficacy, depression level, and social support and to finally determine HAART adherence in selected regions in Indonesia. Methods: This cross-sectional study was conducted in Jakarta, Malang, Bandung, Makasar and Banda Aceh. The subject of the study was HIV-infected patients who were older than 13 years old and had taken HAART for at least a month. They were recruited consecutively then asked how many pills they had missed during the previous month. Poor adherence can be stated if the percentage of adherence rate is below 95%. HIV treatment adherence self-efficacy scale (HIVASES), Beck Depression Inventory (BDI-II) and Interpersonal Support Evaluation List (ISEL) was adapted to assess self-efficacy, depression level and social support, respectively. Results: We found that 96 % (n=53) of the subjects adhered to HAART. There were no associations between adherence with self-efficacy, depression level, and social support. The main cause of non-adherence in this study was ‘simply forget’. Conclusion: Adherence to HAART was found to be high and not associated with self-efficacy, depression level and social support in some central regions in Indonesia.
AB - Background: Highly active antiretroviral therapy (HAART) can reduce morbidity and mortality of HIV-patients infected. However, it depends upon adherence to medication. The objective of this study was to examine the adherence to HAART and to evaluate individual patient characteristics i.e. self-efficacy, depression level, and social support and to finally determine HAART adherence in selected regions in Indonesia. Methods: This cross-sectional study was conducted in Jakarta, Malang, Bandung, Makasar and Banda Aceh. The subject of the study was HIV-infected patients who were older than 13 years old and had taken HAART for at least a month. They were recruited consecutively then asked how many pills they had missed during the previous month. Poor adherence can be stated if the percentage of adherence rate is below 95%. HIV treatment adherence self-efficacy scale (HIVASES), Beck Depression Inventory (BDI-II) and Interpersonal Support Evaluation List (ISEL) was adapted to assess self-efficacy, depression level and social support, respectively. Results: We found that 96 % (n=53) of the subjects adhered to HAART. There were no associations between adherence with self-efficacy, depression level, and social support. The main cause of non-adherence in this study was ‘simply forget’. Conclusion: Adherence to HAART was found to be high and not associated with self-efficacy, depression level and social support in some central regions in Indonesia.
KW - Adherence
KW - Depression
KW - HAART
KW - HIV
KW - Self-efficacy
KW - Social support
UR - http://www.scopus.com/inward/record.url?scp=85008893206&partnerID=8YFLogxK
U2 - 10.13181/mji.v20i1.429
DO - 10.13181/mji.v20i1.429
M3 - Article
AN - SCOPUS:85008893206
VL - 20
SP - 50
EP - 55
JO - Medical Journal of Indonesia
JF - Medical Journal of Indonesia
SN - 0853-1773
IS - 1
ER -