ADHERENCE TO ANTIRETROVIRAL (ARV) TREATMENT AMONG PEOPLE LIVING WITH HIV/AIDS AT NGA BAY MEDICAL CENTER, CAN THO CITY, IN 2025
Main Article Content
Abstract
Background: Adherence to antiretroviral (ARV) treatment plays a decisive role in controlling viral load, limiting drug resistance, and improving the effectiveness of HIV/AIDS treatment.
Objective: o assess the rate of ARV treatment adherence and identify some factors related to adherence among people living with HIV/AIDS at Nga Bay Medical Center, Can Tho City, in 2025.
Subjects and methods: A descriptive cross-sectional study with analytical components was conducted among people living with HIV/AIDS who were receiving ARV treatment.
Results: Men accounted for 66.3%, mainly concentrated in younger age groups (especially 25–29 years old). Most patients reported good adherence to ARV treatment; among non-adherent behaviors, forgetting to take medication was the most common (12.0%). Analysis of related factors showed that family support increased the likelihood of adherence (OR = 3.1; p = 0.043), whereas working far from the local area reduced adherence (OR = 3.2; p = 0.027). Disease-related characteristics, such as route of transmission, disease stage, and opportunistic infections, were associated with treatment adherence (p < 0.05).
Conclusion: The level of ARV treatment adherence at the study site was relatively good. Strengthening reminder measures, providing individualized counseling, and enhancing social support are necessary to maintain long-term adherence.
Article Details
Keywords
HIV/AIDS, treatment adherence, ARV, Morisky-8, Can Tho.
References
2. Joint United Nations Programme on HIV/AIDS (UNAIDS). People living with HIV. Thematic briefing note. 2024. Available from: https://www.unaids.org/en/resources/documents/2024/2024-unaids-global-aids-update-living-with-hiv.
3. Joint United Nations Programme on HIV/AIDS. UNAIDS Data 2024. 2024. Available from: https://www.unaids.org/sites/default/files/media_asset/data-book-2024_en.pdf.
4. World Health Organization. HIV data and statistics: global. Geneva: World Health Organization. 2025. Available from: https://www.who.int/teams/global-hiv-hepatitis-and-stis-programmes/hiv/strategic-information/hiv-data-and-statistics.
5. ClinicalInfo.HIV.gov. Adherence to the continuum of care. Bethesda (MD): U.S. Department of Health and Human Services. 2024. Available from: https://clinicalinfo.hiv.gov/en/guidelines/hiv-clinical-guidelines-adult-and-adolescent-arv/adherence-continuum-care.
6. Bộ Y tế. Quyết định 5968/QĐ-BYT năm 2021 hướng dẫn Điều trị và chăm sóc HIV/AIDS do Bộ trưởng Bộ Y tế ban hành. 2021.
7. Trần Quốc Cường, Nguyễn Thanh Lâm, Lê Thành Khánh Vân, Nguyễn Xuân Chi. Thực trạng tuân thủ điều trị ARV ở người bệnh HIV/AIDS ngoại trú tại Trung tâm Y tế Quận 12, Thành phố Hồ Chí Minh năm 2024-2025. Tạp chí Y học Cộng đồng. 2026;66(CĐ19-HNKH Bệnh viện Thủ Đức):128-33.
8. UNAIDS Việt Nam. 2024. Available from: https://vietnam.unaids.org/vi/hieu-ve-dich-hiv/.
9. Nguyễn Thị Huệ Tiên, Dương Phúc Lam. Nghiên cứu sự tuân thủ điều trị ARV, yếu tố liên quan và đánh giá kết quả can thiệp ở bệnh nhân hiv tại tỉnh Bến Tre năm 2019 – 2020. Tạp chí Y Dược học Cần Thơ. 2023(30):108-14.
10. Masika LV, Mboya IB, Maro RA, Mtesha B, Mtoro MJ, Ngowi K, et al. Forgetting to Take Medication, Treatment Adherence and Their Relationship with Viral Load Suppression Among People Living with HIV in the Kilimanjaro Region, Tanzania. HIV/AIDS (Auckland, NZ). 2024;16:245-57.
11. Đinh Mai Vân, Trần Bảo Ngọc, Bùi Thanh Thủy, Nguyễn Quý Thái. Thực trạng và một số yếu tố liên quan tuân thủ điều trị ARV ở người nhiếm HIV/AIDS tại phòng khám ngoại trú bệnh viện đa khoa tỉnh Bắc Ninh. Journal of Science Technology. 2017;171(11):167-73.
12. Đặng Thị Quỳnh Anh, Lê Quang Minh, Trần Xuân Chương. Đánh giá mức độ tuân thủ điều trị ARV của bệnh nhân HIV/AIDS tại Bệnh viện Da liễu Thành phố Đà Nẵng. Tạp chí Truyền nhiễm Việt Nam. 2024;3(47):106-13.
13 Nguyễn Mạnh Cường, Cao Nguyễn Hoài Thương, Trần Minh Thái. Hỗ trợ xã hội và các yếu tố liên quan ở người nhiễm HIV/AIDS tại Thành phố Hồ Chí Minh. Tạp chí Nghiên cứu Y học. 2025;197(12):645-55.
14. Wang X, Wu Z. Factors associated with adherence to antiretroviral therapy among HIV/AIDS patients in rural China. AIDS (London, England). 2007;21 Suppl 8:S149-55.
15. Kerr T, Palepu A, Barness G, Walsh J, Hogg R, Montaner J, et al. Psychosocial determinants of adherence to highly active antiretroviral therapy among injection drug users in Vancouver. Antiviral therapy. 2004;9(3):407-14.
16. Farhoudian A, Razaghi E, Hooshyari Z, Noroozi A, Pilevari A, Mokri A, et al. Barriers and Facilitators to Substance Use Disorder Treatment: An Overview of Systematic Reviews. Substance abuse : research and treatment. 2022;16:11782218221118462.
17. Hsiao HY, Wang TY, Lee CH, Lu YC, Huang YC, Chien YC, et al. Advancing readiness for change in substance use for people with substance use disorders using the Kawa model based intervention program: A quasi-experimental study. Hong Kong journal of occupational therapy : HKJOT. 2024;37(2):91-101.
18. Wolfe DM, Hutton B, Corace K, Chaiyakunapruk N, Ngorsuraches S, Nochaiwong S, et al. Service-level barriers to and facilitators of accessibility to treatment for problematic alcohol use: a scoping review. Frontiers in public health. 2023;11:1296239.