Barriers to HIV treatment adherence among adults living with HIV in the eastern Dominican Republic.

TitleBarriers to HIV treatment adherence among adults living with HIV in the eastern Dominican Republic.
Publication TypeJournal Article
Year of Publication2021
AuthorsBast ES, Stonbraker S, Halpern M, Lowenthal E, Gross R
JournalInt J STD AIDS
Pagination9564624211014102
Date Published2021 May 14
ISSN1758-1052
Abstract

Despite access to nationally supplied antiretroviral treatment, viral load suppression rates remain suboptimal in the Dominican Republic. Counseling and support services are available but mainly targeted to those identified as having the most need. At ClĂ­nica de Familia La Romana (CFLR) in La Romana, all patients undergo a structured baseline interview including exploration of expected barriers to care. We conducted a retrospective cohort study of a random sample of patients at CFLR with treatment initiation between 1 January 2015 and 1 December 2017 to determine if self-identified barriers to HIV care predict viral load suppression. Viral load suppression occurred in 63% of the 203 patients evaluated. Lack of food ( = 19) was significantly associated with lack of viral suppression (OR 3.0, 95% CI 1.14-7.87). Nondisclosure of HIV status ( = 24) showed evidence for a protective effect (OR 0.33; 95% CI 0.11-1.0). Further steps should be taken to address food insecurity as well as to understand associated barriers to care among individuals with food insecurity.

DOI10.1177/09564624211014102
Alternate JournalInt J STD AIDS
PubMed ID33990170