Healthcare Utilization, Unmet Service Needs, and Medication Adherence Among People Living with HIV/AIDS.

Comorbidity rates and service needs are high among people living with HIV/AIDS (PLWHA). The effects of service utilization and unmet service needs on antiretroviral therapy (ART) adherence are not well understood. The purpose of this study was to investigate associations among PLWHA's service utilization, unmet service needs, and ART adherence. PLWHA (N=162) 18 years or older were recruited from a Nevada statewide needs assessment project in 2016. Participants completed a self-administered questionnaire on paper or online. The independent variables were service utilization and unmet service needs. The outcome variable was ART adherence. Multivariable logistic regression analyses were conducted to examine associations between the amount of utilized services and unmet service needs with ART adherence. Only 12 (7.5%) participants reported they received all the needed services. The ART nonadherence group showed significantly higher unmet medical service needs compared to the ART adherence group (p=0.007). Unmet medical service needs (Adjusted Odds Ratio (AOR) 0.69, CI 0.53-0.90) and unmet support service needs (AOR 0.68, CI 0.48-0.97) were negatively associated with ART adherence. However, utilizing medical services (AOR 1.06, CI 0.87-1.30) and support services (AOR 0.88, CI 0.74-1.04) in the current year were not significantly associated with ART adherence. The results of this study indicate that health promotion programming should focus not only on introducing new services at the community level, but also work to optimize the availability and awareness of current services. Furthermore, health promotion programs should focus on filling service coverage gaps and improving the facilitation of services.

Zhang X ，Oman RF ，Larson TA ，Christiansen EJ ，Granner ML ，Lu M ，Yang Y ... -  《-》

Adherence to antiretroviral treatment and associated factors among people living with HIV and AIDS in CHITWAN, Nepal.

Neupane S ，Dhungana GP ，Ghimire HC 《BMC PUBLIC HEALTH》

Acceptability and feasibility of short message service to improve ART medication adherence among people living with HIV/AIDS receiving antiretroviral treatment at Adama hospital medical college, Central Ethiopia.

Endebu T ，Deksisa A ，Dugasa W ，Mulu E ，Bogale T ... -  《BMC PUBLIC HEALTH》

Impact of Socioeconomic Inequality on Access, Adherence, and Outcomes of Antiretroviral Treatment Services for People Living with HIV/AIDS in Vietnam.

Tran BX ，Hwang J ，Nguyen LH ，Nguyen AT ，Latkin NR ，Tran NK ，Minh Thuc VT ，Nguyen HL ，Phan HT ，Le HT ，Tran TD ，Latkin CA ... -  《PLoS One》

Determination of medication adherence and related factors among people living with HIV/AIDS in a Turkish university hospital.

Ceylan E ，Koç A ，İnkaya AÇ ，Ünal S ... -  《-》