Living conditions, quality of life, adherence and treatment outcome in
Objectives. Despite a high level of sexually transmitted infections, HIV incidence has remained quite stable in Greenland with 56 new cases per year (approximately 10 per 100,000). However, disease control is suboptimal and mortality is relatively high. The aim of the present study was to determine...
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ftciteseerx:oai:CiteSeerX.psu:10.1.1.664.9454 2023-05-15T16:26:18+02:00 Living conditions, quality of life, adherence and treatment outcome in Greenlandic Hiv Patients Karin Ladefoged Mikael Andersson Anders Koch Thomas Rendal Millie Rydbacken The Pennsylvania State University CiteSeerX Archives http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.664.9454 http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/18639/pdf_1/ en eng http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.664.9454 http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/18639/pdf_1/ Metadata may be used without restrictions as long as the oai identifier remains attached to it. http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/18639/pdf_1/ HIV Greenland adherence living conditions quality of life text ftciteseerx 2016-01-08T17:03:12Z Objectives. Despite a high level of sexually transmitted infections, HIV incidence has remained quite stable in Greenland with 56 new cases per year (approximately 10 per 100,000). However, disease control is suboptimal and mortality is relatively high. The aim of the present study was to determine associations between adherence to treatment and treatment outcome, living conditions and quality of life among HIV patients in Greenland. Material and methods. Cross-sectional questionnaire-based cohort study of HIV patients in Greenland during 20082009. Data regarding treatment, viral load, CD4 count, etc. were obtained from a central HIV-database. Results. Forty-six persons, 17 women and 29 men, of the 60 registered HIV-positive patients (77%) were included. Eighty percent were heterosexually infected and 17 % by men having sex with men (MSM) activity. Median age at the time of diagnosis was 48 years (range 2063). Eighty-nine percent received highly active antiretroviral therapy (HAART). Sixty-seven percent were adherent as defined by a combination of adherence to appointments and to treatment. Ninety-seven percent of adherent and 17 % non-adherent patients on HAART had HIV-RNA less than 200 copies per ml (RR24.2, pB0.0001). Poor adherence was associated with younger age (B50 years) (adjusted RR7.95, p0.005) and living in remote areas with no direct contact with skilled personnel (adjusted RR6.75, p0.01). Unsafe sex was also more frequent among non-adherent patients (RR4.12, p0.026), but due to few answers this topic was not included in the multivariate model. Conclusion. The HIV population in Greenland is peculiar since most patients are heterosexually infected and middle-aged at diagnosis. A relatively poor adherence and consequently inferior treatment outcome is related to young age and living in remote areas. Text Greenland Unknown Greenland |
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HIV Greenland adherence living conditions quality of life |
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HIV Greenland adherence living conditions quality of life Greenlandic Hiv Patients Karin Ladefoged Mikael Andersson Anders Koch Thomas Rendal Millie Rydbacken Living conditions, quality of life, adherence and treatment outcome in |
topic_facet |
HIV Greenland adherence living conditions quality of life |
description |
Objectives. Despite a high level of sexually transmitted infections, HIV incidence has remained quite stable in Greenland with 56 new cases per year (approximately 10 per 100,000). However, disease control is suboptimal and mortality is relatively high. The aim of the present study was to determine associations between adherence to treatment and treatment outcome, living conditions and quality of life among HIV patients in Greenland. Material and methods. Cross-sectional questionnaire-based cohort study of HIV patients in Greenland during 20082009. Data regarding treatment, viral load, CD4 count, etc. were obtained from a central HIV-database. Results. Forty-six persons, 17 women and 29 men, of the 60 registered HIV-positive patients (77%) were included. Eighty percent were heterosexually infected and 17 % by men having sex with men (MSM) activity. Median age at the time of diagnosis was 48 years (range 2063). Eighty-nine percent received highly active antiretroviral therapy (HAART). Sixty-seven percent were adherent as defined by a combination of adherence to appointments and to treatment. Ninety-seven percent of adherent and 17 % non-adherent patients on HAART had HIV-RNA less than 200 copies per ml (RR24.2, pB0.0001). Poor adherence was associated with younger age (B50 years) (adjusted RR7.95, p0.005) and living in remote areas with no direct contact with skilled personnel (adjusted RR6.75, p0.01). Unsafe sex was also more frequent among non-adherent patients (RR4.12, p0.026), but due to few answers this topic was not included in the multivariate model. Conclusion. The HIV population in Greenland is peculiar since most patients are heterosexually infected and middle-aged at diagnosis. A relatively poor adherence and consequently inferior treatment outcome is related to young age and living in remote areas. |
author2 |
The Pennsylvania State University CiteSeerX Archives |
format |
Text |
author |
Greenlandic Hiv Patients Karin Ladefoged Mikael Andersson Anders Koch Thomas Rendal Millie Rydbacken |
author_facet |
Greenlandic Hiv Patients Karin Ladefoged Mikael Andersson Anders Koch Thomas Rendal Millie Rydbacken |
author_sort |
Greenlandic Hiv Patients |
title |
Living conditions, quality of life, adherence and treatment outcome in |
title_short |
Living conditions, quality of life, adherence and treatment outcome in |
title_full |
Living conditions, quality of life, adherence and treatment outcome in |
title_fullStr |
Living conditions, quality of life, adherence and treatment outcome in |
title_full_unstemmed |
Living conditions, quality of life, adherence and treatment outcome in |
title_sort |
living conditions, quality of life, adherence and treatment outcome in |
url |
http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.664.9454 http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/18639/pdf_1/ |
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Greenland |
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Greenland |
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Greenland |
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Greenland |
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http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/18639/pdf_1/ |
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http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.664.9454 http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/18639/pdf_1/ |
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Metadata may be used without restrictions as long as the oai identifier remains attached to it. |
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1766015203021946880 |