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Table 2 Factors associated with adherence to ART in literature reports from Cameroon

From: Trends and determining factors associated with adherence to antiretroviral therapy (ART) in Cameroon: a systematic review and analysis of the CAMPS trial

Factors

Reference (findings)

Patient variables

 

 Female gender

Rougemont et al. (↑)

 Age>49 years

Newman et al.* (↑); Freeman et al.**(↑)

 High monthly income

Rougemont et al. (↓); Boyer et al. ([28] ; ↑)

 Education

Freeman et al. (↑)*

 Binge drinking

Boyer et al. ([32] ; ↓); Roux et al. (↓); Newman et al.(↓)*

 Drug use

Freeman et al.(↓)*

 Tobacco use

Freeman et al.(↓)*

 Lack of family support for adherence

Boyer et al. ([32]; ↓);

 Experiencing discrimination and stigma

Boyer et al. ([32]; ↓);

 Positive perception of treatment

Roux et al. (↑)

 Being transferred-in to HIV clinic

Mbopi-Keou (↑)

Medication variables

 

 Switching regimen

Boyer et al. ([32]; ↓);

 High motivation

Roux et al.(↑)

 Using a reminder method

Roux et al.(↑)

Patient Provider Relationship

 

 Satisfaction with information provided by physician

Roux et al.(↑)

Disease characteristics

 

 Advanced stage of disease

Rougemont et al. (↓); Roux et al.(↑)

 Increased duration on medication

Roux et al.(↓); Freeman et al.(↑)*Mbopi-Keou (↑)

 Higher CD4¥ count at initiation of ART β

Mbopi-Keou (↑)

Health System/clinic Characteristics

 

 Cost of care/Having to pay for care

Mosoko et al.(↓), Boyer et al. ([32] ; ↓) ; Boyer et al. ([28] ; ↓) Laurent et al. (↓)

 Increased distance from clinic

Mosoko et al. (↓)

 Large hospital size

Boyer et al. ([32]; ↓);

 No task shifting from physician to other staff

Boyer et al. ([32]; ↓);

  1. ↓Reduces adherence; ↑increases adherence; * Cohort included participants from Cameroon, Burundi and the Democratic Republic of Congo; ** Cohort included females from Cameroon, Burundi and the Democratic Republic of Congo; ¥ CD4-positive-T-lymphocyte; β Antiretroviral therapy.