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Table 3 Factors associated with adherence to ART

From: Strengthening adherence to Anti Retroviral Therapy (ART) monitoring and support: operation research to identify barriers and facilitators in Nepal

Variables

Adherent (≥95%)

Non Adherent (<95%)

P-valuea

 

n = 383

%

n = 21

%

 

Gender

     

Male

198

51.7

12

57.1

0.454

Female

183

47.8

9

42.9

 

Third gender

2

0.5

0

0.0

 

Age

     

<35 years

172

45

7

33.3

0.772

≥35 years

211

55

14

66.7

 

Residence (according to region)

Eastern

34

8.9

3

14.3

0.116

Central

107

27.9

10

47.6

 

Western

118

30.8

3

14.3

 

Far western

110

28.7

5

23.8

 

Mid western

14

3.7

0

0.0

 

Caste (ethnicity)

Brahmin

44

11.5

3

14.3

0.560

Chettry

112

29.2

5

23.8

 

Tharu

7

1.8

2

9.5

 

Dalit

63

16.5

3

14.3

 

Janjati

136

35.5

8

38.1

 

Others

21

5.5

0

0.0

 

Religion

Hindu

305

79.6

19

90.5

0.305

Buddhist

45

11.7

2

9.5

 

Muslim

10

2.6

0

0.0

 

Christian

20

5.3

0

0.0

 

Others

3

0.8

0

0.0

 

Marital status

Married

319

83.3

18

85.7

0.772

Un married

39

10.2

3

14.3

 

Divorced

2

0.5

0

0.0

 

Separated

11

2.9

0

0.0

 

Others

12

3.1

0

0.0

 

Education

Primary

67

17.5

8

38.1

0.018*

Lower secondary

60

15.7

5

23.8

 

Secondary

63

16.4

3

14.3

 

Higher secondary or higher

25

6.5

5

23.8

 

Can’t read and write

105

27.4

0

0.0

 

Read and write

63

16.4

0

0.0

 

Family income source

Agriculture

163

42.6

8

38.1

0.707

Service

88

23.0

8

38.1

 

Business

44

11.5

0

0.0

 

Labour

49

12.8

4

19.0

 

Others

39

10.2

1

4.8

 

Family total income (NRs) /month #

<5000

181

47.3

8

38.1

0.337

5000-9999

123

32.1

4

19.0

 

>10000

79

20.6

9

42.9

 

Employment status

Employed

249

65.0

14

66.7

0.419

Unemployed

134

35.0

7

33.3

 

Time to reach ART clinic

<30 minutes

107

27.9

9

42.9

0.936

30 minutes −1 hour

105

27.4

3

14.3

 

1-2 hours

80

20.9

3

14.3

 

>2 hours

91

23.8

6

28.6

 

Alcohol habit

Never

356

93.0

19

90.5

 

Once a month

10

2.6

0

0.0

 

1-4 times a week

10

0.3

2

9.5

 

Almost daily

4

1.0

0

0.0

 

Daily

3

0.8

0

0.0

 

Smoking habit

No

307

80.2

15

71.4

0.448

Yes

76

19.8

6

28.6

 

Drug uses** habit

No

358

94.2

16

76.2

0.039*

Yes

25

5.8

5

23.8

 

Disclosure of HIV status

Yes

305

79.6

13

61.9

0.180

No

78

20.4

8

38.1

 

Infected duration

<1 year

78

20.4

4

19.0

0.283

1-4 years

218

56.9

9

42.9

 

≥5 years

87

22.7

8

38.1

 

Treatment duration

<1 year

153

39.9

8

38.1

0.480

1-4 years

216

56.4

11

52.4

 

≥5 years

14

3.7

2

9.5

 

Thought of leaving medication

No

341

89.0

16

76.2

0.180

Yes

42

11.0

5

23.8

 

Environment of ART clinic

Very good

220

57.4

11

52.4

0.004*

Good

62

16.2

3

14.3

 

Satisfactory

1

0.3

2

9.5

 

Not good

100

26.1

5

23.8

 

Medium of travel mode

Walking

48

12.5

2

9.5

0.898

Bus

258

67.4

15

71.4

 

Own vehicle

21

5.5

0

0.0

 

Rickshaw or Bicycle

49

12.8

4

19.0

 

Others

7

1.8

0

0.0

 

Satisfaction from ART clinic

Yes

366

95.6

21

100

 

No

17

4.4

0

0.0

 
  1. #1 Nepalese Rupees (NRs) = 0.0113770 USD (as of 3rd March 2013 from http://www.xe.com/currencyconverter/).
  2. *Significant P values on 95% CI.
  3. **drug use includes marijuana, injecting drug or other habitual drugs.
  4. aP values were calculated from chi square test.
  5. NRs: Nepalese Rupees.
  6. ART:Anti Retroviral Therapy.