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Global Health Economics and
                                                                                        Sustainability





                                        ORIGINAL RESEARCH ARTICLE
                                        Factors influencing adherence to antiretroviral

                                        treatment among people living with HIV
                                        aged 15 – 60 years at Cité des Palmiers District

                                        Hospital, Cameroon



                                                                  1
                                        Godfroy Rostant Pokam Djoko * , Eric Martin Nomo , Laura Ladouce Yanguem ,
                                                                                     2
                                                                                                            1
                                        Protais Cédric Mouenbori Sawi , Alexis Bagoïdi Ngouldang , and Alice Ketchaji 5
                                                                                           4
                                                                   3
                                        1 Research Unit of Applied Biology and Ecology of the University of Dschang, Dschang, Cameroon
                                        2 Department of Public Health, School of Health Sciences of the Catholic University of Central Africa;
                                        BP Yaoundé - Cameroon
                                        3 Biochemistry Research Unit of Medicinal Plants, Food Science and Nutrition of the University of
                                        Dschang, Dschang, Cameroon
                                        4 Department of Philosophy and Psychology, Faculty of Arts, Letters and Humanities of the University
                                        of Maroua, Maroua, Cameroon
                                        5 Department of Diseases, Epidemics and Pandemics, Ministry of Public Health, Yaoundé, Cameroon


            Academic editor:
            Mihajlo Jakovljevic M.D. Ph.D. MAE  Abstract
            *Corresponding author:      Antiretroviral therapy (ART), essential for halting the progression of human
            Godfroy Rostant Pokam Djoko   immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) infection
            (godfroydjoko@gmail.com)
                                        and restoring immunity, should be taken regularly to be effective. This study aimed
            Citation: Djoko, G.R.P., Nomo,   to assess the factors that may affect adherence to ART among people living with
            E.M., Yanguem, L.L., Sawi, P.C.M.,
            Ngouldang, A.B. & Ketchaji,   HIV (PLHIV) aged between 15 and 60 years at the Cité des Palmiers District Hospital.
            A. (2025). Factors influencing   Thus, we conducted a descriptive and analytical cross-sectional study using a
            adherence to antiretroviral   non-probabilistic, convenience survey. Data were collected using a questionnaire
            treatment among people living
            with HIV aged 15 – 60 years at   administered to PLHIV aged between 15 and 65 years (n = 309). These factors affecting
            Cité des Palmiers District Hospital,   adherence were established by determining relative and absolute frequencies, and
            Cameroon. Global Health Econ   associations were estimated by calculating the odds ratios, confidence intervals, and
            Sustain, 3(1):118-129.
            https://doi.org/10.36922/ghes.4077   P-values. Subsequently, 48.5% of participants were found to comply with ART and
                                        51.5% were not. The independent predictors of poor adherence to ART were missed
            Received: June 29, 2024
                                        appointments at the HIV unit, occasional use of excitants/cigarettes, fear of disclosing
            Revised: August 10, 2024    HIV status, perceived limited opening hours of HIV-related services, discomfort with
            Accepted: August 28, 2024   medication, recent initiation of treatment, and use of therapy reminders. Our study
                                        results are essential to orient public health policies and measures toward PLHIV non-
            Published online: October 3, 2024
                                        adherents to ART treatment and mitigate the social, economic, and health impact of
            Copyright: © 2024 Author(s).   HIV threats on developing countries by focusing on good adherence.
            This is an Open-Access article
            distributed under the terms of the
            Creative Commons Attribution   Keywords: HIV; Antiretroviral therapy; Influencing factors; Therapeutic adherence;
            License, permitting distribution,   Cité des Palmiers
            and reproduction in any medium,
            provided the original work is
            properly cited.
            Publisher’s Note: AccScience
            Publishing remains neutral with   1. Introduction
            regard to jurisdictional claims in
            published maps and institutional   More than 39 million people have died since the onset of the human immunodeficiency
            affiliations.               virus/acquired immunodeficiency syndrome (HIV/AIDS) epidemic (UNAIDS, 2022a).


            Volume 3 Issue 1 (2025)                        118                       https://doi.org/10.36922/ghes.4077
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