Adherence to and effectiveness of Highly Active Antiretroviral Treatment for HIV infection: assessing the bidirectional relationship

Karine Lamiraud 1 Jean-Paul Moatti 2 François Raffi 3 Maria Patrizia Carrieri 2 Camelia Protopopescu 2 Christian Michelet 4 Luminita Schneider 5 Fidéline Collin 6 Catherine Leport 7 Bruno Spire 2
1 Economics Department
2 SESSTIM - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale
3 Maladies infectieuses et tropicales
4 Service des maladies infectieuses et réanimation médicale
5 Service des maladies infectieuses et tropicales [CHU Pitié-Salpêtrière]
6 Epidémiologie et Biostatistique [Bordeaux]
7 Laboratoire de recherche en pathologie infectieuse
Abstract : It is well-established that high adherence to HAART is a major determinant of virological and immunological success. Furthermore, psycho-social research has identified a wide range of adherence factors. Our objective was to assess the bi-directional relationship between adherence and response to treatment among patients enrolled in the ANRS CO8 APROCOCOPILOTE study. An econometric approach was implemented through a bivariate twoequation simultaneous system, studying the factors associated with both adherence and undetectability of HIV plasma viral load. Our results highlight that good biological results induced by adherence reinforce continued adherence. This strengthens the argument that patients who do not experience rapid improvements in their immunological and clinical statuses after HAART initiation should be prioritized when developing adherence support interventions. Furthermore, it rules out the hypothesis that HAART leads to "false reassurance" among HIV infected patients.
Keywords : Adherence HIV relationship between adherence and effectiveness simultaneous equations GEE
Type de document :
Autre publication
ESSEC Working paper. Document de Recherche ESSEC / Centre de recherche de l'ESSEC ISSN : 1291-961.. 2011, pp.35
Liste complète des métadonnées

Littérature citée [43 références]  Voir  Masquer  Télécharger
https://hal-essec.archives-ouvertes.fr/hal-00660923
Contributeur : Anne Crepin <>
Soumis le : jeudi 16 février 2012 - 15:54:06
Dernière modification le : mercredi 16 mai 2018 - 11:23:11
Document(s) archivé(s) le : mardi 13 décembre 2016 - 23:43:45

Fichier

WP1110.pdf
Fichiers produits par l'(les) auteur(s)

Identifiants

  • HAL Id : hal-00660923, version 1

Collections

UNIV-AMU | ANRSCO8 | USPC | IRD | UNIV-RENNES

Citation

Karine Lamiraud, Jean-Paul Moatti, François Raffi, Maria Patrizia Carrieri, Camelia Protopopescu, et al.. Adherence to and effectiveness of Highly Active Antiretroviral Treatment for HIV infection: assessing the bidirectional relationship. ESSEC Working paper. Document de Recherche ESSEC / Centre de recherche de l'ESSEC ISSN : 1291-961.. 2011, pp.35. 〈hal-00660923〉

Exporter

BibTeX TEI DC DCterms EndNote

Partager

Métriques

Consultations de la notice

1238

Téléchargements de fichiers

325

Contact

support.ccsd.cnrs.fr
hal.support@ccsd.cnrs.fr
Logo CCSD