Antiretroviral adherence among people living with HIV during the postpartum period: a retrospective cohort study at a PMTCT reference center in Rio de Janeiro before and during the COVID-19 pandemic.
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| Title: | Antiretroviral adherence among people living with HIV during the postpartum period: a retrospective cohort study at a PMTCT reference center in Rio de Janeiro before and during the COVID-19 pandemic. |
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| Authors: | Lattanzi, Fellipe Pinheiro, Fragoso da Silveira Gouvêa, Maria Isabel, Benamor Teixeira, Maria de Lourdes, Fuller, Trevon, Macêdo Pinheiro Sodré, Maria Clara, Ferreira Medeiros, Adriana, Bressan, Clarisse da Silveira, de Matos Salgueiro, Mariza, Braga, Camile Medeiros, Gouvêa, Marcelo, Amorim da Silva, Patrícia, Mendes-Silva, Wallace, Souza, Elaine Cristina, Santini de Oliveira, Marília, Ceci, Loredana, João, E. C. |
| Source: | AIDS Care. Sep2024, Vol. 36 Issue 9, p1280-1290. 11p. |
| Subjects: | HIV prevention, Women -- Brazil, Patient compliance, Antiretroviral agents, Puerperium, HIV infections, Postnatal care, Descriptive statistics, Mann Whitney U Test, Chi-squared test, Retrospective studies, Prenatal care, Longitudinal method, Vertical transmission (Communicable diseases), Drugs, Data analysis software, COVID-19 pandemic, Children, Pregnancy |
| Geographic Terms: | Brazil |
| Abstract: | Despite success in achieving viral suppression during pregnancy in people living with HIV (PLWH), postpartum adherence remains a challenge. We aimed to describe rates of adherence at a Prevention of Mother-to-Child HIV Transmission (PMTCT) Center before and during the COVID-19 pandemic. This study was conducted from a cohort of PLWH who received prenatal care and were virally suppressed near delivery. We tracked combined antiretroviral therapy (cART) pickups for 12 months and HIV viral load (VL) from 2 to 12 months after delivery. We defined flexible adherence as a monthly pickup of cART and strict adherence as also having VL < 200 copies/mL and at least one maternal HIV VL between two and twelve months postpartum. Pre-pandemic was defined as delivery from March 2017-February 2019 and pandemic as March 2020-February 2022. During the study, 1119 PLWH were followed, and 965 (86%) were suppressed near delivery. There were 511 pre-pandemic and 290 pandemic participants. Adherence rates were 66/511 (13%) and 38/290 (13%), respectively. During the pandemic, more participants conceived using cART and were undetectable at the start of prenatal care; nevertheless, postpartum adherence was no better than pre-pandemic underscoring the need to improve strategies for adherence specific to this subset of PLWH in the postpartum period. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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