Factors of Loss to Follow-up Antiretroviral Therapy in Islanded Area

Unnes Journal of Public Health Pub Date : 2018-07-01 DOI:10.15294/ujph.v7i2.20901

Thomas Laga Boro, R. Paun, M. R. Pellokila

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引用次数: 0

Abstract

ABSTRACT Loss to follow-up of antiretroviral therapy is when PLWHA (People Living with HIV/AIDS) do not come for antiretroviral therapy for more than 3 months. This study aimed to determine the factors of loss to follow-up antiretroviral therapy for PLWHA at Prof. Dr. W. Z. Johannes Kupang Public Hospital where PLWHA with land, water and air transportation are served. This was a case control study with 66 samples of PLWHA. The samples underwent antiretroviral therapy in Prof. Dr.W.Z. Johannes Kupang Public Hospital from 2006 to 2016. Saturated sampling technique was done for cases group and simple random sampling was done for control group. Univariate and bivariate data analysis were done in this study. The result of bivariate analysis showed that there were association between intention (p = 0.004, OR = 4.667), self efficacy (p = 0.0001, OR = 7.875), action (p = 0.0001, OR = 45.000), transportation mode (p = 0.046, OR = 0.200), and transport costs (p = 0.0001, OR 19.333) and loss to follow-up antiretroviral therapy. It could be concluded that transportation and behavior were the major problems for the loss to follow up antiretroviral therapy in the islanded area. Keywords: HIV/AIDS, antiretroviral therapy, loss to follow-up, islanded area ABSTRAK Gagal follow-up antiretroviral therapy adalah jika ODHA (Orang dengan HIV/AIDS) tidak menjalani terapi antireroviral lebih dari 3 bulan terakhir. Penelitian ini bertujuan untuk mengetahui faktor-faktor gagal follow-up antiretroviral therapy pada ODHA di RSUD Prof. Dr. W. Z. Johannes Kupang yang melayani para ODHA dengan moda transportasi darat, air, dan udara. Desain penelitian ini adalah case control. Sampel sebanyak 66 ODHA yang menjalani antiretroviral therapy di RSUD Prof. Dr.W.Z. Johannes Kupang sejak tahun 2006 sampai 2016. Teknik pengambilan sampel yang digunakan adalah sampel jenuh untuk kelompok kasus dan simple random sampling untuk kelompok kontrol. Analisis data menggunakan prosentase untuk univariat dan bivariat. Hasil analisis bivariat menunjukkan ada pengaruh niat (p = 0,004, OR = 4,667), self efficacy (p = 0,0001, OR = 7,875), tindakan (p = 0,0001, OR = 45,000), moda transportasi (p = 0,046, OR = 0,200), dan biaya transportasi (p = 0,0001, OR 19,333) terhadap gagal follow up terapi antiretroviral. Dapat disimpulkan bahwa masalah utama gagal follow up terapi antiretroviral di wilayah berkepulauan ini adalah transportasi dan perilaku. Kata Kunci: HIV/AIDS, terapi antiretroviral, gagal follow up, wilayah berkepulauan.

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海岛地区抗逆转录病毒治疗随访失败的因素分析

抗逆转录病毒治疗的随访损失是指艾滋病毒感染者/艾滋病患者超过3个月未接受抗逆转录病毒治疗。这项研究的目的是确定在提供陆运、水运和空运服务的w.z. Johannes Kupang教授博士公立医院对艾滋病患者进行后续抗逆转录病毒治疗的损失因素。这是一项病例对照研究，共有66例艾滋病病毒感染者。这些样本接受了w.z.博士教授的抗逆转录病毒治疗。Johannes Kupang Public Hospital, 2006年至2016年。病例组采用饱和抽样法，对照组采用简单随机抽样法。本研究进行了单因素和双因素数据分析。双变量分析结果显示，意愿(p = 0.004, OR = 4.667)、自我效能感(p = 0.0001, OR = 7.875)、行动(p = 0.0001, OR = 45.000)、运输方式(p = 0.046, OR = 0.200)、运输费用(p = 0.0001, OR 19.333)与抗逆转录病毒治疗随访损失存在相关性。由此可见，交通和行为是影响孤岛地区患者抗逆转录病毒治疗随访的主要因素。关键词:艾滋病毒/艾滋病，抗逆转录病毒治疗，随访损失，孤岛地区Penelitian ini bertujuan untuk mengetahui因子-因子追踪抗逆转录病毒治疗pada ODHA di RSUD教授Dr. W. Z. Johannes Kupang yang melayani pada ODHA dengan moda transportasi darat, air, danudara。Desain penelitian ini adalah病例控制。Sampel sebanyak 66 ODHA yang menjalani抗逆转录病毒治疗Johannes Kupang sejak tahun 2006 sampai 2016。彭甘比兰样本杨迪库纳坎阿达拉样本杰尼乌乌乌克龙波卡萨斯简单随机抽样乌克龙波控制。蒙古纳坎蛋白酶分析数据，单变量和双变量。Hasil分析:双变量menunjukkan ada pengaruh niat (p = 0,004, OR = 4,667)、自我效能(p = 0,0001, OR = 7,875)、tindakan (p = 0,0001, OR = 45,000)、moda转运(p = 0,046, OR = 0,200)、dan biaya转运(p = 0,0001, OR 19,333)、terapi抗逆转录病毒随访。Dapat disimpulkan bahwa masalah utama gagal跟进terapi抗逆转录病毒di wilayah berkepulauan ini adalah transportasi丹perilaku。Kata Kunci:艾滋病毒/艾滋病，terapi抗逆转录病毒，定期随访，wilayah berkepulauan。

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