Fatores de saúde mental associados í  não adesão í  terapia anti-retroviral: uma revisão sistemática

Poliana  Moreira de Medeiros Carvalho; Raimundo  Monteiro da Silva Neto; Modesto  Leite Rolim Neto

doi:10.36489/saudecoletiva.2020v10i57p3665-3690

Authors

Poliana Moreira de Medeiros Carvalho
Raimundo Monteiro da Silva Neto
Modesto Leite Rolim Neto

DOI:

https://doi.org/10.36489/saudecoletiva.2020v10i57p3665-3690

Keywords:

HIV, Antiretroviral Therapy, Non Adherence

Abstract

Introduction: Factors that contribute to non-adherence are threats to the complexity of the treatment, which is long lasting. These can influence the biological vulnerability of patients and cause aggravations. Objectives: To evaluate mental health factors related to non adherence to antiretroviral therapy (ART). Methods: A systematic review was carried out in the Web of Science and MEDLINE databases with the terms "HIV", "An-tiretroviral therapy" and "Non-adherence", from 2012 to 2018.Results: After completion of the research, 57 articles were found that correlated ART with mental health factors that interfere with treatment adherence. In general, we can identify four aspects that sig-nificantly influenced adherence: a) drugs (alcohol and drug use); b) depression; c) anxie-ty; d) stigma. Conclusion: The evaluation and treatment of psychosocial factors should take place during the follow-up of new patients' therapy and also be part of the routine and continuity of HIV treatment.

Author Biographies

Poliana Moreira de Medeiros Carvalho

Pharmacist, PhD by the Postgraduate Program in Health Sciences at the ABC Medical School (FMABC), Santo André, SP, Brazil.

Raimundo Monteiro da Silva Neto

Graduating from the Nursing Course, University Center of Juazeiro do Norte (UNIJUAZEIRO), Juazeiro do Norte, CE, Brazil.

Modesto Leite Rolim Neto

Professor at the Faculty of Medicine of the Federal University of Caririr - UFCA, Post-Doctorate in Public Health at the University of São Paulo - USP. PhD in Health Sciences from the Federal University of Rio Grande do Norte – UFRN.