title: [Patients'adherence-related beliefs about medicines prescribed for long-term conditions in HIV patients].
abstract: OBJECTIVE
  To assess adherence and beliefs about long-term medicines for other chronic conditions among HIV-infected patients as well as to evaluate their relationship.
  
  
  METHODS
  A cross-sectional study was conducted from may to july 2014 in HIV-infected patients treated with antiretroviral treatment (ART) and ≥1 long-term medicines for other chronic diseases. The variables analysed in the study were demographics: sex, age, education, employment status, living situation; clinical: mode of transmission, HIV plasma viral load, T-CD4+, CDC classification; and pharmacotherapeutics: type of ART, adherence to long-term medicines for other chronic conditions using the 4-item Morisky Medication Adherence (MMAS) Scale. MMAS scores were dichotomised into adherent/non-adherent. The Beliefs about Medicines Questionnaires (BMQ) was used to assess patients' beliefs about the long-term medicines. The BMQ-Specific has two scales (necessity and concern) with five questions each that uses a 5-point Likert scale. Internal consistency within BMQ scales was measured with Cronbach's α and their association with adherence was assessed with t-Student tests, using SPSS 20.0.
  
  
  RESULTS
  We included 126 patients (80.4% male, mean age 49.0 ± 8.3). The mean of long-term medicines was 2.9 ± 2.0. The percentage of non-adherent patients was 54.0%. 63.5% of patients had AIDS, that showed statistically significant relationship with non-adherence. Concerns were negatively related to self-reported adherence (14.6 ± 5.7 vs. 12.1 ± 6.1; p=0.019). No relationship between adherence and necessity was found (17.3 ± 5.6 vs. 18.8 ± 4.4; p=0.188). Internal consistency for BMQ-Specific was high (Cronbach's α=0.724).
  
  
  CONCLUSIONS
  Higher concerns are associated with higher self-reported adherence to long-term medicines in HIV infected-patients.
authors: Farmacéutica residente. UGC de Farmacia, Área de Gestión Sanitaria Sur de Sevilla, Carretera de Cádiz S/N, 41014, Sevilla, España.. haroangus@gmail.com.
authors: Carmen
authors: C
authors: Haro Márquez
authors: Farmacéutica residente. UGC de Farmacia, Área de Gestión Sanitaria Sur de Sevilla, Carretera de Cádiz S/N, 41014, Sevilla, España.. rosa_cantudo@hotmail.com.
authors: Maria Rosa
authors: MR
authors: Cantudo Cuenca
authors: Bioestadística, Área de Gestión Sanitaria Sur de Sevilla. Prof. Asociada,Universidad de Sevilla. Carretera de Cádiz S/N, 41014, Sevilla, España.. carmen.almeida.exts@juntadeandalucia.es.
authors: Carmen Victoria
authors: CV
authors: Almeida González
authors: Farmacéutico especialista. UGC de Farmacia, Área de Gestión Sanitaria Sur de Sevilla, Carretera de Cádiz S/N, 41014, Sevilla, España.. rmorillov26@yahoo.es.
authors: Ramón
authors: R
authors: Morillo Verdugo
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D003469:Culture; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult