Financial barriers to HIV treatment in Yaoundé, Cameroon: first results of a national cross-sectional survey
Sylvie Boyer, Fabienne Marcellin, Pierre Ongolo-Zogo, Séverin-Cécile Abega, Robert Nantchouang, Bruno Spire & Jean-Paul Moatti
Volume 87, Number 4, April 2009, 279-287
Table 2. Association between self-reported financial difficulty in buying ART during the previous 3 months and (i) adherence to ART and (ii) last CD4 count among ART-treated HIV-positive patients (n = 532) in Yaoundé, Cameroon, 2006
| Variable | OR | 95% CI | P-value | ||
|---|---|---|---|---|---|
| Agea | 0.63 | 0.47–0.85 | 0.002 | ||
| Relationship with head of household | |||||
| Patient is head or head’s spouse or siblingb | 1 | 0.03 | |||
| Patient is head’s child | 0.45 | 0.21–0.95 | |||
| Monthly household incomec | 0.30 | 0.17–0.55 | < 0.0001 | ||
| Adherence to ART | |||||
| Moderate/lowb | 1 | < 0.0001 | |||
| High | 0.24 | 0.15–0.40 | |||
| CD4 count at last assessment | |||||
| ≥ 200 cells/µlb | 1 | 0.04 | |||
| < 200 cells/µl and < 6 months on ART | 0.89 | 0.36–2.23 | |||
| < 200 cells/µl and > 6 months on ART | 2.14 | 1.15–3.96 | |||
ART, antiretroviral therapy; CD4, CD4+ lymphocyte; CI, confidence interval; OR, odds ratio (multivariate logistic regression model).
a OR for a 10-year increment.
b Reference category.
c OR for an increase of 1 log10.