Titre :
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Financial barriers to HIV treatment in Yaoundé, Cameroon : first results of a national cross-sectional survey. : Barrières financières au traitement du VIH à Yaoundé, Cameroun : premiers résultats d'une enquête transversale nationale. (2009)
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Auteurs :
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S. BOYER ;
S.C. ABEGA ;
F. MARCELLIN ;
J.P. MOATTI ;
R. NANTCHOUANG ;
P. ONGOLO-ZOGO ;
B. Spire
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Type de document :
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Article
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Dans :
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Bulletin of the world health organization (vol. 87, n° 4, 2009)
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Pagination :
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279-287
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Langues:
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Anglais
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Mots-clés :
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Accès soins
;
Cameroun
;
Observance thérapeutique
;
Sida
;
Traitement antirétroviral
;
VIH
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Résumé :
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[BDSP. Notice produite par ORSPACA kCR0xm8k. Diffusion soumise à autorisation]. Objective - To assess the extent to which user fees for antiretroviral therapy (ART) represent a financial barrier to access to ART among HIV-positive patients in Yaoundé, Cameroon. Methods - Sociodemographic, economic and clinical data were collected from a random sample of 707 HIV-positive patients followed up in six public hospitals of the capital city (Yaoundé) and its surroundings through face-to-face interviews carried out by trained interviewers independently from medical staff and medical questionnaires filled out by prescribing physicians. Logistic regression models were used to identify factors associated with self-reported financial difficulties in purchasing ART during the previous 3 months. Findings - Of the 532 patients treated with ART at the time of the survey, 20% reported financial difficulty in purchasing their antiretroviral drugs during the previous 3 months. After adjustment for socioeconomic and clinical factors, reports of financial difficulties were significantly associated with lower adherence to ART (odds ratio, OR : 0.24 ; 95% confidence interval, CI : 0.15-0.40 ; P
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