<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0375-0760</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Tropical]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Trop]]></abbrev-journal-title>
<issn>0375-0760</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0375-07602020000200003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores asociados a la no adherencia terapéutica a los antirretrovirales en personas con VIH/sida]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors associated with non-adherence to antiretroviral therapy among people with HIV / AIDS]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Bastán]]></surname>
<given-names><![CDATA[Jesús Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Viana Castaño]]></surname>
<given-names><![CDATA[Luisa Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de la Habana Facultad "General Calixto García" Policlínico Universitario &#8220;Marcios Manduley&#8221;]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>72</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0375-07602020000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0375-07602020000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0375-07602020000200003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La no adherencia terapéutica a los antirretovirales es una de las causas de la progresión rápida a sida en individuos seropositivos.  Objetivo: Identificar los factores asociados a la no adherencia terapéutica a los antirretrovirales, en personas que conviven con VIH/sida.  Métodos: Se realizó una investigación analítica de corte transversal en 153 pacientes de 18 y más años de edad, con diagnóstico de VIH/sida, del Policlínico Marcios Manduley, municipio Centro Habana, en el año 2018. La fuente de información fueron las historias clínicas individuales y familiares, y se aplicó un cuestionario estructurado para complementar la información requerida. Para establecer relación entre variables se utilizó la prueba de chi cuadrado ((2) con significación estadística, p= 0,05, y se identificaron variables cuyos coeficientes fueron significativamente diferentes de 0 (p&lt; 0,05) La causalidad fue determinada mediante el cálculo de odss ratio (OR).  Resultados:  Se encontró asociación estadística y constituyeron factores de riesgo de mala adherencia terapéutica: la baja escolaridad, el vínculo de pareja no estable, la disfunción familiar, el tiempo bajo tratamiento mayor de 5 años y la presencia de reacciones adversa.  Conclusiones:  El estudio permitió identificar las principales variables asociadas con la mala adherencia terapéutica en estos pacientes, lo que aporta evidencia científica para un adecuado control de la enfermedad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Non-adherence to antiretroviral therapy is one of the causes of the fast progression to AIDS among seropositive individuals.  Objective: Identify the factors associated with non-adherence to antiretroviral therapy among people living with HIV / AIDS.  Methods: An analytical cross-sectional study was conducted of 153 HIV / AIDS patients aged 18 years and over from Marcios Manduley polyclinic, municipality of Centro Habana, in the year 2018. Data were obtained from individual and family medical records, and a structured questionnaire was applied to complement the information required. The relationship between the variables was determined with the chi-square test ((2) with a statistical significance of p= 0.05, and variables were identified whose coefficients were significantly different from 0 (p&lt; 0.05). Causality was determined by odds ratio (OR) estimation.  Results:  A statistical association was found, as well as the following risk factors for poor adherence to therapy: low educational level, frequent change of sexual partner, dysfunctional family, therapy duration longer than 5 years and adverse reactions.  Conclusions:  The study made it possible to identify the main variables associated to poor adherence to therapy among these patients, contributing scientific evidence for an appropriate control of the disease.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[virus de inmunodeficiencia humana]]></kwd>
<kwd lng="es"><![CDATA[síndrome de inmunodeficiencia adquirida]]></kwd>
<kwd lng="es"><![CDATA[adherencia terapéutica]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="en"><![CDATA[human immunodeficiency virus]]></kwd>
<kwd lng="en"><![CDATA[acquired immunodeficiency syndrome]]></kwd>
<kwd lng="en"><![CDATA[adherence to therapy]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
</kwd-group>
</article-meta>
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