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How are women living with HIV in France coping with their perceived side effects of antiretroviral therapy? Results from the EVE study

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  • Guillemette Quatremère
  • Marguerite Guiguet
  • Patricia Girardi
  • Marie-Noëlle Liaud
  • Coline Mey
  • Cynthia Benkhoucha
  • Franck Barbier
  • Graciela Cattaneo
  • Anne Simon
  • Daniela Rojas Castro

Abstract

Objective: Side effects of antiretroviral therapy (ART) can have a negative impact on health-related quality of life threatening long-term retention in HIV care and adherence to ART. The aim of the French community-based survey EVE was to document personal experiences with side effects, the related physician-patient communication, and solutions found to deal with them. Design: Cross-sectional study of women between September 2013 to September 2014 Methods: An anonymous online questionnaire included the HIV Symptom Distress Module, which explores 20 symptoms. Results: In all, 301 women on ART participated in the study (median age: 49 years; median duration of ART: 14 years). They reported having experienced a median of 12 symptoms (Q1-Q3: 9–15) during the previous 12 months. Overall, 56% of them reported having found at least a partial solution to dealing with their symptoms. Women reporting financial difficulties were twice less likely to have found solutions to coping with their side effects (AOR: 0.5; 95% CI: 0.3–0.8). Feeling supported by the health-care provider (AOR: 2.1; 95% CI: 1.1–3.9) and being in contact with HIV/AIDS organisations (AOR: 1.9; 95% CI: 1.2–3.2) were positively associated with coping. Seventeen percent reported having modified their ART regimen to improve tolerance, with only 2 in 3 informing their physician afterwards. Reporting financial difficulties and living with more bothersome symptoms increased the risk of ART regimen modification without health-care provider consultation. Conclusion: The EVE study has called attention to the large number of side effects experienced by WLWHIV, only half of whom have found self-care strategies to manage their symptoms. Modification of ART regimen by the women themselves was not uncommon.

Suggested Citation

  • Guillemette Quatremère & Marguerite Guiguet & Patricia Girardi & Marie-Noëlle Liaud & Coline Mey & Cynthia Benkhoucha & Franck Barbier & Graciela Cattaneo & Anne Simon & Daniela Rojas Castro, 2017. "How are women living with HIV in France coping with their perceived side effects of antiretroviral therapy? Results from the EVE study," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-13, March.
    • Handle: RePEc:plo:pone00:0173338
    DOI: 10.1371/journal.pone.0173338
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    1. Aidala, A.A. & Wilson, M.G. & Shubert, V. & Gogolishvili, D. & Globerman, J. & Rueda, S. & Bozack, A.K. & Caban, M. & Rourke, S.B., 2016. "Housing status, medical care, and health outcomes among people living with HIV/AIDS: A systematic review," American Journal of Public Health, American Public Health Association, vol. 106(1), pages 1-23.
    2. Pierre Gantner & Firouze Bani-Sadr & Rodolphe Garraffo & Pierre-Marie Roger & Michèle Treger & Thomas Jovelin & Pascal Pugliese & David Rey & Dat’AIDS cohort, 2016. "Switch to Ritonavir-Boosted versus Unboosted Atazanavir plus Raltegravir Dual-Drug Therapy Leads to Similar Efficacy and Safety Outcomes in Clinical Practice," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-13, October.
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    1. Mariem Raho-Moussa & Marguerite Guiguet & Céline Michaud & Patricia Honoré & Christia Palacios & François Boué & Mohammed Azghay & Imad Kansau & Véronique Chambrin & Tania Kandel & Marion Favier & Els, 2019. "Respective roles of migration and social deprivation for virological non-suppression in HIV-infected adults on antiretroviral therapy in France," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-10, March.

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