Adherence to highly active antiretroviral therapy among people living with HIV and associated high-risk behaviours and clinical characteristics: A cross-sectional survey in Vietnam

Although Vietnam has promoted the utilisation of highly active antiretroviral therapy (HAART) towards HIV elimination targets, adherence to treatment remained under-investigated. We aimed describe high-risk behaviours and clinical characteristics by status identify factors associated with non-adherence. included 426 people living (PLWH) currently or previously involved in HAART. Most participants were men (75.4%), young (33.6 years), low income education levels. Non-adherent PLWH (11.5%) more likely have a larger number sex partners ( p-value = 0.053), without condom use 0.007) not receive result at hospital voluntary test centre 0.001). Multiple logistic regression analysis showed that demographic (education levels), sexual risk (multiple using condom) (time facility first time received HIV-positive result) HAART There are differences between women levels place testing) partners). Gender-specific programs, changing risky reducing harms among may benefit adherence. highlight need improve quantity quality HIV/AIDS services Vietnam, especially pre- post-test counselling, achieve better adherence, working ending AIDS 2030.