Research Article

Plasma Drug Level Validates Self-Reported Adherence but Predicts Limited Specificity for Nonadherence to Antiretroviral Therapy

Table 1

The association between patients’ demographic/clinical characteristics and plasma drug therapeutic concentration among patients on a stavudine-containing regimen in Uganda.

Plasma drug concentrationCrude association

Below normal range1Within or above normal range2Odds ratio (95%CI) 𝑃 -value

Self-report AdherenceBelow 95% ( 𝑛 = 4 0 )26 (65.0%)14 (35.0%)[reference]<0.0001
95% and above ( 𝑛 = 1 9 4 )42 (21.7%)152 (78.4%)6.72 (3.06, 14.78)

GenderMale ( 𝑛 = 8 4 )23 (27.4%)61 (72.6%)[reference]0.6728
Female ( 𝑛 = 1 5 0 )45 (30.0%)105 (70.0%)0.88 (0.49, 1.59)

Age in yearsMean (SD)38.4 (7.0)38.6 (6.9)1.00 (0.96, 1.05)0.833

Employment statusNot Employed ( 𝑛 = 9 6 )23 (24.0%)73 (76.0%)[reference]0.2079
Employed ( 𝑛 = 1 3 3 )42 (31.6%)91 (68.4%)0.68 (0.38, 1.24)

Marital StatusNot married ( 𝑛 = 1 0 6 )24 (22.6%)82 (77.4%)[reference]0.0496
Married ( 𝑛 = 1 2 8 )44 (34.4%)84 (65.6%)0.56 (0.31, 1.01)

EducationNo Education ( 𝑛 = 1 6 )5 (31.3%)11 (68.8%)[reference]0.8419
Some Education ( 𝑛 = 2 1 8 )63 (28.9%)155 (71.1%)1.12 (0.37, 3.36)
Alcohol drinking statusNever ( 𝑛 = 1 4 4 )42 (29.2%)102 (70.8%)[reference]0.7946
Stopped drinking ( 𝑛 = 2 6 )8 (30.8%)18 (69.2%)0.93 (0.37, 2.29)
Still drinking ( 𝑛 = 6 0 )15 (25.0%)45 (75.0%)1.24 (0.62, 2.45)

Current CD4 count in cells/mLMean (SD)289 (180)292 (141)1.00 (1.00, 1.00)0.916

Body weight in kgsMean (SD)61.9 (9.9)62.9 (10.0)1.01 (0.98, 1.04)0.520

1Stavudine plasma concentration below 36 nM/mL
2Stavudine plasma concentration 36 nM/mL and above.