{"id":"https://openalex.org/W7127071326","doi":"https://doi.org/10.1371/journal.pone.0330581","title":"Virological failure and risk factors among people living with HIV taking second-line ART in Addis Ababa, Ethiopia","display_name":"Virological failure and risk factors among people living with HIV taking second-line ART in Addis Ababa, Ethiopia","publication_year":2026,"publication_date":"2026-02-02","ids":{"openalex":"https://openalex.org/W7127071326","doi":"https://doi.org/10.1371/journal.pone.0330581","pmid":"https://pubmed.ncbi.nlm.nih.gov/41628088","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12863470"},"language":"en","primary_location":{"id":"doi:10.1371/journal.pone.0330581","doi":"https://doi.org/10.1371/journal.pone.0330581","is_oa":true,"landing_page_url":"https://doi.org/10.1371/journal.pone.0330581","pdf_url":"https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0330581&type=printable","source":{"id":"https://openalex.org/S202381698","display_name":"PLoS ONE","issn_l":"1932-6203","issn":["1932-6203"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315706","host_organization_name":"Public Library of Science","host_organization_lineage":["https://openalex.org/P4310315706"],"host_organization_lineage_names":["Public Library of Science"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS One","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0330581&type=printable","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5084413929","display_name":"Bekelech Bayou","orcid":"https://orcid.org/0000-0002-9334-5547","observed_orcids":["https://orcid.org/0000-0002-9334-5547"]},"institutions":[{"id":"https://openalex.org/I165390105","display_name":"University of South Africa","ror":"https://ror.org/048cwvf49","country_code":"ZA","type":"education","lineage":["https://openalex.org/I165390105"]},{"id":"https://openalex.org/I2800741495","display_name":"German Foundation for World Population","ror":"https://ror.org/00cgnt765","country_code":"DE","type":"nonprofit","lineage":["https://openalex.org/I2800741495"]}],"countries":["DE","ZA"],"is_corresponding":true,"raw_author_name":"Bekelech Bayou Feyissa","raw_affiliation_strings":["Deutsche Stiftung Weltbev\u00f6lkerung (DSW), Ethiopia Country Office, Addis Ababa, Ethiopia","University of South Africa, Department of Health Studies, Pretoria, South Africa"],"raw_orcid":"https://orcid.org/0000-0002-9334-5547","affiliations":[{"raw_affiliation_string":"Deutsche Stiftung Weltbev\u00f6lkerung (DSW), Ethiopia Country Office, Addis Ababa, Ethiopia","institution_ids":["https://openalex.org/I2800741495"]},{"raw_affiliation_string":"University of South Africa, Department of Health Studies, Pretoria, South Africa","institution_ids":["https://openalex.org/I165390105"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086988381","display_name":"Abay Sisay","orcid":"https://orcid.org/0000-0002-6646-1868","observed_orcids":["https://orcid.org/0000-0002-6646-1868"]},"institutions":[{"id":"https://openalex.org/I4537092","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254","country_code":"ET","type":"education","lineage":["https://openalex.org/I4537092"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Abay Sisay","raw_affiliation_strings":["Department of Medical Laboratory Sciences, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Laboratory Sciences, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia","institution_ids":["https://openalex.org/I4537092"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087255578","display_name":"Eugene Lee Davids","orcid":"https://orcid.org/0000-0002-3805-3904","observed_orcids":["https://orcid.org/0000-0002-3805-3904"]},"institutions":[{"id":"https://openalex.org/I165390105","display_name":"University of South Africa","ror":"https://ror.org/048cwvf49","country_code":"ZA","type":"education","lineage":["https://openalex.org/I165390105"]},{"id":"https://openalex.org/I69552723","display_name":"University of Pretoria","ror":"https://ror.org/00g0p6g84","country_code":"ZA","type":"education","lineage":["https://openalex.org/I69552723"]}],"countries":["ZA"],"is_corresponding":false,"raw_author_name":"Eugene Lee Davids","raw_affiliation_strings":["Department of Psychology, Faculty of Humanities, University of Pretoria, South Africa","University of South Africa, Department of Health Studies, Pretoria, South Africa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychology, Faculty of Humanities, University of Pretoria, South Africa","institution_ids":["https://openalex.org/I69552723"]},{"raw_affiliation_string":"University of South Africa, Department of Health Studies, Pretoria, South Africa","institution_ids":["https://openalex.org/I165390105"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048467481","display_name":"Anteneh Yalew","orcid":"https://orcid.org/0000-0003-1826-4250","observed_orcids":["https://orcid.org/0000-0003-1826-4250"]},"institutions":[{"id":"https://openalex.org/I192619145","display_name":"University of the Witwatersrand","ror":"https://ror.org/03rp50x72","country_code":"ZA","type":"education","lineage":["https://openalex.org/I192619145"]}],"countries":["ZA"],"is_corresponding":false,"raw_author_name":"Anteneh Yalew","raw_affiliation_strings":["University of the Witwatersrand (Wits University), Johannesburg, South Africa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of the Witwatersrand (Wits University), Johannesburg, South Africa","institution_ids":["https://openalex.org/I192619145"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5083022243","display_name":"Geoffrey Setswe","orcid":"https://orcid.org/0000-0003-3646-0722","observed_orcids":["https://orcid.org/0000-0003-3646-0722"]},"institutions":[{"id":"https://openalex.org/I165390105","display_name":"University of South Africa","ror":"https://ror.org/048cwvf49","country_code":"ZA","type":"education","lineage":["https://openalex.org/I165390105"]},{"id":"https://openalex.org/I4210119199","display_name":"Aurum Institute","ror":"https://ror.org/01tcy5w98","country_code":"ZA","type":"nonprofit","lineage":["https://openalex.org/I4210119199"]}],"countries":["ZA"],"is_corresponding":false,"raw_author_name":"Geoffrey Setswe","raw_affiliation_strings":["The Aurum Institute, Johannesburg, South Africa","University of South Africa, Department of Health Studies, Pretoria, South Africa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Aurum Institute, Johannesburg, South Africa","institution_ids":["https://openalex.org/I4210119199"]},{"raw_affiliation_string":"University of South Africa, Department of Health Studies, Pretoria, South Africa","institution_ids":["https://openalex.org/I165390105"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5084413929"],"corresponding_institution_ids":["https://openalex.org/I165390105","https://openalex.org/I2800741495"],"apc_list":{"value":2382,"currency":"USD","value_usd":2382},"apc_paid":{"value":2382,"currency":"USD","value_usd":2382},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"21","issue":"2","first_page":"e0330581","last_page":"e0330581"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.9297000169754028,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.9297000169754028,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10526","display_name":"HIV/AIDS drug development and treatment","score":0.06700000166893005,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10112","display_name":"HIV Research and Treatment","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2406","display_name":"Virology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/virologic-failure","display_name":"virological failure","score":0.9940000176429749},{"id":"https://openalex.org/keywords/second-line-antiretroviral-therapy","display_name":"second-line antiretroviral therapy","score":0.9440000057220459},{"id":"https://openalex.org/keywords/hiv","display_name":"HIV","score":0.6970000267028809},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.8820000290870667},{"id":"https://openalex.org/keywords/loss-to-follow-up","display_name":"loss to follow-up","score":0.796999990940094},{"id":"https://openalex.org/keywords/care-transitions","display_name":"care transitions","score":0.5519999861717224},{"id":"https://openalex.org/keywords/antiretroviral-drug-resistance","display_name":"antiretroviral resistance","score":0.8019999861717224},{"id":"https://openalex.org/keywords/antiretroviral-therapy-adherence","display_name":"antiretroviral therapy adherence","score":0.7139999866485596},{"id":"https://openalex.org/keywords/addis-ababa","display_name":"Addis Ababa","score":0.7200000286102295}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7565000057220459},{"id":"https://openalex.org/C3013748606","wikidata":"https://www.wikidata.org/wiki/Q15787","display_name":"Human immunodeficiency virus (HIV)","level":2,"score":0.6237999796867371},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.5827000141143799},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.40869998931884766},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.37880000472068787},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.35580000281333923},{"id":"https://openalex.org/C2993143319","wikidata":"https://www.wikidata.org/wiki/Q583050","display_name":"Antiretroviral therapy","level":4,"score":0.3303999900817871},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.32710000872612},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.3109999895095825},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.3107999861240387},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3061999976634979},{"id":"https://openalex.org/C142462285","wikidata":"https://www.wikidata.org/wiki/Q2528140","display_name":"Viral load","level":3,"score":0.3028999865055084},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.29010000824928284},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.2777999937534332},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.273499995470047},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.2632000148296356},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.2547000050544739},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.2526000142097473}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005002","descriptor_name":"Ethiopia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015658","descriptor_name":"HIV Infections","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D015658","descriptor_name":"HIV Infections","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D015658","descriptor_name":"HIV Infections","qualifier_ui":"Q000821","qualifier_name":"virology","is_major_topic":true},{"descriptor_ui":"D015995","descriptor_name":"Prevalence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017211","descriptor_name":"Treatment Failure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019380","descriptor_name":"Anti-HIV Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D023241","descriptor_name":"Antiretroviral Therapy, Highly Active","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":7,"locations":[{"id":"doi:10.1371/journal.pone.0330581","doi":"https://doi.org/10.1371/journal.pone.0330581","is_oa":true,"landing_page_url":"https://doi.org/10.1371/journal.pone.0330581","pdf_url":"https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0330581&type=printable","source":{"id":"https://openalex.org/S202381698","display_name":"PLoS ONE","issn_l":"1932-6203","issn":["1932-6203"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315706","host_organization_name":"Public Library of Science","host_organization_lineage":["https://openalex.org/P4310315706"],"host_organization_lineage_names":["Public Library of Science"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS One","raw_type":"journal-article"},{"id":"doi:10.1101/2025.08.05.25333097","doi":"https://doi.org/10.1101/2025.08.05.25333097","is_oa":true,"landing_page_url":"https://doi.org/10.1101/2025.08.05.25333097","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2025/08/08/2025.08.05.25333097.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},{"id":"pmh:oai:europepmc.org:11670987","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12863470","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:41628088","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41628088","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PloS one","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12863470","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12863470/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLoS One","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:b14b490e95534e648ed0de87928ddd50","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/b14b490e95534e648ed0de87928ddd50","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"PLoS ONE, Vol 21, Iss 2 (2026)","raw_type":"article"},{"id":"pmh:oai:doaj.org/article:cafb0e3c54994040b0f18f6fe48abcd7","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/cafb0e3c54994040b0f18f6fe48abcd7","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"PLoS ONE, Vol 21, Iss 2, p e0330581 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1371/journal.pone.0330581","doi":"https://doi.org/10.1371/journal.pone.0330581","is_oa":true,"landing_page_url":"https://doi.org/10.1371/journal.pone.0330581","pdf_url":"https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0330581&type=printable","source":{"id":"https://openalex.org/S202381698","display_name":"PLoS ONE","issn_l":"1932-6203","issn":["1932-6203"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315706","host_organization_name":"Public Library of Science","host_organization_lineage":["https://openalex.org/P4310315706"],"host_organization_lineage_names":["Public Library of Science"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS One","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G1797276165","display_name":null,"funder_award_id":"RD/PY-597/2024","funder_id":"https://openalex.org/F4320324791","funder_display_name":"Addis Ababa University"},{"id":"https://openalex.org/G7671790049","display_name":null,"funder_award_id":"20265433","funder_id":"https://openalex.org/F4320324956","funder_display_name":"University of South Africa"}],"funders":[{"id":"https://openalex.org/F4320324791","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254"},{"id":"https://openalex.org/F4320324956","display_name":"University of South Africa","ror":"https://ror.org/048cwvf49"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7127071326.pdf","grobid_xml":"https://content.openalex.org/works/W7127071326.grobid-xml"},"referenced_works_count":41,"referenced_works":["https://openalex.org/W2029266312","https://openalex.org/W2042014721","https://openalex.org/W2343783954","https://openalex.org/W2418150308","https://openalex.org/W2560246813","https://openalex.org/W2904932625","https://openalex.org/W2912652602","https://openalex.org/W2914569405","https://openalex.org/W2932036032","https://openalex.org/W2957229415","https://openalex.org/W2964524135","https://openalex.org/W2966328786","https://openalex.org/W2979365362","https://openalex.org/W2982378076","https://openalex.org/W2982516762","https://openalex.org/W2983411017","https://openalex.org/W2990991336","https://openalex.org/W2995043756","https://openalex.org/W3005919160","https://openalex.org/W3048527112","https://openalex.org/W3112161908","https://openalex.org/W3124307256","https://openalex.org/W3134238461","https://openalex.org/W3138900749","https://openalex.org/W3217575248","https://openalex.org/W4281486345","https://openalex.org/W4284895807","https://openalex.org/W4298619699","https://openalex.org/W4312067470","https://openalex.org/W4322765149","https://openalex.org/W4361191040","https://openalex.org/W4386001227","https://openalex.org/W4388489106","https://openalex.org/W4389146841","https://openalex.org/W4390512209","https://openalex.org/W4400585179","https://openalex.org/W4402937088","https://openalex.org/W4403037291","https://openalex.org/W4403203030","https://openalex.org/W4403523594","https://openalex.org/W4404866844"],"related_works":["https://openalex.org/W7116953924","https://openalex.org/W4390028326","https://openalex.org/W4400448491","https://openalex.org/W3105057655","https://openalex.org/W4361191040","https://openalex.org/W6920525005","https://openalex.org/W3112789710","https://openalex.org/W3082734054","https://openalex.org/W6957923396","https://openalex.org/W4403037291"],"abstract_inverted_index":{"BACKGROUND:":[0],"Virological":[1],"failure":[2,261],"(VF)":[3],"presents":[4],"significant":[5],"challenges":[6],"in":[7,40,84,128,262],"the":[8,48,54,129,202,249,266],"emergence":[9],"of":[10,16,25,50,139,144,157,194,218,226,268],"drug":[11],"resistance,":[12],"and":[13,21,52,76,99,104,255],"elevated":[14],"risk":[15,55,173,193,225],"transmission,":[17],"higher":[18,192,224],"mortality":[19],"rates,":[20],"a":[22,136,216,223],"diminished":[23],"quality":[24,267],"life.":[26,269],"Various":[27],"factors":[28,56],"contribute":[29],"to":[30,46,168,197,258,264],"VF,":[31],"but":[32],"documented":[33],"information":[34],"on":[35,64],"this":[36,43],"issue":[37],"is":[38],"lacking":[39],"Ethiopia.":[41,87],"Therefore,":[42],"study":[44,73,247],"aimed":[45],"assess":[47],"prevalence":[49,143],"VF":[51,145,172,195,227],"identify":[53],"among":[57],"people":[58],"living":[59,121],"with":[60,107,122,135,153,215],"HIV":[61,123],"who":[62],"are":[63],"second-line":[65,125],"antiretroviral":[66],"treatment":[67],"(ART).":[68],"METHODS:":[69],"A":[70],"concurrent":[71],"mixed-method":[72],"using":[74,92],"quantitative":[75,102],"qualitative":[77,115,239],"data":[78,103,240],"was":[79,90,112,146],"conducted":[80,91],"at":[81,191,201,222],"selected":[82],"hospitals":[83],"Addis":[85],"Ababa,":[86],"The":[88,142,238],"analysis":[89,106],"SPSS":[93],"version":[94,97,109],"28,":[95],"Stata":[96],"18.5,":[98],"R":[100],"for":[101,114,251],"thematic":[105],"Atlas.ti":[108],"24":[110],"software":[111],"used":[113],"data.":[116],"RESULT:":[117],"Among":[118],"369":[119],"adults":[120],"taking":[124],"ART":[126,200,253],"enrolled":[127],"study,":[130],"191":[131],"(52%)":[132],"were":[133,188,221],"male":[134],"median":[137],"age":[138],"44":[140],"years.":[141],"55":[147],"(14.9%,":[148],"95%":[149],"CI:":[150,177,208,232],"11,":[151],"19),":[152],"an":[154],"incidence":[155],"density":[156],"27.2":[158],"per":[159],"10,000":[160],"person":[161],"months":[162],"(95%":[163,176,207,231],"CI":[164],"21.1,":[165],"35.5).":[166],"Lost":[167],"follow-up":[169],"significantly":[170],"increased":[171],"[AHR:":[174,205],"2.52":[175],"1.35,":[178],"4.69,":[179],"p-value:":[180,211],"0.004)].":[181],"Patients":[182],"transferred":[183],"from":[184],"other":[185],"health":[186],"facilities":[187],"two":[189],"times":[190],"compared":[196],"those":[198],"receiving":[199],"same":[203],"facility":[204],"1.97":[206],"1.07,":[209],"3-64,":[210],"0.029)].":[212],"Likewise,":[213],"clients":[214],"history":[217],"regimen":[219],"change":[220],"[AHR":[228],"=":[229,236],"2.05,":[230],"1.08,":[233],"3.88,":[234],"p-value":[235],"0.027)].":[237],"also":[241],"supported":[242],"these":[243],"findings.":[244],"CONCLUSION:":[245],"This":[246],"underscores":[248],"need":[250],"improved":[252],"adherence":[254],"consistent":[256],"care":[257],"reduce":[259],"virological":[260],"PLHIV":[263],"improve":[265]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-02-03T00:00:00"}
