Abstract
Objective: To identify causes of abandonment of antiretroviral therapy (ART) in people living with HIV / AIDS in the state of Amapá. Methods: Descriptive, documentary, retrospective study, with a quantitative approach, carried out in the Specialized Service / Testing and Counseling Center (SAE / CTA), reference in the state of Amapá. The data were obtained from medical records of HIV-positive individuals admitted to the SAE / CTA in Macapá from January 2017 to July 2019 with a record of more than six months without taking ART. Results: Among 228 selected medical records, there was a predominance of males (64%), aged between 29 and 40 years (38.2%), age at diagnosis between 21 and 31 years (46.5%), coming from the capital (74.1%), heterosexuals (48.7%), single (53.1%) and inserted in the formal market (52, 6%). As for the clinical characterization, (21.5%) were not pregnant, (55.3%) didn’t use drugs, (59.7%) used TDF+3TC+ DTG. No changes in initial regimen (73.7%) and (74.5%) with outdated viral load. It were identified as causes of treatment abandonment psychiatric disorders (18%), absence of affective social support (12.3%) and difficulties to attend SAE (26%). Conclusion: identifying the causes of abandonment makes it possible to develop intervention plans and build a care network with an aim to seek alternatives to reduce abandonment in it’s root.