期刊
AIDS AND BEHAVIOR
卷 16, 期 5, 页码 1295-1307出版社
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-011-0065-1
关键词
Linkage to care; Antiretroviral treatment; Community-based testing; HIV-1; Sub-Saharan Africa; Survival analysis; HIV counseling and testing
资金
- NIMH NIH HHS [K24 MH087220, K01 MH081777] Funding Source: Medline
Despite innovations in HIV counseling and testing (HCT), important gaps remain in understanding linkage to care. We followed a cohort diagnosed with HIV through a community-based HCT campaign that trained persons living with HIV/AIDS (PLHA) as navigators. Individual, interpersonal, and institutional predictors of linkage were assessed using survival analysis of self-reported time to enrollment. Of 483 persons consenting to follow-up, 305 (63.2%) enrolled in HIV care within 3 months. Proportions linking to care were similar across sexes, barring a sub-sample of men aged 18-25 years who were highly unlikely to enroll. Men were more likely to enroll if they had disclosed to their spouse, and women if they had disclosed to family. Women who anticipated violence or relationship breakup were less likely to link to care. Enrollment rates were significantly higher among participants receiving a PLHA visit, suggesting that a navigator approach may improve linkage from community-based HCT campaigns.
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