The “ART” of Linkage: Pre-Treatment Loss to Care after HIV Diagnosis at Two PEPFAR Sites in Durban, South Africa
Adult
Male
Time Factors
Science
610
HIV Infections
Research Subject Categories::MEDICINE::Microbiology
immunology
Cohort Studies
South Africa
03 medical and health sciences
0302 clinical medicine
616
HIV Seropositivity
Humans
Prospective Studies
Demography
Geography
Q
R
Continuity of Patient Care
Middle Aged
Patient Acceptance of Health Care
3. Good health
Treatment Outcome
Anti-Retroviral Agents
infectious diseases::Infectious diseases
Medicine
Patient Compliance
Female
Research Article
DOI:
10.1371/journal.pone.0009538
Publication Date:
2010-03-03T17:50:48Z
AUTHORS (12)
ABSTRACT
Although loss to follow-up after antiretroviral therapy (ART) initiation is increasingly recognized, little known about pre-treatment losses care (PTLC) an initial positive HIV test. Our objective was determine PTLC in newly identified HIV-infected individuals South Africa.We assembled the African Test, Identify and Link (STIAL) Cohort of persons presenting for testing at two sites offering CD4 count Durban, Africa. We defined as failure have a within 8 weeks diagnosis. performed multivariate analysis identify factors associated with PTLC. From November 2006 May 2007, 712 who underwent received their test result, 454 (64%) were HIV-positive. Of those, 206 (45%) had Infected patients significantly more likely if they lived > or = 10 kilometers from center (RR 1.37; 95% CI: 1.11-1.71), history tuberculosis treatment 1.26; 1.00-1.58), referred by health provider rather than self-referred 1.61; 1.22-2.13). Patients one, three these risks 1.88, 2.50 3.84 times compared those no risk factors.Nearly half high prevalence Africa, failed counts following These rates highlight urgent need improve linkage
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