Please use this identifier to cite or link to this item:
http://ir.mu.ac.ke:8080/jspui/handle/123456789/2582
Title: | Influence of gender on loss to follow-up in a large HIV treatment programme in western Kenya |
Authors: | Kimaiyo Sylvester Paula Braitstein Owiti Michael Ooko Vincent Ochieng Ochieng Daniel Sidle John Holdsworth Margaret Kara K. Wools-Kaloustian Siika Abraham Mosigisi Yiannoutsos Constantin T |
Keywords: | Gender HIV Treatment Programme |
Issue Date: | 2010 |
Publisher: | Bulletin of the World |
Abstract: | Objective To determine the incidence of loss to follow-up in a treatment programme for people living with human immunodeficiency virus (HIV) infection in Kenya and to investigate how loss to follow-up is affected by gender. Methods Between November 2001 and November 2007, 50 275 HIV-positive individuals aged ≥ 14 years (69% female; median age: 36.2 years) were enrolled in the study. An individual was lost to follow-up when absent from the HIV treatment clinic for > 3 months if on combination antiretroviral therapy (cART) or for > 6 months if not. The incidence of loss to follow-up was calculated using Kaplan–Meier methods and factors associated with loss to follow-up were identified by logistic and Cox multivariate regression analysis. Findings Overall, 8% of individuals attended no follow-up visits, and 54% of them were lost to follow-up. The overall incidence of loss to follow-up was 25.1 per 100 person–years. Among the 92% who attended at least one follow-up visit, the incidence of loss to follow-up before and after starting cART was 27.2 and 14.0 per 100 person–years, respectively. Baseline factors associated with loss to follow-up included younger age, a long travel time to the clinic, patient disclosure of positive HIV status, high CD4+ lymphocyte count, advanced-stage HIV disease, and rural clinic location. Men were at an increased risk overall and before and after starting cART. Conclusion The risk of being lost to follow-up was high, particularly before starting cART. Men were more likely to become lost to follow-up, even after adjusting for baseline sociodemographic and clinical characteristics. Interventions designed for men and women separately could improve retention. |
URI: | https://www.scielosp.org/pdf/bwho/2010.v88n9/681-688/en http://ir.mu.ac.ke:8080/xmlui/handle/123456789/2582 |
Appears in Collections: | School of Public Health |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.