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DC Field | Value | Language |
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dc.contributor.author | Kimaiyo Sylvester | |
dc.contributor.author | Paula Braitstein | |
dc.contributor.author | Owiti Michael | |
dc.contributor.author | Ooko Vincent Ochieng | |
dc.contributor.author | Ochieng Daniel | |
dc.contributor.author | Sidle John | |
dc.contributor.author | Holdsworth Margaret | |
dc.contributor.author | Kara K. Wools-Kaloustian | |
dc.contributor.author | Siika Abraham Mosigisi | |
dc.contributor.author | Yiannoutsos Constantin T | |
dc.date.accessioned | 2019-01-31T08:07:49Z | |
dc.date.available | 2019-01-31T08:07:49Z | |
dc.date.issued | 2010 | |
dc.identifier.uri | https://www.scielosp.org/pdf/bwho/2010.v88n9/681-688/en | |
dc.identifier.uri | http://ir.mu.ac.ke:8080/xmlui/handle/123456789/2582 | |
dc.description.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. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Bulletin of the World | en_US |
dc.subject | Gender | en_US |
dc.subject | HIV Treatment Programme | en_US |
dc.title | Influence of gender on loss to follow-up in a large HIV treatment programme in western Kenya | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Public Health |
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