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DC Field | Value | Language |
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dc.contributor.author | M. DeLong, Stephanie | - |
dc.contributor.author | Xu, Yizhen | - |
dc.contributor.author | L. Genberg, Becky | - |
dc.contributor.author | Nyambura, Monicah | - |
dc.contributor.author | Suzanne Goodrich, Suzanne | - |
dc.contributor.author | Tarus, Carren | - |
dc.contributor.author | Ndege, Samson | - |
dc.contributor.author | W. Hogan, Joseph | - |
dc.contributor.author | Braitstein, Paula | - |
dc.date.accessioned | 2024-02-21T09:03:18Z | - |
dc.date.available | 2024-02-21T09:03:18Z | - |
dc.date.issued | 2023-07-17 | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/8848 | - |
dc.description.abstract | Population-level estimates of linkage to HIV care among children and adolescents (CAs) can facilitate progress toward 95-95-95 goals. Setting: This study was conducted in Bunyala, Chulaimbo, and Teso North subcounties, Western Kenya. Methods: Linkage to care was defined among CAs diagnosed with HIV through Academic Model Providing Access to Healthcare (AMPATH)’s home-based counseling and testing initiative (HBCT) by merging HBCT and AMPATH Medical Record System data. Using follow-up data from Bunyala, we examined factors associated with linkage or death, using weighted multinomial logistic regression to account for selection bias from double-sampled visits. Based on the estimated model, we imputed the trajectory for each person in 3 subcounties until a simulated linkage or death occurred or until the end of 8 years when an individual was simulated to be censored. Results: Of 720 CAs in the analytic sample, 68% were between 0 and 9 years and 59% were female. Probability of linkage among CAs in the combined 3 subcounties was 48%–49% at 2 years and 64%–78% at 8 years while probability of death was 13% at 2 years and 19% at 8 years. Single or double orphanhood predicted linkage (adjusted odds ratio [aOR]: 2.66, 95% confidence interval [CI]: 1.33 to 5.32) and death (aOR: 9.85 [95% CI: 2.21 to 44.01]). Having a mother known to be HIV-positive also predicted linkage (aOR = 1.94, 95% CI: 0.97 to 3.86) and death (aOR: 14.49, 95% CI: 3.32 to 63.19). Conclusion: HIV testers/counselors should continue to ensure linkage among orphans and CAs with mothers known to be HIV- positive and also to support other CAs to link to HIV care. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Wolters Kluwer Health, Inc. | en_US |
dc.subject | HBCT, | en_US |
dc.subject | Adolescents, | en_US |
dc.subject | Population-based | en_US |
dc.subject | LInkage to HIV care, | en_US |
dc.subject | Children | en_US |
dc.title | Population-based estimates and predictors of child and adolescent linkage to HIV care or death in Western Kenyaa | en_US |
Appears in Collections: | School of Medicine |
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