101. Factors associated with retention in Option B+ in Malawi: a case control study.
- Author
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Hoffman, Risa M, Phiri, Khumbo, Parent, Julie, Grotts, Jonathan, Elashoff, David, Kawale, Paul, Yeatman, Sara, Currier, Judith S, and Schooley, Alan
- Subjects
Humans ,Pregnancy Complications ,Infectious ,HIV Infections ,Logistic Models ,Case-Control Studies ,Infectious Disease Transmission ,Vertical ,Disclosure ,Awareness ,Pregnancy ,Malawi ,Female ,Sexual Partners ,Adult ,HIV/AIDS ,Option B+ ,prevention of mother-to-child transmission ,retention ,Pregnancy Complications ,Infectious ,Infectious Disease Transmission ,Vertical ,Clinical Sciences ,Public Health and Health Services ,Other Medical and Health Sciences - Abstract
IntroductionThere are limited data on factors associated with retention in Option B+. We sought to explore the characteristics of women retained in Option B+ in Malawi, with a focus on the role of HIV disclosure, awareness of partner HIV status, and knowledge around the importance of Option B+ for maternal-child health. Methods We performed a case-control study of HIV-infected women in Malawi initiated on antiretroviral therapy (ART) under Option B+. Cases were enrolled if they met criteria for default from Option B+ (out of ART for >60 days), and controls were enrolled in approximately 3:1 ratio if they were retained in care for at least 12 months. We surveyed socio-demographic characteristics, HIV disclosure and awareness of partner HIV status, self-report about receiving pre-ART education, and knowledge of Option B+. Univariate logistic regression was performed to determine factors associated with retention. Multivariate logistic regression model was used to evaluate the relationship between HIV disclosure, Option B+ knowledge, and retention after adjusting for age, schooling, and travel time to clinic.ResultsWe enrolled 50 cases and 153 controls. Median age was 30 years (interquartile range (IQR) 25-34), and the majority (82%) initiated ART during pregnancy at a median gestational age of 24 weeks (IQR 16-28). Ninety-one per cent of the cases (39/43) who started ART during pregnancy defaulted by three months postpartum. HIV disclosure to the primary sex partner was more common among women retained in care (100% versus 78%, p 25 years (odds ratio (OR) 2.44), completion of primary school (OR 3.06), awareness of partner HIV status (OR 5.20), pre-ART education (OR 6.17), higher number of correct answers to Option B+ knowledge questions (OR 1.82), and support while taking ART (OR 3.65). Pre-ART education and knowledge were significantly correlated (r = 0.43, p
- Published
- 2017