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Predictors of Linkage to Care Following Community-Based HIV Counseling and Testing in Rural Kenya.
- Source :
- AIDS & Behavior; Jul2012, Vol. 16 Issue 5, p1295-1307, 13p, 3 Charts, 1 Graph
- Publication Year :
- 2012
-
Abstract
- Despite innovations in HIV counseling and testing (HCT), important gaps remain in understanding linkage to care. We followed a cohort diagnosed with HIV through a community-based HCT campaign that trained persons living with HIV/AIDS (PLHA) as navigators. Individual, interpersonal, and institutional predictors of linkage were assessed using survival analysis of self-reported time to enrollment. Of 483 persons consenting to follow-up, 305 (63.2%) enrolled in HIV care within 3 months. Proportions linking to care were similar across sexes, barring a sub-sample of men aged 18-25 years who were highly unlikely to enroll. Men were more likely to enroll if they had disclosed to their spouse, and women if they had disclosed to family. Women who anticipated violence or relationship breakup were less likely to link to care. Enrollment rates were significantly higher among participants receiving a PLHA visit, suggesting that a navigator approach may improve linkage from community-based HCT campaigns. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV prevention
CHI-squared test
COMMUNITY health services
COUNSELING
HEALTH surveys
INTERVIEWING
MEDICAL screening
QUESTIONNAIRES
RESEARCH funding
RURAL conditions
SOCIAL stigma
SOCIAL support
HIGHLY active antiretroviral therapy
CROSS-sectional method
PROPORTIONAL hazards models
DATA analysis software
KAPLAN-Meier estimator
Subjects
Details
- Language :
- English
- ISSN :
- 10907165
- Volume :
- 16
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- AIDS & Behavior
- Publication Type :
- Academic Journal
- Accession number :
- 75254279
- Full Text :
- https://doi.org/10.1007/s10461-011-0065-1