Individual and Network Factors Associated With HIV Care Continuum Outcomes Among Nigerian MSM Accessing Health Care Services

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Habib O RamadhaniTRUST/RV368 Study Group

Abstract

Because data on the determinants of the HIV care continuum from key populations such as men who have sex with men (MSM) in resource-limited settings are limited, the study aimed to characterize HIV care continuum outcomes and assess individual and network barriers to progression through the HIV care continuum among MSM in Abuja and Lagos, Nigeria. TRUST/RV368 study used respondent-driven sampling to accrue MSM into community-based clinics in Nigeria. Participants received HIV testing at enrollment. HIV-infected participants were offered antiretroviral therapy (ART) with HIV RNA testing every 3 months (Abuja) or 6 months (Lagos). Multiple logistic regression models were used to calculate adjusted odds ratios for factors associated with each point in the HIV care continuum, including HIV testing, ART initiation, and 6-month viral suppression. A total of 1506 MSM were recruited, 1178 (78.2%) tested for HIV and 369 (31.3%) were HIV positive newly diagnosed. Of these, 188 (50.1%) initiated ART, 136 (72.3%) completed 6 months, and 96 (70.6%) were virally suppressed. Larger network size and stronger social network support were each positively associated with HIV testing uptake. Factors associated with ART initiation were higher educat...Continue Reading

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Citations

Dec 15, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Rebecca G NowakManhattan E Charurat
Jun 15, 2021·Journal of Family Medicine and Primary Care·Tolulope O AfolaranmiAli I Shugaba
Jul 11, 2021·AIDS and Behavior·Natalia BlancoKristen A Stafford

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