Retention and risk factors for loss to follow-up of female and male sex workers on antiretroviral treatment in Ivory Coast: a retrospective cohort analysis

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Bea VuylstekeMarie Laga

Abstract

Antiretroviral therapy (ART) for HIV-infected sex workers is an important HIV prevention strategy. However, sex workers may have additional challenges for retention in ART care. The objectives of this study were to assess retention of sex workers on ART in a routine setting in Ivory Coast and identify risk factors for loss to follow-up (LTFU). The design was a retrospective cohort study. An analysis of clinic files was conducted in 2 sites providing ART services to sex workers in Ivory Coast. Demographic, behavior, and clinical data of female and male sex workers on ART were abstracted onto a standardized anonymous data collection form. Data collection took place between May 11 and 28, 2010. A total of 376 female and 38 male sex workers were included in the analysis. The retention probability was 75% at 6 months, 68% at 12 months, 55% at 24 months, and 47% at 36 months. Attrition was mainly because of LTFU. Factors significantly associated with LTFU in bivariate analysis were lower schooling level, later calendar year of starting ART, and not receiving initial adherence counseling. Later year of starting ART and not receiving adherence counseling at ART initiation remained significantly associated with LTFU in a multivariate Co...Continue Reading

References

Aug 2, 2008·Bulletin of the World Health Organization·Martin W G BrinkhofUNKNOWN ART-LINC, IeDEA
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Nov 10, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Gilles WandelerUNKNOWN SolidarMed ART program and IeDEA-Southern Africa
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Aug 6, 2014·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Joseph S DoyleMargaret E Hellard

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Citations

Apr 28, 2017·Tropical Medicine & International Health : TM & IH·George AwungafacBea Vuylsteke
Feb 28, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Tisha WheelerGina Dallabetta

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