Charles Meja Kwobah1,2, Paula Braitstein3,2,4,5, Julius K Koech3, Gilbert Simiyu3, Ann W Mwangi3,6, Kara Wools-Kaloustian3,4, Abraham M Siika3,2. 1. Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya ckwobah@yahoo.com. 2. Department of Medicine, College of Health Sciences, School of Medicine, Moi University, Eldoret, Kenya. 3. Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya. 4. Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA. 5. University of Toronto, Dalla Lana School of Public Health, Toronto, Canada. 6. Department of Behavioral Sciences, College of Health Sciences, School of Medicine, Moi University, Eldoret, Kenya.
Abstract
BACKGROUND: Late presentation of patients contributes significantly to the high mortality reported in HIV -care and treatment programs in sub-Saharan Africa. METHODS: A cross-sectional study was conducted to assess factors associated with late engagement to HIV care at the Academic Model Providing Access to Healthcare in western Kenya. Late engagement was defined as baseline CD4 ≤100 cells/mm3. RESULTS: Of the 10 533 participants included in the analysis, 67% were female and mean age was 36.7 years. Overall, 23% of the participants presented late. Factors associated with late engagement included male gender (adjusted odds ratio [AOR]: 1.54, 95% confidence interval [CI]: 1.35-1.75), older age (AOR: 1.62, 95% CI: 1.02-2.56), and longer travel time to clinic (AOR: 1.18, 95% CI: 1.04-1.34). CONCLUSION: Nearly one-quarter of HIV-infected patients in our setting present with advanced immune suppression at initial encounter. Being male, older age, and living further away from clinic are associated with late engagement to care.
BACKGROUND: Late presentation of patients contributes significantly to the high mortality reported in HIV -care and treatment programs in sub-Saharan Africa. METHODS: A cross-sectional study was conducted to assess factors associated with late engagement to HIV care at the Academic Model Providing Access to Healthcare in western Kenya. Late engagement was defined as baseline CD4 ≤100 cells/mm3. RESULTS: Of the 10 533 participants included in the analysis, 67% were female and mean age was 36.7 years. Overall, 23% of the participants presented late. Factors associated with late engagement included male gender (adjusted odds ratio [AOR]: 1.54, 95% confidence interval [CI]: 1.35-1.75), older age (AOR: 1.62, 95% CI: 1.02-2.56), and longer travel time to clinic (AOR: 1.18, 95% CI: 1.04-1.34). CONCLUSION: Nearly one-quarter of HIV-infectedpatients in our setting present with advanced immune suppression at initial encounter. Being male, older age, and living further away from clinic are associated with late engagement to care.
Authors: Richelle Harklerode; Wanjiru Waruiru; Felix Humwa; Anthony Waruru; Timothy Kellogg; Lilly Muthoni; James Macharia; Emily Zielinski-Gutierrez Journal: AIDS Care Date: 2019-04-27
Authors: Sarah M Lofgren; Sharon Tsui; Lynn Atuyambe; Leander Ankunda; Robina Komuhendo; Nathan Wamala; Alisat Sadiq; Paul Kirumira; Diksha Srishyla; Andrew Flynn; Katelyn A Pastick; David B Meya; Noeline Nakasujja; Carolyn Porta Journal: AIDS Care Date: 2021-07-27
Authors: Mia Liisa van der Kop; Lehana Thabane; Patricia Opondo Awiti; Samuel Muhula; Lennie Bazira Kyomuhangi; Richard Todd Lester; Anna Mia Ekström Journal: BMC Infect Dis Date: 2016-04-18 Impact factor: 3.090