| Literature DB >> 26525222 |
Daniel S Silva1,2, Raquel B De Boni3, Jordan E Lake4, Sandra W Cardoso3, Sayonara Ribeiro3, Ronaldo I Moreira3, Jesse L Clark4, Valdilea G Veloso3, Beatriz Grinsztejn3, Paula M Luz3.
Abstract
Retention in early HIV care has been associated with virologic suppression and improved survival, but remains understudied in Brazil. We estimated retention in early HIV care for the period 2000-2013, and identified socio-demographic and clinical factors associated with good retention in an urban cohort from Rio de Janeiro, Brazil. Antiretroviral therapy-naïve, HIV-infected persons ≥18 years old linked to care between 2000 and 2011 were included. Retention in the first 2 years post-linkage (i.e. early care) was defined by the proportion of 6-month intervals with ≥1 HIV laboratory result. "Good" retention was defined as ≥1 HIV laboratory result recorded in at least three intervals. Overall, 80 % of participants met criteria for good retention and retention significantly improved over the study period. Older age, higher education level and early antiretroviral therapy initiation were associated with good retention. Efforts to improve retention in early care in this population should target younger and less-educated HIV-infected persons.Entities:
Keywords: Acquired immunodeficiency syndrome; Cohort studies; Highly active antiretroviral therapy; Retention; Urban population
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Year: 2016 PMID： 26525222 PMCID： PMC4840032 DOI： 10.1007/s10461-015-1235-3
Source DB: PubMed Journal: AIDS Behav ISSN： 1090-7165