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Title: Predictors of linkage to care following community-based HIV counseling and testing in rural Kenya
Authors: Hatcher, AM
Turan, JM
Leslie, HH
Kanya, LW
Kwena, Z
Johnson, MO
Shade, SB
Bukusi, EA
Doyen, A
Cohen, CR
Keywords: Linkage to care;Antiretroviral treatment;Copmunity-based testing;HIV-1;Sub-Saharan Africa;Survival analysis;HIV counseling and testing
Issue Date: 2012
Publisher: Springer US
Citation: AIDS and Behavior, 16(5): 1295-1307, (July 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. Enrolment rates were significantly higher among participants receiving a PLHA visit, suggesting that a navigator approach may improve linkage from community-based HCT campaigns.
ISSN: 1573-3254
Appears in Collections:Health Economics Research Group (HERG)

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