Individual, Community, and Structural Factors Associated With Linkage to HIV Care Among People Diagnosed with HIV in Tennessee

2020 ◽  
Author(s):  
Aima A Ahonkhai ◽  
Peter Rebeiro ◽  
Cathy Jenkins ◽  
Michael Rickles ◽  
Mekeila Cook ◽  
...  
Keyword(s):  
Linkage To Care ◽  
Hiv Care ◽  
County Level ◽  
Structural Factors ◽  
Hiv Diagnosis ◽  
Factors Associated ◽  
Sex Risk ◽  
Heterosexual Sex ◽  
The Individual ◽  
Linkage To Hiv Care

Abstract Background We assessed trends and identified individual- and county-level factors associated with linkage to HIV care in Tennessee (TN). Methods TN residents diagnosed with HIV from 2012–2016 were included in the analysis (n = 3,750). Linkage was defined by the first CD4 or HIV RNA test date at or after HIV diagnosis. We used modified Poisson regression to estimate probability of 30-day linkage to care at the individual- and county-levels. Results Both MSM (aRR 1.16, 95%CI 1.01–1.32) and women who reported heterosexual sex risk factors (aRR 1.28, 95%CI 1.11–1.48) were more likely to link to care within 30-days than heterosexual males. Non-Hispanic Black individuals had poorer linkage than White individuals (aRR 0.77, 95%CI 0.72–0.83). County-level mentally unhealthy days were negatively associated with linkage (aRR 0.59, 95%CI 0.40–0.88). Conclusions Disparities persist at both individual and county levels and may warrant structural interventions to address racism and mental health needs.

Factors associated with linkage to care for HIV patients in Tajikistan

2018 ◽  
Vol 29 (12) ◽  
pp. 1183-1189 ◽  
Author(s):  
Arash Alaei ◽  
Nisheet Nautiyal ◽  
Kathryn Mishkin ◽  
D Saifuddin Karimov ◽  
Dilshod Saidi ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Injection Drug Users ◽  
Drug Users ◽  
Linkage To Care ◽  
Capital City ◽  
Hiv Care ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Factors Associated ◽  
Linkage To Hiv Care

There is a growing human immunodeficiency virus (HIV) epidemic in Tajikistan. This paper presents factors associated with linkage to HIV care among people aged 15 years and older in Tajikistan. This retrospective cross-sectional study used the Tajikistan Ministry of Health HIV registry data from patients diagnosed with HIV at age 15 years or older from 2000 to 2016. Chi squared tests and logistic regression models tested factors associated with linkage to care. A multivariable logistic regression model examined effect modifications. While linkage to care had an overall increase from 2000 to 2016, the odds of linkage were lower among certain sub-groups including among people in Dushanbe, men, people engaging in sex work, injection drug users, and older people. Regional differences exist with linkage to care, occurring least frequently in Dushanbe. While access to care and quality of care have increased significantly over time, findings suggest that linkage to care is low, especially in the capital city where many services are provided. Evaluation focusing on acceptability of HIV services should be undertaken to understand why certain people do not link with services. Additional research about the types of barriers to linking with HIV care is needed to increase linkage to HIV care.

scholarly journals Who Is Not Linking to HIV Care in Tennessee — the Benefits of an Intersectional Approach

2021 ◽  
Author(s):  
Leslie J. Pierce ◽  
Peter Rebeiro ◽  
Meredith Brantley ◽  
Errol L. Fields ◽  
Cathy A. Jenkins ◽  
...  
Keyword(s):  
Black Males ◽  
Proportional Hazards ◽  
Cox Proportional Hazards ◽  
Hiv Care ◽  
Older Individuals ◽  
Hiv Diagnosis ◽  
Race And Gender ◽  
Targeted Interventions ◽  
And Gender ◽  
Linkage To Hiv Care

Abstract Introduction Guided by an intersectional approach, we assessed the association between social categories (individual and combined) on time to linkage to HIV care in Tennessee. Methods Tennessee residents diagnosed with HIV from 2012-2016 were included in the analysis (n=3750). Linkage was defined by the first CD4 or HIV RNA test date after HIV diagnosis. We used Cox proportional hazards models to assess the association of time to linkage with individual-level variables. We modeled interactions between race, age, gender, and HIV acquisition risk factor (RF), to understand how these variables jointly influence linkage to care. Results Age, race, and gender/RF weAima A. Ahonkhaire strong individual (p < 0.001 for each) and joint predictors of time to linkage to HIV care (p < 0.001 for interaction). Older individuals were more likely to link to care (aHR comparing 40 vs. 30 years, 1.20, 95%CI 1.11-1.29). Blacks were less likely to link to care than Whites (aHR= 0.73, 95% CI: 0.67-0.79). Men who have sex with men (MSM) (aHR = 1.18, 95%CI: 1.03-1.34) and heterosexually active females (females) (aHR = 1.32, 95%CI: 1.14-1.53) were more likely to link to care than heterosexually active males. The three-way interaction between age, race, and gender/RF showed that Black males overall and young, heterosexually active Black males in particular were least likely to establish care. Conclusions Racial disparities persist in establishing HIV care in Tennessee, but data highlighting the combined influence of age, race, gender, and sexual orientation suggest that heterosexually active Black males should be an important focus of targeted interventions for linkage to HIV care.

Factors associated with poor linkage to HIV care and related barriers among men who have sex with men

2019 ◽  
Vol 37 (8) ◽  
pp. 521-524
Author(s):  
Juan Hoyos ◽  
Sonia Fernández-Balbuena ◽  
Juan-Miguel Guerras ◽  
Jose Pulido ◽  
Luis Sordo ◽  
...  
Keyword(s):  
Hiv Care ◽  
Factors Associated ◽  
Sex With Men ◽  
Linkage To Hiv Care

scholarly journals Factors associated with linkage to HIV care and TB treatment at community-based HIV testing services in Cape Town, South Africa

PLoS ONE ◽  
2018 ◽  
Vol 13 (4) ◽  
pp. e0195208 ◽  
Author(s):  
Sue-Ann Meehan ◽  
Rosa Sloot ◽  
Heather R. Draper ◽  
Pren Naidoo ◽  
Ronelle Burger ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Testing ◽  
Cape Town ◽  
Hiv Care ◽  
Community Based ◽  
Factors Associated ◽  
Tb Treatment ◽  
Hiv Testing Services ◽  
Linkage To Hiv Care

Social–ecological factors associated with HIV infection among men who have sex with men in Jamaica

2017 ◽  
Vol 29 (1) ◽  
pp. 80-88 ◽  
Author(s):  
Carmen H Logie ◽  
Kathleen S Kenny ◽  
Ashley Lacombe-Duncan ◽  
Kandasi Levermore ◽  
Nicolette Jones ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Hiv Care ◽  
Structural Factors ◽  
Multivariable Model ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Study Objective ◽  
Sexual Stigma ◽  
Factors Associated ◽  
Sex With Men

In Jamaica, where homosexuality is criminalized, scant research has examined associations between sexual stigma and HIV infection. The study objective was to examine correlates of HIV infection among men who have sex with men (MSM) in Jamaica. We conducted a cross-sectional tablet-based survey with MSM in Jamaica using chain referral sampling. We assessed socio-demographic, individual, social, and structural factors associated with HIV infection. A logit-link model, fit using backwards-stepwise regression, was used to estimate a final multivariable model. Among 498 participants (median age: 24, interquartile range: 22–28), 67 (13.5%) were HIV-positive. In the multivariable model, HIV infection was associated with increased odds of socio-demographic (older age, odds ratio [OR]: 1.05, 95% confidence interval [CI]: 1.00–1.10]; residing in Kingston versus Ocho Rios [OR: 6.99, 95% CI 2.54–19.26]), individual (poor/fair versus excellent/good self-rated health [OR: 4.55, 95% CI: 1.81–11.42], sexually transmitted infection [STI] history [OR: 3.67, 95% CI: 1.61–8.38]), and structural (enacted sexual stigma [OR: 1.08, 95% CI: 1.01–1.15], having a health care provider [OR: 2.23, 95% CI: 1.06–4.66]) factors. This is among the first studies to demonstrate associations between sexual stigma and HIV infection in Jamaica. Findings underscore the need to integrate STI testing in the HIV care continuum and to address stigma and regional differences among MSM in Jamaica.

scholarly journals Satisfaction, Resilience and Achievement. Towards a Change in Priorities Within the Framework of New Sociocultural and Educational Paradigms

2018 ◽  
Vol 5 (2) ◽  
pp. 116-127
Author(s):  
Miriam Aparicio
Keyword(s):  
Empirical Research ◽  
Soft Skills ◽  
Three Dimensional ◽  
Educational Quality ◽  
Structural Factors ◽  
Social Competencies ◽  
Factors Associated ◽  
Dependent Variables ◽  
The Individual ◽  
Educational Paradigms

Abstract The importance of Satisfaction and Resilience is shown (linked to numerous “social competencies”) in processes of Academic and Professional Achievement in various contexts (scientific, academic, professional). The results support empirical research linked to academic-professional pathways. Our objective was to explain the factors associated with achievement (included as conditions or effects within the models, as independent or dependent variables) and to understand the “reasons” and “processes” that underlie the numerical results (statistics, rankings). These included base, psychosocial, pedagogical-institutional, organizational and structural factors. In particular, we sought to observe the weight of psychosocial variables, which the author named “social competencies” 20 years ago and which today are prioritized (“soft skills”) by countries that lead the rankings in educational quality. Among these, Resilience and Satisfaction have recently been incorporated by PISA (2014) for their importance for achievement within the learning paradigm. A synthesis of studies is presented in which these variables’ weight is shown. The strategy for analysis was micro-meso-macro-micro in light of the author’s theory of three interacting levels or The Three-Dimensional Spiral of Sense. The results show that -as the basis for achievement or as an associated effect- social competencies play a key role in facilitating learning. Without listening, communication, implication, engagement, satisfaction, solid relationships and strategies for overcoming adversity, both learning as well as integral changes in education systems that respond to new demands will be difficult to produce, as will changes at the individual and institutional levels.

scholarly journals Structural factors and best practices in implementing a linkage to HIV care program using the ARTAS model

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Jason Craw ◽  
Lytt Gardner ◽  
Amber Rossman ◽  
DeAnn Gruber ◽  
O'Donnell Noreen ◽  
...  
Keyword(s):  
Best Practices ◽  
Care Program ◽  
Hiv Care ◽  
Structural Factors ◽  
Linkage To Hiv Care

HIV Diagnosis, Linkage to HIV Care, and HIV Risk Behaviors Among Newly Diagnosed HIV-Positive Female Sex Workers in Kigali, Rwanda

2011 ◽  
Vol 57 (4) ◽  
pp. e70-e76 ◽  
Author(s):  
Sarah L Braunstein ◽  
Marie-Michèle Umulisa ◽  
Nienke J Veldhuijzen ◽  
Evelyne Kestelyn ◽  
Chantal M Ingabire ◽  
...  
Keyword(s):  
Risk Behaviors ◽  
Hiv Risk ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Risk Behaviors ◽  
Hiv Care ◽  
Hiv Positive ◽  
Newly Diagnosed ◽  
Hiv Diagnosis ◽  
Linkage To Hiv Care

scholarly journals How Follow-Up Counselling Increases Linkage to Care Among HIV-Positive Persons Identified Through Home-Based HIV Counselling and Testing: A Qualitative Study in Uganda

SAGE Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. 215824401990016
Author(s):  
Dominic Bukenya ◽  
Janet Seeley ◽  
Grace Tumwekwase ◽  
Elizabeth Kabunga ◽  
Eugene Ruzagira
Keyword(s):  
Qualitative Study ◽  
Partner Violence ◽  
Linkage To Care ◽  
Hiv Treatment ◽  
Hiv Care ◽  
Hiv Positive ◽  
Accurate Information ◽  
Home Based ◽  
Linkage To Hiv Care

We investigated how follow-up counselling had increased linkage to HIV care in a trial of referral to care and follow-up counseling, compared to referral to care only, for participants diagnosed as HIV-positive through home-based HIV counseling and testing. We carried out a cross-sectional qualitative study. Using random stratified sampling, we selected 43 trial participants (26 [60%] in the intervention arm). Sample stratification was by sex, distance to an ART facility, linkage, and nonlinkage to HIV care. Twenty-six in-depth interviews were conducted with participants in the intervention arm: 17 people who had linked to HIV care and 9 who had not linked after 6 months of follow-up. Home-based follow-up counseling helped to overcome worries resulting from an HIV-positive test result. In addition, the counseling offered an opportunity to address questions on HIV treatment side effects, share experiences of intimate partner violence or threats, and general problems linking to care. The counselling encouraged early linkage to HIV care and use of biomedical medicines, discouraging alternative medicine usage. Home-based follow-up counseling also helped to promote HIV sero-status disclosure, facilitating linkage to, retention in and adherence to HIV care and treatment. This study successfully demonstrated that home-based follow-up counselling increased linkage to care through encouragement to seek care, provision of accurate information about HIV care services and supporting the person living with HIV to disclose and manage stigma.

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