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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Predictors of linkage to care following community-based HIV counseling and testing in rural Kenya
AIDS and Behavior, Volume 16, No. 5, Year 2012
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Description
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 selfreported 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. Enrollment rates were significantly higher among participants receiving a PLHA visit, suggesting that a navigator approach may improve linkage from communitybased HCT campaigns. © Springer Science+Business Media, LLC 2011.
Authors & Co-Authors
Hatcher, Abigail M.
United States, San Francisco
University of California, San Francisco
United States, San Francisco
Ucsf Center for Aids Prevention Studies
Turan, Janet M.
United States, San Francisco
University of California, San Francisco
United States, Birmingham
The University of Alabama at Birmingham
Leslie, Hannah H.
United States, San Francisco
University of California, San Francisco
Kanya, Lucy W.
Kenya, Nairobi
Vestergaard Frandsen
Kwena, Zachary Arochi
Kenya, Nairobi
Kenya Medical Research Institute
Johnson, Mallory O.
United States, San Francisco
Ucsf Center for Aids Prevention Studies
Shade, Starley B.
United States, San Francisco
Ucsf Center for Aids Prevention Studies
Bukusi, Elizabeth Anne
United States, San Francisco
University of California, San Francisco
Kenya, Nairobi
Kenya Medical Research Institute
Doyen, Alexandre
Kenya, Nairobi
Vestergaard Frandsen
Cohen, Craig R.
United States, San Francisco
University of California, San Francisco
Statistics
Citations: 116
Authors: 10
Affiliations: 5
Identifiers
Doi:
10.1007/s10461-011-0065-1
ISSN:
10907165
Research Areas
Infectious Diseases
Study Design
Cohort Study
Study Locations
Kenya
Participants Gender
Male
Female