Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Home-based antiretroviral care is associated with positive social outcomes in a prospective cohort in Uganda
Journal of Acquired Immune Deficiency Syndromes, Volume 44, No. 1, Year 2007
Notification
URL copied to clipboard!
Description
BACKGROUND: Home-based antiretroviral therapy (ART) care in Africa has expanded; but social outcomes of home-based ART programs are unknown. METHODS: Social experiences of participants in an antiretroviral therapy program involving weekly home visits in Uganda were assessed through interviews at enrollment and after 3 months and analyzed using generalized estimating equations. RESULTS: Of 654 participants, 72% were women; median baseline CD4 cell-count was 123 cells/μL. At follow-up, participants were more likely to report community support (adjusted odds ratio [OR] 2.10, 95% confidence interval [CI]: 1.46 to 3.03, P < 0.001), family support (OR 2.65, CI: 2.01 to 3.49, P < 0.001), and relationship strengthening (OR 2.10, CI: 1.46 to 3.03, P = 0.001) than at baseline; 84% attributed these experiences to antiretroviral therapy program participation. There was no change in incidence of negative experiences (P = 0.3). Forty-six percent of women reported a history of partner abuse, but abuse rates 3 months before and after program initiation were low (1% vs. 2%, OR 3.20, CI: 0.94 to 10.9, P = 0.063). Of five women who reported abuse associated with program participation, all had history of domestic violence. Of all participants reporting outcomes associated with antiretroviral therapy program participation at follow-up, 464 (79%) had only positive experiences, 35 (6%) had both positive and negative experiences, and <1% had only negative experiences. CONCLUSIONS: Participation in a home-based antiretroviral therapy program was associated with multiple positive social outcomes. © 2007 Lippincott Williams & Wilkins, Inc.
Authors & Co-Authors
Apondi, Rose
Uganda, Entebbe
Cdc-uganda
Uganda, Entebbe
Uganda Virus Research Institute
Bunnell, Rebecca E.
Uganda, Entebbe
Cdc-uganda
Awor, Anna Colletar
Uganda, Entebbe
Cdc-uganda
Wamai, Nafuna
Uganda, Entebbe
Cdc-uganda
Bikaako-Kajura, Winnie
Uganda, Entebbe
Cdc-uganda
Solberg, Peter
United States, San Francisco
University of California, San Francisco
Stall, Ron D.
United States, Pittsburgh
University of Pittsburgh Graduate School of Public Health
Coutinho, Alex G.
Uganda, Kampala
Aids Support Organization Uganda
Mermin, Jonathan H.
Uganda, Entebbe
Cdc-uganda
Statistics
Citations: 64
Authors: 9
Affiliations: 5
Identifiers
Doi:
10.1097/01.qai.0000243113.29412.dd
ISSN:
15254135
Research Areas
Violence And Injury
Study Design
Cohort Study
Case-Control Study
Study Locations
Uganda
Participants Gender
Female