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RETENTION IN EARLY CARE AT AN HIV OUTPATIENT CLINIC IN RIO DE JANEIRO, BRAZIL, 2000-2013
Silva, Daniel S. et al. | Date Issued: 2016
Author
Silva, Daniel S.
Boni, Raquel B. de
Lake, Jordan E.
Cardoso, Sandra W.
Ribeiro, Sayonara
Moreira, Ronaldo I.
Clark, Jesse L.
Veloso, Valdiléa G.
Grinsztejn, Beatriz
Luz, Paula M.
Affilliation
Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA./ Boston University School of Medicine, Boston, MA, USA.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
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.
Keywords
Retention
Acquired Immunodeficiency Syndrome
ighly Active Antiretroviral Therapy
Cohort Studies
Urban Population
 
Citation
SILVA, D. S. et al. Retention in early care at an HIV outpatient clinic in Rio de Janeiro, Brazil, 2000–2013. AIDS and Behavior, v. 20, n. 5, p. 1039–1048, 2016.
DOI
10.1007/s10461-015-1235-3
ISSN
1090-7165