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01.04.2015 | Original Paper

Retention in HIV Care Among Female Sex Workers in the Dominican Republic: Implications for Research, Policy and Programming

verfasst von: Rose Zulliger, Cathy Maulsby, Clare Barrington, David Holtgrave, Yeycy Donastorg, Martha Perez, Deanna Kerrigan

Erschienen in: AIDS and Behavior | Ausgabe 4/2015

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Abstract

There are clear benefits of retention in HIV care, yet millions of people living with HIV are sub-optimally retained. This study described factors from Andersen’s behavioral model that were associated with retention in HIV care among 268 female sex workers (FSWs) living with HIV in the Dominican Republic using two measures of retention: a 6-month measure of HIV clinic attendance and a measure that combined clinic attendance and missed visits. FSWs who ever attended HIV care reported high rates (92 %) of 6-month attendance, but 37 % reported missed visits. Using the combined retention measure, the odds of being retained in HIV care were higher among FSWs with more positive perceptions of HIV service providers [adjusted odds ratio (AOR) 1.17; 95 % confidence interval (CI) 01.09, 1.25] and lower among women who reported recent alcohol consumption (AOR 0.50; 95 % CI 0.28, 0.92) and self-stigmatizing beliefs related to sex work (AOR 0.93; 95 % CI 0.88, 0.98). These findings support the hypothesis that retention in HIV care may be best determined through a combined measure as missed visits are an important mechanism to identify in-care patients who require additional support.

Yehia BR, Fleishman JA, Metlay JP, et al. Comparing different measures of retention in outpatient HIV care. AIDS. 2012;26(9):1131–9.CrossRefPubMedCentralPubMed

Fleishman JA, Yehia BR, Moore RD, Korthuis PT, Gebo KA, Network HIVR. Establishment, retention, and loss to follow-up in outpatient HIV care. J Acquir Immune Defic Syndr. 2012;60(3):249–59.CrossRefPubMedCentralPubMed

Mugavero MJ. Improving engagement in HIV care: what can we do? Top HIV Med. 2008;16(5):156–61.PubMed

Fox MP, Sanne IM, Conradie F, et al. Initiating patients on antiretroviral therapy at CD4 cell counts above 200 cells/microl is associated with improved treatment outcomes in South Africa. AIDS. 2010;24(13):2041–50.CrossRefPubMedCentralPubMed

Cohen MS, Chen YQ, McCauley M, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365(6):493–505.CrossRefPubMedCentralPubMed

Forsyth AD, Valdiserri RO. Reaping the prevention benefits of highly active antiretroviral treatment: policy implications of HIV Prevention Trials Network 052. Curr Opin HIV AIDS. 2012;7(2):111–6.CrossRefPubMed

WHO/UNICEF/UNAIDS. Towards universal access: Scaling up priority HIV/AIDS interventions in the health sector: Progress report 2010. France: World Health Organization;2010.

Mugavero MJ, Amico KR, Horn T, Thompson MA. The state of engagement in HIV care in the United States: from cascade to continuum to control. Clin Infect Dis. 2013;57(8):1164–71.CrossRefPubMed

UNAIDS. Sex work and HIV/AIDS. Geneva: UNAIDS Technical Update; 2002.

10.

Baral S, Beyrer C, Muessig K, et al. Burden of HIV among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis. Lancet Infect Dis. 2012;12(7):538–49.CrossRefPubMed

11.

Lazarus L, Deering KN, Nabess R, Gibson K, Tyndall MW, Shannon K. Occupational stigma as a primary barrier to health care for street-based sex workers in Canada. Cult Health Sex. 2012;14(2):139–50.CrossRefPubMedCentralPubMed

12.

King EJ, Maman S, Bowling JM, Moracco KE, Dudina V. The influence of stigma and discrimination on female sex workers’ access to HIV services in St. Petersburg, Russia. AIDS Behav. 2013;17(8):2597–603.CrossRefPubMed

13.

Beyrer C, Baral S, Kerrigan D, El-Bassel N, Bekker LG, Celentano DD. Expanding the space: inclusion of most-at-risk populations in HIV prevention, treatment, and care services. J Acquir Immune Defic Syndr. 2011;57(Suppl 2):S96–9.CrossRefPubMedCentralPubMed

14.

Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995;36(1):1–10.CrossRefPubMed

15.

Andersen RM. Behavioral model of families’ use of health services. Chicago: Center for Health Administration Studies, University of Chicago; 1968.

16.

Andersen R, Bozzette S, Shapiro M, et al. Access of vulnerable groups to antiretroviral therapy among persons in care for HIV disease in the United States. HCSUS Consortium. HIV Cost and Services Utilization Study. Health Serv Res. 2000;35(2):389–416.PubMedCentralPubMed

17.

Gelberg L, Andersen RM, Leake BD. The behavioral model for vulnerable populations: application to medical care use and outcomes for homeless people. Health Serv Res. 2000;34(6):1273–302.PubMedCentralPubMed

18.

Aday LA, Andersen R. A framework for the study of access to medical care. Health Serv Res. 1974;9(3):208–20.PubMedCentralPubMed

19.

Babitsch B, Gohl D, von Lengerke T. Re-revisiting Andersen’s Behavioral Model of Health Services Use: a systematic review of studies from 1998-2011. Psychosoc Med. 2012;. doi:10.3205/psm000089.PubMedCentralPubMed

20.

Anthony MN, Gardner L, Marks G, et al. Factors associated with use of HIV primary care among persons recently diagnosed with HIV: examination of variables from the behavioural model of health-care utilization. AIDS Care. 2007;19(2):195–202.CrossRefPubMed

21.

Kennedy C, Barrington C, Donastorg Y, et al. Exploring the Positive, Health, Dignity and Prevention needs of female sex workers, men who have sex with men and transgender women in the Dominican Republic and Swaziland. Baltimore: USAID | Project SEARCH, Center for Communication Programs;2013.

22.

Crawford TN, Sanderson WT, Thornton A. A comparison study of methods for measuring retention in HIV medical care. AIDS Behav. 2013;17(9):3145–51.CrossRefPubMed

23.

Mugavero MJ, Westfall AO, Zinski A, et al. Measuring retention in HIV care: the elusive gold standard. J Acquir Immune Defic Syndr. 2012;61(5):574–80.CrossRefPubMedCentralPubMed

24.

Mugavero MJ, Davila JA, Nevin CR, Giordano TP. From access to engagement: measuring retention in outpatient HIV clinical care. AIDS Patient Care STDS. 2010;24(10):607–13.CrossRefPubMedCentralPubMed

25.

Donastorg Y, Barrington C, Perez M, Kerrigan D. Abriendo Puertas: baseline findings from an integrated intervention to promote prevention, treatment and care among FSW living with HIV in the Dominican Republic. PLoS One. 2014;9(2):e88157.CrossRefPubMedCentralPubMed

26.

Ministro de Salud Publica. Guia Nacional para el Manejo de la Infeccion por VIH. In: Publica MdS, ed. Santo Domingo 2013.

27.

Galassi JP, Schanberg R, Ware WB. The patient reactions assessment: a brief measure of the quality of the patient-provider medical relationship. Psychol Assess. 1992;4(3):346–51.CrossRef

28.

Zelaya CE, Sivaram S, Johnson SC, Srikrishnan AK, Solomon S, Celentano DD. HIV/AIDS stigma: reliability and validity of a new measurement instrument in Chennai, India. AIDS Behav. 2008;12(5):781–8.CrossRefPubMed

29.

Berger BE, Ferrans CE, Lashley FR. Measuring stigma in people with HIV: psychometric assessment of the HIV stigma scale. Res Nurs Health. 2001;24(6):518–29.CrossRefPubMed

30.

Zulliger R, Barrington C, Donastor Y, Perez M, Kerrigan D. High drop-off along the HIV care continuum and ART interruption among female sex workers in the Dominican Republic. J Acquir Immune Defic Syndr. (in press).

31.

Stata Statistical software: Release 12.1 [computer program]. College Station, Texas: StataCorp LP; 2011.

32.

Zulliger R, Kennedy C, Barrington C, Donastorg Y, Perez M, Kerrigan D. Experiences of female sex workers living with HIV along the HIV care continuum in the Dominican Republic. (under review).

33.

Mugavero MJ, Lin HY, Willig JH, et al. Missed visits and mortality among patients establishing initial outpatient HIV treatment. Clin Infect Dis. 2009;48(2):248–56.CrossRefPubMedCentralPubMed

34.

Ulett KB, Willig JH, Lin HY, et al. The therapeutic implications of timely linkage and early retention in HIV care. AIDS Patient Care STDS. 2009;23(1):41–9.CrossRefPubMedCentralPubMed

35.

Horberg MA, Hurley LB, Silverberg MJ, Klein DB, Quesenberry CP, Mugavero MJ. Missed office visits and risk of mortality among HIV-infected subjects in a large healthcare system in the United States. AIDS Patient Care STDS. 2013;27(8):442–9.CrossRefPubMedCentralPubMed

36.

Huet C, Ouedraogo A, Konate I, et al. Long-term virological, immunological and mortality outcomes in a cohort of HIV-infected female sex workers treated with highly active antiretroviral therapy in Africa. BMC Public Health. 2011;11:700.CrossRefPubMedCentralPubMed

37.

Ti L, Milloy M, Shannon K, et al. Sex work involvement predicts poor viral load suppression among people who inject drugs in a Canadian setting. Sex Transm Infect. 2013;89(Suppl 1):A276.CrossRef

38.

Mtetwa S, Busza J, Chidiya S, Mungofa S, Cowan F. “You are wasting our drugs”: health service barriers to HIV treatment for sex workers in Zimbabwe. BMC Public Health. 2013;13:698.CrossRefPubMedCentralPubMed

39.

Chakrapani V, Newman PA, Shunmugam M, Kurian AK, Dubrow R. Barriers to free antiretroviral treatment access for female sex workers in Chennai, India. AIDS Patient Care STDS. 2009;23(11):973–80.CrossRefPubMedCentralPubMed

Titel: Retention in HIV Care Among Female Sex Workers in the Dominican Republic: Implications for Research, Policy and Programming
verfasst von: Rose Zulliger
Cathy Maulsby
Clare Barrington
David Holtgrave
Yeycy Donastorg
Martha Perez
Deanna Kerrigan
Publikationsdatum: 01.04.2015
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 4/2015
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-014-0979-5

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