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10.11.2017 | Original Paper | Ausgabe 3/2018 Open Access

AIDS and Behavior 3/2018

‘Test and Treat’ Among Women at High Risk for HIV-infection in Kampala, Uganda: Antiretroviral Therapy Initiation and Associated Factors

Zeitschrift:
AIDS and Behavior > Ausgabe 3/2018
Autoren:
Yunia Mayanja, Onesmus Kamacooko, Daniel Bagiire, Gertrude Namale, Pontiano Kaleebu, Janet Seeley
Wichtige Hinweise
The original version of this article was revised: The incorrect range (10–51%) has been corrected in the second sentence of the Introduction section.
A correction to this article is available online at https://​doi.​org/​10.​1007/​s10461-017-1998-9.

Abstract

Data on implementation of ‘Test and Treat’ among key populations in sub-Saharan Africa are still limited. We examined factors associated with prompt antiretroviral therapy/ART (within 1 month of HIV-positive diagnosis or 1 week if pregnant) among 343 women at high risk for HIV infection in Kampala-Uganda, of whom 28% initiated prompt ART. Most (95%) reported paid sex within 3 months prior to enrolment. Multivariable logistic regression was used to determine baseline characteristics associated with prompt ART. Sex work as main job, younger age and being widowed/separated were associated with lower odds of prompt ART; being enrolled after 12 months of implementing the intervention was associated with higher odds of prompt ART. Younger women, widowed/separated and those reporting sex work as their main job need targeted interventions to start ART promptly after testing. Staff supervision and mentoring may need strengthening during the first year of implementing ‘test and treat’ interventions.

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