Factors predictive of successful retention in care among HIV-infected men in a universal test-and-treat setting in Uganda and Kenya: A mixed methods analysis.
Lillian B BrownMonica GetahunJames AyiekoDalsone KwarisiimaAsiphas OwaraganiseMucunguzi AtukundaWinter OliloTamara D ClarkElizabeth A BukusiCraig R CohenMoses R KamyaMaya L PetersenEdwin D CharleboisDiane V HavlirCarol S CamlinPublished in: PloS one (2019)
Features of the ART delivery system in the SEARCH intervention and social and structural advantages emerged as facilitators to retention in HIV care among men. Messaging around the health benefits of early ART start, decreasing logistical barriers to HIV care, support of flexible treatment environments, and accelerated linkage to care, are important to men's success in ART treatment programs. Men already benefit from increased social support following disclosure of their HIV-status. Future efforts to shift gender norms towards greater equity are a potential strategy to support high levels of engagement in care for both men and women.
Keyphrases
- hiv infected
- antiretroviral therapy
- healthcare
- social support
- quality improvement
- palliative care
- middle aged
- human immunodeficiency virus
- mental health
- public health
- depressive symptoms
- hiv positive
- randomized controlled trial
- pain management
- clinical trial
- hiv aids
- affordable care act
- gene expression
- hiv testing
- combination therapy
- risk assessment
- chronic pain
- health information
- current status
- replacement therapy
- health insurance