A cohort study to assess a communication intervention to improve linkage to HIV care in Nakivale Refugee Settlement, Uganda.
A cohort study to assess a communication intervention to improve linkage to HIV care in Nakivale Refugee Settlement, Uganda.
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DOI：
10.1080/17441692.2020.1847310
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发表时间：
2021-12
影响因子：
3.3
通讯作者：
Bassett IV
中科院分区：
文献类型：
--
作者：
O'Laughlin KN;Xu A;Greenwald KE;Kasozi J;Parker RA;Bustamante N;Parmar P;Faustin ZM;Walensky RP;Bassett IV
加强与艾滋病毒护理联系的宣传干预措施在撒哈拉以南非洲取得了成功，但尚未在难民中进行评估。在Nakivale难民安置点参加艾滋病毒检测的难民和乌干达国民每周都能接到电话和短信提醒。我们在检测后90天内评估了与护理的联系和联系的预测因素，将干预参与者与不愿意或不符合参与条件的参与者（非干预）进行比较。在208名被诊断为艾滋病毒感染者中，101人（49%）参加了干预。干预组和非干预组在与护理的联系方面没有差异（73 [72%] vs. 76 [71%]，p=0.88）。排除那些在接受干预之前联系的人，干预改善了联系（69 [68%]对50 [47%]，p=0.002）。如果参与者年龄较大（aOR 2.39 [1.31，4.37]，p=0.005）或乌干达国民（aOR 3.76 [1.12，12.66]，p=0.033），则参与者更有可能联系。虽然沟通干预措施没有显着改善与艾滋病毒护理的联系，联系得到改善时，排除那些与同一天的联系。排除没有手机的参与者是一个重要的限制;这些数据旨在为未来更严格的设计提供信息。迫切需要采取创新方法，改善与针对这一弱势群体的艾滋病毒护理的联系。
Communication interventions to enhance linkage to HIV care have been successful in sub-Saharan Africa but have not been assessed among refugees. Refugees and Ugandan nationals participating in HIV testing in Nakivale Refugee Settlement were offered weekly phone call and short message service (SMS) reminders. We assessed linkage to care and predictors of linkage within 90 days of testing, comparing Intervention participants to those unwilling or ineligible to participate (Non-Intervention). Of 208 individuals diagnosed with HIV, 101 (49%) participated in the intervention. No difference existed between Intervention and Non-intervention groups in linkage to care (73 [72%] vs. 76 [71%], p=0.88). Excluding those who linked prior to receipt of intervention, the intervention improved linkage (69 [68%] vs. 50 [47%], p=0.002). Participants were more likely to link if they were older (aOR 2.39 [1.31, 4.37], p=0.005) or Ugandan nationals (aOR 3.76 [1.12,12.66], p=0.033). Although the communication intervention did not significantly improve linkage to HIV care, linkage was improved when excluding those with same-day linkage. Excluding participants without a phone was a significant limitation; this data is meant to inform more rigorous designs moving forward. Innovative methods to improve linkage to HIV care for this vulnerable population are urgently needed.
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DOI：
10.1097/qai.0000000000001208
发表时间：
2017-01-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Sutton R;Lahuerta M;Abacassamo F;Ahoua L;Tomo M;Lamb MR;Elul B
通讯作者：
Elul B
影响因子：
3.6
作者：
O'Laughlin KN;Rouhani SA;Kasozi J;Greenwald KE;Perkons NR;Faustin ZM;Bassett IV;Ware NC
通讯作者：
Ware NC
影响因子：
168.9
作者：
Lester, Richard T.;Ritvo, Paul;Plummer, Francis A.
通讯作者：
Plummer, Francis A.
DOI：
10.1097/qai.0000000000000317
发表时间：
2014-12-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
OʼLaughlin KN;Kasozi J;Walensky RP;Parker RA;Faustin ZM;Doraiswamy S;Owino CO;Bassett IV
通讯作者：
Bassett IV
影响因子：
4.8
作者：
Tanaka, Yasuo;Kunii, Osamu;Wakai, Susumu
通讯作者：
Wakai, Susumu