Impact of geographic and transportation-related barriers on HIV outcomes in sub-Saharan Africa: a systematic review.
Impact of geographic and transportation-related barriers on HIV outcomes in sub-Saharan Africa: a systematic review.
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DOI：
10.1007/s10461-014-0729-8
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发表时间：
2014-07
影响因子：
4.4
通讯作者：
Tsai, Alexander C.
中科院分区：
文献类型：
--
作者：
Lankowski, Alexander J.;Siedner, Mark J.;Bangsberg, David R.;Tsai, Alexander C.
Difficulty obtaining reliable transportation to clinic is frequently cited as a barrier to HIV care in sub-Saharan Africa (SSA). Numerous studies have sought to characterize the impact of geographic and transportation-related barriers on HIV outcomes in SSA, but to date there has been no systematic attempt to summarize these findings. In this systematic review, we summarized this body of literature. We searched for studies conducted in SSA examining the following outcomes in the HIV care continuum: (1) voluntary counseling and testing, (2) pre-anti-retroviral therapy (ART) linkage to care, (3) loss to follow-up and mortality, and (4) ART adherence and/or viral suppression. We identified 34 studies containing 52 unique estimates of association between a geographic or transportation-related barrier and an HIV outcome. There was an inverse effect in 23 estimates (44 %), a null association in 26 (50 %), and a paradoxical beneficial impact in 3 (6 %). We conclude that geographic and transportation-related barriers are associated with poor outcomes across the continuum of HIV care.
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DOI：
10.1097/01.aids.0000366081.91192.1c
发表时间：
2010-01
期刊：
AIDS (London, England)
影响因子：
--
作者：
Bassett IV;Regan S;Chetty S;Giddy J;Uhler LM;Holst H;Ross D;Katz JN;Walensky RP;Freedberg KA;Losina E
通讯作者：
Losina E
影响因子：
3.7
作者：
Brinkhof, Martin W. G.;Spycher, Ben D.;Sterne, Jonathan A. C.
通讯作者：
Sterne, Jonathan A. C.
DOI：
10.1080/17290376.2009.9724943
发表时间：
2009-12-01
影响因子：
1.1
作者：
Biadgilign, Sibhatu;Deribew, Amare;Deribe, Kebede
通讯作者：
Deribe, Kebede
影响因子：
168.9
作者：
Braitstein, P;Brinkhof, MWG;Egger, M
通讯作者：
Egger, M
影响因子：
4.5
作者：
Bowie, Cameron;Gondwe, Norton;Bowie, Claire
通讯作者：
Bowie, Claire