Virologic suppression and associated factors in HIV infected Ugandan female sex workers: a cross-sectional study
| Autor: | Barbara Castelnuovo, Godwin Anguzu, Joanita Kigozi, Darius Owachi, Fred C. Semitala, Janneke Cox, David B. Meya |
|---|---|
| Přispěvatelé: | Owachi, D, Castelnuovo, B, Meya, D, Kigozi, J, COX, Janneke, Semitala, F, Anguzu, G |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Tuberculosis Cross-sectional study Art initiation Population HIV Infections Health Services Accessibility Medication Adherence Antiretroviral Therapy Highly Active Internal medicine Hiv infected medicine Humans Uganda education education.field_of_study Sex Workers business.industry Female sex Articles General Medicine Odds ratio Viral Load medicine.disease Cross-Sectional Studies Female business Viral load |
| Zdroj: | African Health Sciences |
| ISSN: | 1680-6905 |
| Popis: | Introduction: Key populations have disproportionately higher HIV prevalence rates than the general population.Objective: To determine the level of virologic suppression and associated factors in female Commercial Sex Workers (CSW) who completed six months of ART and compare with the female general population (GP).Methods: Clinical records of CSW and GPs who initiated ART between December 2014 to December 2016 from seven urban clinics were analyzed to determine virologic suppression (viral load < 1000 copies/ml) and associated factors.Results: We identified 218 CSW and 182 female GPs. CSW had median age of 28 (IQR 25-31) vs 31 (IQR 26-37); median baseline CD4 446 (IQR 308-696) vs 352 (IQR 164-493) cells/microL; and optimal ART adherence levels at 70.6% vs 92.8% respectively, compared to GP. Virologic suppression in CSW and GPs was 85.7% and 89.6% respectively, P=0.28. Overall virologic suppression in CSW was 55% while Retention in care after 6 months of ART was 77.5%. Immediate ART initiation ( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|