Factors associated with being on antiretroviral treatment among people living with HIV in Almaty, Kazakhstan
| Autor: | Ainur Zhandybaeva, Zhamilya Nugmanova, Anarkhan Nurkerimova, Elizabeth J. King, Alfiya Denebayeva, Marat Tukeyev |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Health (social science) Social Psychology Adolescent Central asia Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Environmental health Antiretroviral Therapy Highly Active Antiretroviral treatment Medicine Humans 030212 general & internal medicine Hiv treatment Substance Abuse Intravenous 030505 public health business.industry Public Health Environmental and Occupational Health virus diseases Middle Aged Patient Acceptance of Health Care medicine.disease Kazakhstan Cross-Sectional Studies Logistic Models Anti-Retroviral Agents 0305 other medical science business |
| Zdroj: | AIDS care. 33(3) |
| ISSN: | 1360-0451 |
| Popis: | Like other countries in the region of Eastern Europe and Central Asia, Kazakhstan has seen an increase in the number of new HIV cases in recent years. HIV treatment coverage among people living with HIV (PLHIV) in Kazakhstan is suboptimal; however, the country has committed to reaching the 90-90-90 goals for HIV diagnosis and treatment. Kazakhstan has recently committed to the "test and treat" approach, and provides antiretroviral treatment (ART) to all PLHIV. Using registry data from the City AIDS Center, we used logistic regression models to assess the factors associated with uptake of ART and its correlates among 2687 adult PLHIV in Almaty, Kazakhstan. 67.8% were on treatment. PLHIV are more likely to be on ART if diagnosed in the later clinical stages [aOR = 2.45, 95% CI (1.85, 3.25)], diagnosed after the country's change in treatment approach [aOR = 1.97, 95% CI (1.42, 2.72)], and acquired HIV via sexual transmission vs. injection drug use [aOR = 1.72, 95%CI (1.25, 2.35)]. Our findings highlight which subpopulations are most in need of interventions to promote ART in Kazakhstan, and also serve as an example for other countries in Central Asia for thinking about what factors are important to consider in improving HIV treatment coverage. |
| Databáze: | OpenAIRE |
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