Food insecurity predicts loss to follow-up among people living with HIV in Senegal, West Africa

被引：5

作者：

Benzekri, Noelle A. ^{[1
]}

Sambou, Jacques F. ^{[2
]}

Ndong, Sanou ^{[3
]}

Diallo, Mouhamadou Baila ^{[3
]}

Tamba, Ibrahima Tito ^{[4
]}

Faye, Dominique ^{[2
]}

Diatta, Jean Philippe ^{[2
]}

Faye, Khadim ^{[3
]}

Sall, Ibrahima ^{[2
]}

Sall, Fatima ^{[3
]}

Cisse, Ousseynou ^{[2
]}

Malomar, Jean Jacques ^{[2
]}

Ndour, Cheikh T. ^{[5
]}

Sow, Papa Salif ^{[3
]}

Hawes, Stephen E. ^{[6
,7
]}

Seydi, Moussa ^{[3
]}

Gottlieb, Geoffrey S. ^{[1
,7
]}

机构：

[1] Univ Washington, Dept Med, Seattle, WA 98195 USA

[2] Ctr Sante Ziguinchor, Ziguinchor, Senegal

[3] Ctr Hosp Natl Univ Fann, Serv Malad Infect & Trop, Dakar, Senegal

[4] Ctr Sante Bignona, Bignona, Senegal

[5] Minist Sante & Act Sociale, Div Lutte Sida & IST, Dakar, Senegal

[6] Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA

[7] Univ Washington, Dept Global Hlth, Seattle, WA 98195 USA

来源：

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2022年 / 34卷 / 07期

基金：

美国国家卫生研究院;

关键词：

HIV; retention in care; loss to follow-up; antiretroviral therapy; care cascade; food insecurity; social determinants; West Africa;

D O I：

10.1080/09540121.2021.1894316

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The goals of this study were to assess retention on antiretroviral therapy (ART) and to identify predictors of loss to follow-up (LTFU) among people living with HIV (PLHIV) in Senegal. HIV-positive individuals presenting for initiation of ART in Dakar and Ziguinchor were enrolled and followed for 12 months. Data were collected using interviews, clinical evaluations, laboratory analyses, chart review, and active patient tracing. Of the 207 individuals enrolled, 70% were female, 32% had no formal education, and 28% were severely food insecure. At the end of the follow-up period, 58% were retained on ART, 15% were deceased, 4% had transferred care, 5% had migrated, and 16% were lost to follow-up. Enrollment in Ziguinchor (OR 2.71 [1.01-7.22]) and severe food insecurity (OR 2.55 [1.09-5.96]) were predictive of LTFU. Sex, age, CD4 count, BMI <18.5, country of birth, marital status, number of children, household size, education, consultation with traditional healers, transportation time, and transportation cost were not associated with LTFU. The strongest predictor of severe food insecurity was lack of formal education (OR 2.75 [1.30-5.80]). Addressing the upstream drivers of food insecurity and implementing strategies to enhance food security for PLHIV may be effective approaches to reduce LTFU and strengthen the HIV care cascade in the region.

引用

页码：878 / 886

页数：9

共 56 条

[1] Treatment Discontinuation in Adult HIV-Infected Patients on First-Line Antiretroviral Therapy in Nigeria [J].