Community-Based Antiretroviral Therapy (ART) Delivery for Female Sex Workers in Tanzania: 6-Month ART Initiation and Adherence.
We conducted an implementation science study of a community-based ART distribution program for HIV-positive female sex workers (FSW) whereby clients received ART services through community-based mobile and home-based platforms. We compared 6-month treatment-related outcomes in the community-based AR...
| Publicado en: | AIDS & Behavior Vol. 23; pp. 142 - 153 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep2019 Suplement 2
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138911974&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138911974 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Sep2019 Suplement 2 vid: 23 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 138911974 138911974 144017772 138911974 10.1007/s10461-019-02549-x 138911974 ppf: 142 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Community-Based Antiretroviral Therapy (ART) Delivery for Female Sex Workers in Tanzania: 6-Month ART Initiation and Adherence. aug: au: Tun, W. Apicella, L. Casalini, C. Bikaru, D. Mbita, G. Jeremiah, K. Makyao, N. Koppenhaver, T. Mlanga, E. Vu, L. affil: HIV and AIDS Program, Population Council, Washington, DC, USA sug: subj: Community Health Services Tanzania Anti-Retroviral Agents Therapeutic Use Sex Work Women's Health Tanzania HIV Seropositivity HIV Infections Drug Therapy Medication Compliance Human Female Program Implementation Tanzania Treatment Outcomes Stigma Regression Odds Ratio Confidence Intervals Implementation Science Female ab: We conducted an implementation science study of a community-based ART distribution program for HIV-positive female sex workers (FSW) whereby clients received ART services through community-based mobile and home-based platforms. We compared 6-month treatment-related outcomes in the community-based ART arm (N = 256) to the standard facility-based ART delivery arm (N = 253). Those in the intervention arm were more likely to have initiated ART (100.0% vs. 71.5%; p = 0.04), be currently taking ART at the 6-month visit (100.0% vs. 95.0%; p < 0.01), and less likely to have stopped taking ART for more than 30 days continuously (0.9% vs. 5.7%; p = 0.008) or feel high levels of internalized stigma (26.6% vs. 39.9%; p = 0.001). In the adjusted regression model, internalized stigma (adjusted OR [aOR]: 0.5; 95% CI 0.28–0.83) and receiving community-based ART (aOR: 208.6; 95% CI 12.5–3479.0) were significantly associated with ART initiation. Community-based ART distribution model can improve linkage to and adherence to ART over standard facility-based ART programs for FSWs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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