Title |
Adherence to Antiretroviral Therapy and Clinical Outcomes Among Young Adults Reporting High-Risk Sexual Behavior, Including Men Who Have Sex with Men, in Coastal Kenya
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Published in |
AIDS and Behavior, March 2013
|
DOI | 10.1007/s10461-013-0445-9 |
Pubmed ID | |
Authors |
Susan M. Graham, Peter Mugo, Evanson Gichuru, Alexander Thiong’o, Michael Macharia, Haile S. Okuku, Elise van der Elst, Matthew A. Price, Nicholas Muraguri, Eduard J. Sanders |
Abstract |
African men who have sex with men (MSM) face significant stigma and barriers to care. We investigated antiretroviral therapy (ART) adherence among high-risk adults, including MSM, participating in a clinic-based cohort. Survival analysis was used to compare attrition across patient groups. Differences in adherence, weight gain, and CD4 counts after ART initiation were assessed. Among 250 HIV-1-seropositive adults, including 108 MSM, 15 heterosexual men, and 127 women, patient group was not associated with attrition. Among 58 participants who were followed on ART, 40 % of MSM had less than 95 % adherence, versus 28.6 % of heterosexual men and 11.5 % of women. Although MSM gained less weight after ART initiation than women (adjusted difference -3.5 kg/year), CD4 counts did not differ. More data are needed on barriers to adherence and clinical outcomes among African MSM, to ensure that MSM can access care and derive treatment and prevention benefits from ART. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 1% |
Indonesia | 1 | <1% |
Unknown | 190 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 46 | 24% |
Researcher | 30 | 16% |
Student > Ph. D. Student | 24 | 12% |
Student > Bachelor | 13 | 7% |
Student > Doctoral Student | 8 | 4% |
Other | 34 | 18% |
Unknown | 38 | 20% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 56 | 29% |
Nursing and Health Professions | 24 | 12% |
Social Sciences | 24 | 12% |
Psychology | 13 | 7% |
Agricultural and Biological Sciences | 6 | 3% |
Other | 26 | 13% |
Unknown | 44 | 23% |