| Title |
Community-Based Accompaniment and the Impact of Distance for HIV Patients Newly Initiated on Antiretroviral Therapy: Early Outcomes and Clinic Visit Adherence in Rural Rwanda
|
|---|---|
| Published in |
AIDS and Behavior, December 2016
|
| DOI | 10.1007/s10461-016-1658-5 |
| Pubmed ID | |
| Authors |
Fabien Munyaneza, Joseph Ntaganira, Laetitia Nyirazinyoye, Ermyas Birru, Marie Paul Nisingizwe, Neil Gupta, Cheryl L. Amoroso, Guillaine Neza, Lisa R. Hirschhorn, Bethany L. Hedt-Gauthier |
| Abstract |
Community-based accompaniment (CBA) has been associated with improved antiretroviral therapy (ART) patient outcomes in Rwanda. In contrast, distance has generally been associated with poor outcomes. However, impact of distance on outcomes under the CBA model is unknown. This retrospective cohort study included 537 adults initiated on ART in 2012 in two rural districts in Rwanda. The primary outcomes at 6 months after ART initiation included overall program status, missed a visit and missed three consecutive visits. The associations between cost surface distance (straight-line distance adjusted for surface features) and outcomes were assessed using logistic regression, controlling for potential confounders. Died/lost-to-follow-up and missed three consecutive visits were not associated with distance. Patients within 0-1 km cost surface distance were significantly more likely to miss a visit, potentially due to stigma of attending clinic within one's community. These results suggest that CBA may mediate the impact of long distances on outcomes. |
X Demographics
The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | 67% |
| Unknown | 1 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 67% |
| Scientists | 1 | 33% |
Mendeley readers
The data shown below were compiled from readership statistics for 111 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Sierra Leone | 1 | <1% |
| Unknown | 110 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 16 | 14% |
| Researcher | 14 | 13% |
| Student > Ph. D. Student | 14 | 13% |
| Other | 6 | 5% |
| Student > Doctoral Student | 5 | 5% |
| Other | 27 | 24% |
| Unknown | 29 | 26% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 24 | 22% |
| Nursing and Health Professions | 20 | 18% |
| Social Sciences | 7 | 6% |
| Psychology | 5 | 5% |
| Immunology and Microbiology | 3 | 3% |
| Other | 19 | 17% |
| Unknown | 33 | 30% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 May 2019.
All research outputs
#15,526,761
of 23,849,058 outputs
Outputs from AIDS and Behavior
#2,392
of 3,566 outputs
Outputs of similar age
#247,172
of 424,505 outputs
Outputs of similar age from AIDS and Behavior
#75
of 102 outputs
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