| Title |
Predictors of loss to follow-up in antiretroviral treatment for adult patients in the Oromia region, Ethiopia
|
|---|---|
| Published in |
HIV/AIDS (Auckland, N.Z.), April 2016
|
| DOI | 10.2147/hiv.s98137 |
| Pubmed ID | |
| Authors |
Abebe Megerso, Sileshi Garoma, Tolosa Eticha, Tilaye Workineh, Shallo Daba, Mihretu Tarekegn, Zelalem Habtamu |
| Abstract |
It is known that antiretroviral treatment (ART) reduces mortality from acquired immunodeficiency syndrome related causes. Patient's lost to follow-up (LTFU) in this treatment poses a paramount problem to the public and health care services. Information on predictors of loss to follow-up is scarce in this study area and similar settings. Therefore, this study aimed at identifying correlates of loss to follow-up in ART among adult patients in the Oromia region of Ethiopia. A case-control study was conducted between February 2015 and April 2015 using medical records. The stratified sampling technique was used to select health facilities. The number of patient records to be included in the study was proportionally allocated to each stratum based on their patient proportion in the regional data. Specific health facilities from which to include the records were randomly selected from a list of the health facilities per stratum. All adult patient records registered as LTFU (416) in the selected health facilities during the 12-month period prior to the data collection date, and 832 patients with good adherence to ART were included. Data were double-entered into Epi Info 7 and analyzed using SPSS 20. Descriptive statistics and binary logistic regression were used to report the results. Qualitative data were thematically analyzed using open code computer software. Age 15-24 years (adjusted odds ratio [AOR], 19.82 95% CI: 6.80, 57.73); day laborers (AOR, 5.36; 95% confidence interval [CI]: 3.23, 8.89), rural residents (AOR, 2.35; 95% CI: 1.45, 3.89), World Health Organization clinical stage IV (AOR, 2.29; 95% CI: 1.45, 3.62), baseline CD4 <350 cells/mL (AOR, 2.06; 95% CI: 1.36, 3.13), suboptimal adherence to ART (AOR, 7.42; 95% CI: 1.87, 29.41), were factors which increased the risk of loss to follow-up in ART. Multiple risk factors, both socioeconomic and clinical, were associated with loss to follow-up. Attention is required to address these factors during patient preparation for the treatment and follow-up counseling by practitioners. We recommend that other studies identify what happened to the patients registered as LTFU as the current study could not address this issue. |
X Demographics
The data shown below were collected from the profiles of 2 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 | 1 | 50% |
| Unknown | 1 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 143 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 143 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 36 | 25% |
| Researcher | 13 | 9% |
| Student > Postgraduate | 9 | 6% |
| Student > Ph. D. Student | 8 | 6% |
| Lecturer | 7 | 5% |
| Other | 26 | 18% |
| Unknown | 44 | 31% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 39 | 27% |
| Nursing and Health Professions | 31 | 22% |
| Immunology and Microbiology | 5 | 3% |
| Social Sciences | 4 | 3% |
| Computer Science | 4 | 3% |
| Other | 12 | 8% |
| Unknown | 48 | 34% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. 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 20 May 2016.
All research outputs
#20,829,511
of 25,593,129 outputs
Outputs from HIV/AIDS (Auckland, N.Z.)
#249
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Outputs of similar age
#235,031
of 315,216 outputs
Outputs of similar age from HIV/AIDS (Auckland, N.Z.)
#5
of 7 outputs
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