Retention in care and viral suppression in the PMTCT continuum at a large referral facility in western Kenya.
HIV
Mother-to-child transmission
Pregnant women
Retention
Viremia
Journal
AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
accepted:
18
03
2022
pubmed:
26
4
2022
medline:
13
10
2022
entrez:
25
4
2022
Statut:
ppublish
Résumé
Medical records of pregnant and postpartum women living with HIV and their infants attending a large referral facility in Kenya from 2015 to 2019 were analyzed to identify characteristics associated with retention in care and viral suppression. Women were stratified based on the timing of HIV care enrollment: known HIV-positive (KHP; enrolled pre-pregnancy) and newly HIV-positive (NHP; enrolled during pregnancy). Associations with retention at 18 months postpartum and viral suppression (< 1000 copies/mL) were determined. Among 856 women (20% NHP), retention was 83% for KHPs and 53% for NHPs. Viral suppression was 88% for KHPs and 93% for NHPs, but 19% of women were missing viral load results. In a competing risk model, viral suppression increased by 18% for each additional year of age but was not associated with other factors. Overall, 1.9% of 698 infants with ≥ 1 HIV test result were HIV-positive. Tailored interventions are needed to promote retention and viral load testing, particularly for NHPs, in the PMTCT continuum.
Identifiants
pubmed: 35467229
doi: 10.1007/s10461-022-03666-w
pii: 10.1007/s10461-022-03666-w
pmc: PMC9550706
doi:
Substances chimiques
Anti-HIV Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3494-3505Subventions
Organisme : NIAID NIH HHS
ID : U01 AI069911
Pays : United States
Organisme : NIH HHS
ID : U01AI069911
Pays : United States
Informations de copyright
© 2022. The Author(s).
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