Driving factors of retention in care among HIV-positive MSM and transwomen in Indonesia: A cross-sectional study.
Little is known about the prevalence of and factors that influence retention in HIV-related care among Indonesian men who have sex with men (MSM) and transgender women (transwomen, or waria in Indonesian term). Therefore, we explored the driving factors of retention in care among HIV-positive MSM an...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2018-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5771583?pdf=render |
| _version_ | 1818131907656810496 |
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| author | Adi Nugroho Vicki Erasmus Robert W S Coulter Sushil Koirala Oranuch Nampaisan Wirastra Pamungkas Jan Hendrik Richardus |
| author_facet | Adi Nugroho Vicki Erasmus Robert W S Coulter Sushil Koirala Oranuch Nampaisan Wirastra Pamungkas Jan Hendrik Richardus |
| author_sort | Adi Nugroho |
| collection | DOAJ |
| description | Little is known about the prevalence of and factors that influence retention in HIV-related care among Indonesian men who have sex with men (MSM) and transgender women (transwomen, or waria in Indonesian term). Therefore, we explored the driving factors of retention in care among HIV-positive MSM and waria in Indonesia. This cross-sectional study involved 298 self-reported HIV-positive MSM (n = 165) and waria (n = 133). Participants were recruited using targeted sampling and interviewed using a structured questionnaire. We applied a four-step model building process using multivariable logistic regression to examine how sociodemographic, predisposing, enabling, and reinforcing factors were associated with retention in care. Overall, 78.5% of participants were linked to HIV care within 3 months after diagnosis or earlier, and 66.4% were adequately retained in care (at least one health care visit every three months once a person is diagnosed with HIV). Being on antiretroviral therapy (adjusted odds ratio [AOR] = 6.00; 95% confidence interval [CI]: 2.93-12.3), using the Internet to find HIV-related information (AOR = 2.15; 95% CI: 1.00-4.59), and having medical insurance (AOR = 2.84; 95% CI: 1.27-6.34) were associated with adequate retention in care. Involvement with an HIV-related organization was associated negatively with retention in care (AOR = 0.47; 95% CI: 0.24-0.95). Future interventions should increase health insurance coverage and utilize the Internet to help MSM and waria to remain in HIV-related care, thereby assisting them in achieving viral suppression. |
| first_indexed | 2024-12-11T08:28:24Z |
| format | Article |
| id | doaj.art-5a67400077484f20bc930855e39d8fef |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-11T08:28:24Z |
| publishDate | 2018-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-5a67400077484f20bc930855e39d8fef2022-12-22T01:14:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01131e019125510.1371/journal.pone.0191255Driving factors of retention in care among HIV-positive MSM and transwomen in Indonesia: A cross-sectional study.Adi NugrohoVicki ErasmusRobert W S CoulterSushil KoiralaOranuch NampaisanWirastra PamungkasJan Hendrik RichardusLittle is known about the prevalence of and factors that influence retention in HIV-related care among Indonesian men who have sex with men (MSM) and transgender women (transwomen, or waria in Indonesian term). Therefore, we explored the driving factors of retention in care among HIV-positive MSM and waria in Indonesia. This cross-sectional study involved 298 self-reported HIV-positive MSM (n = 165) and waria (n = 133). Participants were recruited using targeted sampling and interviewed using a structured questionnaire. We applied a four-step model building process using multivariable logistic regression to examine how sociodemographic, predisposing, enabling, and reinforcing factors were associated with retention in care. Overall, 78.5% of participants were linked to HIV care within 3 months after diagnosis or earlier, and 66.4% were adequately retained in care (at least one health care visit every three months once a person is diagnosed with HIV). Being on antiretroviral therapy (adjusted odds ratio [AOR] = 6.00; 95% confidence interval [CI]: 2.93-12.3), using the Internet to find HIV-related information (AOR = 2.15; 95% CI: 1.00-4.59), and having medical insurance (AOR = 2.84; 95% CI: 1.27-6.34) were associated with adequate retention in care. Involvement with an HIV-related organization was associated negatively with retention in care (AOR = 0.47; 95% CI: 0.24-0.95). Future interventions should increase health insurance coverage and utilize the Internet to help MSM and waria to remain in HIV-related care, thereby assisting them in achieving viral suppression.http://europepmc.org/articles/PMC5771583?pdf=render |
| spellingShingle | Adi Nugroho Vicki Erasmus Robert W S Coulter Sushil Koirala Oranuch Nampaisan Wirastra Pamungkas Jan Hendrik Richardus Driving factors of retention in care among HIV-positive MSM and transwomen in Indonesia: A cross-sectional study. PLoS ONE |
| title | Driving factors of retention in care among HIV-positive MSM and transwomen in Indonesia: A cross-sectional study. |
| title_full | Driving factors of retention in care among HIV-positive MSM and transwomen in Indonesia: A cross-sectional study. |
| title_fullStr | Driving factors of retention in care among HIV-positive MSM and transwomen in Indonesia: A cross-sectional study. |
| title_full_unstemmed | Driving factors of retention in care among HIV-positive MSM and transwomen in Indonesia: A cross-sectional study. |
| title_short | Driving factors of retention in care among HIV-positive MSM and transwomen in Indonesia: A cross-sectional study. |
| title_sort | driving factors of retention in care among hiv positive msm and transwomen in indonesia a cross sectional study |
| url | http://europepmc.org/articles/PMC5771583?pdf=render |
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