du Toit Elizabeth, van Schalkwyk Cari, Dunbar Rory, Jennings Karen, Yang Blia, Coetzee David, Beyers Nulda
Desmond Tutu Tuberculosis Centre, Department of Paediatrics and Child Health, Stellenbosch University, Parow, South Africa.
The South African Department of Science and Technology/National Research Foundation Centre of Excellence in Epidemiological Modelling and Analysis (SACEMA), Stellenbosch University, Stellenbosch, South Africa.
PLoS One. 2014 May 7;9(5):e96867. doi: 10.1371/journal.pone.0096867. eCollection 2014.
Few studies have evaluated access to and retention in pre-ART care.
To evaluate the proportion of People Living With HIV (PLWH) in pre-ART and ART care and factors associated with retention in pre-ART and ART care from a community cohort.
A cross sectional survey was conducted from February - April 2011. Self reported HIV positive, negative or participants of unknown status completed a questionnaire on their HIV testing history, access to pre-ART and retention in pre-ART and ART care.
872 randomly selected adults who reported being HIV positive in the ZAMSTAR 2010 prevalence survey were included and revisited. 579 (66%) reconfirmed their positive status and were included in this analysis. 380 (66%) had initiated ART with 357 of these (94%) retained in ART care. 199 (34%) had never initiated ART of whom 186 (93%) accessed pre-ART care, and 86 (43%) were retained in pre-ART care. In a univariable analysis none of the factors analysed were significantly associated with retention in care in the pre-ART group. Due to the high retention in ART care, factors associated with retention in ART care, were not analysed further.
Retention in ART care was high; however it was low in pre-ART care. The opportunity exists, if care is better integrated, to engage with clients in primary health care facilities to bring them back to, and retain them in, pre-ART care.
很少有研究评估接受抗逆转录病毒治疗前护理的机会及持续性。
评估社区队列中接受抗逆转录病毒治疗前护理和抗逆转录病毒治疗护理的艾滋病毒感染者（PLWH）比例，以及与抗逆转录病毒治疗前护理和抗逆转录病毒治疗护理持续性相关的因素。
于2011年2月至4月进行了一项横断面调查。自我报告为艾滋病毒阳性、阴性或状况不明的参与者完成了一份关于其艾滋病毒检测史、接受抗逆转录病毒治疗前护理的机会以及在抗逆转录病毒治疗前护理和抗逆转录病毒治疗护理中的持续性的问卷。
纳入了在2010年赞比亚艾滋病毒/艾滋病战略和业务审查（ZAMSTAR）患病率调查中报告为艾滋病毒阳性的872名随机选择的成年人，并对其进行了回访。579人（66%）再次确认了其阳性状态，并纳入本分析。380人（66%）已开始接受抗逆转录病毒治疗，其中357人（94%）持续接受抗逆转录病毒治疗护理。199人（34%）从未开始接受抗逆转录病毒治疗，其中186人（93%）接受了抗逆转录病毒治疗前护理，86人（43%）持续接受抗逆转录病毒治疗前护理。在单变量分析中，所分析的因素均与抗逆转录病毒治疗前护理组的护理持续性无显著关联。由于抗逆转录病毒治疗护理的持续性较高，未进一步分析与抗逆转录病毒治疗护理持续性相关的因素。
抗逆转录病毒治疗护理的持续性较高；然而，抗逆转录病毒治疗前护理的持续性较低。如果护理能更好地整合，就有机会在初级卫生保健机构中与客户接触，使他们回到抗逆转录病毒治疗前护理并持续接受该护理。
