Factors Associated with Improved HIV/AIDS Treatment Outcomes: Comparing two Major ART Service Delivery Models in Vietnam
| العنوان: | Factors Associated with Improved HIV/AIDS Treatment Outcomes: Comparing two Major ART Service Delivery Models in Vietnam |
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| المؤلفون: | Carl A. Latkin, Long Hoang Nguyen, Quang Nhat Nguyen, Bach Xuan Tran, Cuong Tat Nguyen, Nu Thi Truong, Huyen Phuc Do |
| المصدر: | AIDS and Behavior. 23:2840-2848 |
| بيانات النشر: | Springer Science and Business Media LLC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Counseling, Male, medicine.medical_specialty, Multivariate statistics, Alcohol Drinking, Social Psychology, Anti-HIV Agents, Service delivery framework, Treatment outcome, HIV Infections, 03 medical and health sciences, 0302 clinical medicine, Acquired immunodeficiency syndrome (AIDS), Health care, medicine, Humans, Longitudinal Studies, 030212 general & internal medicine, Aged, Retrospective Studies, 030505 public health, Primary Health Care, Delivery of Health Care, Integrated, business.industry, Medical record, Public health, Smoking, Public Health, Environmental and Occupational Health, Middle Aged, medicine.disease, CD4 Lymphocyte Count, Health psychology, Cross-Sectional Studies, Treatment Outcome, Infectious Diseases, Vietnam, Family medicine, Female, 0305 other medical science, business |
| الوصف: | A mixed design approach was performed to assess the CD4 count levels over time and their associated factors among 362 HIV patients on ART from clinics with HIV testing and counseling (ART-HTC) services and those with general healthcare (ART-GH) services. Longitudinal CD4 count data were retrospectively collected from medical records. Sociodemographic, clinical, alcohol use and smoking characteristics were obtained via face-to-face interviews. Multivariate mixed effect linear regression was utilized to determine the association. We found that HIV patients at ART-GH clinics were more likely to achieve higher CD4 counts over time compared to patients at ART-HTC clinics. Additionally, having an increase in CD4 counts was found to be associated with having longer duration of ART and higher baseline CD4 levels. Cigarette smoking and hazardous alcohol use, however, were not associated with CD4 count improvement. Our findings suggest that combining HTC and GH services might provide a synergistic benefit in ART treatment outcomes through an improved access to comprehensive HIV healthcare services for HIV patients on therapy. |
| تدمد: | 1573-3254 1090-7165 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b8a8f00d8c4ff8f6cd318fabd325b7deTest https://doi.org/10.1007/s10461-019-02571-zTest |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....b8a8f00d8c4ff8f6cd318fabd325b7de |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15733254 10907165 |
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