Predictors of retention in the prospective HIV prevention OKAPI cohort in Kinshasa

Abstract Retention is a key element in HIV prevention programs. In Sub-Saharan Africa most data on retention come from HIV clinical trials or people living with HIV attending HIV treatment and control programs. Data from observational cohorts are less frequent. Retention at 6-/12-month follow-up and...

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Autores principales:	S. Carlos, E. Burgueño, A. Ndarabu, G. Reina, C. Lopez-del Burgo, A. Osorio, B. Makonda, J. de Irala
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b6763aafcac34a43a4ed6570fa507a5c
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spelling	oai:doaj.org-article:b6763aafcac34a43a4ed6570fa507a5c2021-12-02T11:37:22ZPredictors of retention in the prospective HIV prevention OKAPI cohort in Kinshasa10.1038/s41598-021-84839-w2045-2322https://doaj.org/article/b6763aafcac34a43a4ed6570fa507a5c2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84839-whttps://doaj.org/toc/2045-2322Abstract Retention is a key element in HIV prevention programs. In Sub-Saharan Africa most data on retention come from HIV clinical trials or people living with HIV attending HIV treatment and control programs. Data from observational cohorts are less frequent. Retention at 6-/12-month follow-up and its predictors were analyzed in OKAPI prospective cohort. From April 2016 to April 2018, 797 participants aged 15–59 years attending HIV Voluntary Counseling and Testing in Kinshasa were interviewed about HIV-related knowledge and behaviors at baseline and at 6- and 12-month follow-ups. Retention rates were 57% and 27% at 6- and 12-month follow up; 22% of participants attended both visits. Retention at 6-month was significantly associated with 12-month retention. Retention was associated with low economic status, being studying, daily/weekly Internet access, previous HIV tests and aiming to share HIV test with partner. Contrarily, perceiving a good health, living far from an antiretroviral center, daily/weekly alcohol consumption and perceiving frequent HIV information were inversely associated with retention. In conclusion, a high attrition was found among people attending HIV testing participating in a prospective cohort in Kinshasa. Considering the low retention rates and the predictors found in this study, more HIV cohort studies in Kinshasa need to be evaluated to identify local factors and strategies that could improve retention if needed.S. CarlosE. BurgueñoA. NdarabuG. ReinaC. Lopez-del BurgoA. OsorioB. MakondaJ. de IralaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q S. Carlos E. Burgueño A. Ndarabu G. Reina C. Lopez-del Burgo A. Osorio B. Makonda J. de Irala Predictors of retention in the prospective HIV prevention OKAPI cohort in Kinshasa
description	Abstract Retention is a key element in HIV prevention programs. In Sub-Saharan Africa most data on retention come from HIV clinical trials or people living with HIV attending HIV treatment and control programs. Data from observational cohorts are less frequent. Retention at 6-/12-month follow-up and its predictors were analyzed in OKAPI prospective cohort. From April 2016 to April 2018, 797 participants aged 15–59 years attending HIV Voluntary Counseling and Testing in Kinshasa were interviewed about HIV-related knowledge and behaviors at baseline and at 6- and 12-month follow-ups. Retention rates were 57% and 27% at 6- and 12-month follow up; 22% of participants attended both visits. Retention at 6-month was significantly associated with 12-month retention. Retention was associated with low economic status, being studying, daily/weekly Internet access, previous HIV tests and aiming to share HIV test with partner. Contrarily, perceiving a good health, living far from an antiretroviral center, daily/weekly alcohol consumption and perceiving frequent HIV information were inversely associated with retention. In conclusion, a high attrition was found among people attending HIV testing participating in a prospective cohort in Kinshasa. Considering the low retention rates and the predictors found in this study, more HIV cohort studies in Kinshasa need to be evaluated to identify local factors and strategies that could improve retention if needed.
format	article
author	S. Carlos E. Burgueño A. Ndarabu G. Reina C. Lopez-del Burgo A. Osorio B. Makonda J. de Irala
author_facet	S. Carlos E. Burgueño A. Ndarabu G. Reina C. Lopez-del Burgo A. Osorio B. Makonda J. de Irala
author_sort	S. Carlos
title	Predictors of retention in the prospective HIV prevention OKAPI cohort in Kinshasa
title_short	Predictors of retention in the prospective HIV prevention OKAPI cohort in Kinshasa
title_full	Predictors of retention in the prospective HIV prevention OKAPI cohort in Kinshasa
title_fullStr	Predictors of retention in the prospective HIV prevention OKAPI cohort in Kinshasa
title_full_unstemmed	Predictors of retention in the prospective HIV prevention OKAPI cohort in Kinshasa
title_sort	predictors of retention in the prospective hiv prevention okapi cohort in kinshasa
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/b6763aafcac34a43a4ed6570fa507a5c
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Predictors of retention in the prospective HIV prevention OKAPI cohort in Kinshasa

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