Linkage to HIV Care and Survival Following Inpatient HIV Counseling and Testing
Linkage to HIV care and survival in sub-Saharan Africa is not well documented. In 2004 we conducted a randomized trial among medical inpatients in Mulago Hospital to assess the impact of HIV counseling and testing (HCT) on linkage to care and survival. Participants were randomized to inpatient HCT (...
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| Veröffentlicht in: | AIDS and behavior 2011-05, Vol.15 (4), p.751-760 |
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| creator | Wanyenze, Rhoda K. Hahn, Judith A. Liechty, Cheryl A. Ragland, Kathie Ronald, Allan Mayanja-Kizza, Harriet Coates, Thomas Kamya, Moses R. Bangsberg, David R. |
| description | Linkage to HIV care and survival in sub-Saharan Africa is not well documented. In 2004 we conducted a randomized trial among medical inpatients in Mulago Hospital to assess the impact of HIV counseling and testing (HCT) on linkage to care and survival. Participants were randomized to inpatient HCT (intervention) or outpatient HCT 1 week post-discharge (control); inpatient HCT was not available at Mulago during the study. Among 590 eligible patients, 85% (500) agreed to participate; 98.8% (248) in the intervention arm received HCT compared to 68.7% (171) in the control arm. Within 6 months, 62.2% (92) of surviving HIV-infected participants received HIV care; 15.0% (20) received antiretroviral medications (ARVs). Overall mortality among HIV-infected participants was 34.6% (72). HCT had significant impact on linkage to care among surviving participants. Referral for HCT was a missed opportunity for diagnosis. There is need for earlier diagnosis and linkage to HIV care among inpatients. |
| doi_str_mv | 10.1007/s10461-010-9704-1 |
| format | Article |
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In 2004 we conducted a randomized trial among medical inpatients in Mulago Hospital to assess the impact of HIV counseling and testing (HCT) on linkage to care and survival. Participants were randomized to inpatient HCT (intervention) or outpatient HCT 1 week post-discharge (control); inpatient HCT was not available at Mulago during the study. Among 590 eligible patients, 85% (500) agreed to participate; 98.8% (248) in the intervention arm received HCT compared to 68.7% (171) in the control arm. Within 6 months, 62.2% (92) of surviving HIV-infected participants received HIV care; 15.0% (20) received antiretroviral medications (ARVs). Overall mortality among HIV-infected participants was 34.6% (72). HCT had significant impact on linkage to care among surviving participants. Referral for HCT was a missed opportunity for diagnosis. There is need for earlier diagnosis and linkage to HIV care among inpatients.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-010-9704-1</identifier><identifier>PMID: 20431933</identifier><identifier>CODEN: AIBEFC</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Acquired Immune Deficiency Syndrome ; Adult ; AIDS Serodiagnosis ; Anti-Retroviral Agents - therapeutic use ; Antiretroviral agents ; Counseling ; Counseling - utilization ; Female ; Follow-Up Studies ; Health care access ; Health Psychology ; Health Services Accessibility ; Health services utilization ; HIV ; HIV Infections - diagnosis ; HIV Infections - drug therapy ; HIV Infections - mortality ; Hospitals ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Inpatients - statistics & numerical data ; Intervention ; Male ; Medical screening ; Medications ; Medicine ; Medicine & Public Health ; Middle Aged ; Mortality Rates ; Original Paper ; Patient Acceptance of Health Care ; Public Health ; Referral and Consultation - organization & administration ; Socioeconomic Factors ; Sub Saharan Africa ; Survival Analysis ; Survivor ; Treatment Outcome ; Trials ; Uganda - epidemiology ; Young Adult</subject><ispartof>AIDS and behavior, 2011-05, Vol.15 (4), p.751-760</ispartof><rights>Springer Science+Business Media, LLC 2010</rights><rights>Springer Science+Business Media, LLC 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-626ffca9373eae71ddbaac52a9ae3ebdd8ddd1cb78a3187fa87379e92472ac543</citedby><cites>FETCH-LOGICAL-c532t-626ffca9373eae71ddbaac52a9ae3ebdd8ddd1cb78a3187fa87379e92472ac543</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-010-9704-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-010-9704-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27321,27901,27902,33751,33752,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20431933$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wanyenze, Rhoda K.</creatorcontrib><creatorcontrib>Hahn, Judith A.</creatorcontrib><creatorcontrib>Liechty, Cheryl A.</creatorcontrib><creatorcontrib>Ragland, Kathie</creatorcontrib><creatorcontrib>Ronald, Allan</creatorcontrib><creatorcontrib>Mayanja-Kizza, Harriet</creatorcontrib><creatorcontrib>Coates, Thomas</creatorcontrib><creatorcontrib>Kamya, Moses R.</creatorcontrib><creatorcontrib>Bangsberg, David R.</creatorcontrib><title>Linkage to HIV Care and Survival Following Inpatient HIV Counseling and Testing</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>Linkage to HIV care and survival in sub-Saharan Africa is not well documented. In 2004 we conducted a randomized trial among medical inpatients in Mulago Hospital to assess the impact of HIV counseling and testing (HCT) on linkage to care and survival. Participants were randomized to inpatient HCT (intervention) or outpatient HCT 1 week post-discharge (control); inpatient HCT was not available at Mulago during the study. Among 590 eligible patients, 85% (500) agreed to participate; 98.8% (248) in the intervention arm received HCT compared to 68.7% (171) in the control arm. Within 6 months, 62.2% (92) of surviving HIV-infected participants received HIV care; 15.0% (20) received antiretroviral medications (ARVs). Overall mortality among HIV-infected participants was 34.6% (72). HCT had significant impact on linkage to care among surviving participants. Referral for HCT was a missed opportunity for diagnosis. There is need for earlier diagnosis and linkage to HIV care among inpatients.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Adult</subject><subject>AIDS Serodiagnosis</subject><subject>Anti-Retroviral Agents - therapeutic use</subject><subject>Antiretroviral agents</subject><subject>Counseling</subject><subject>Counseling - utilization</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health care access</subject><subject>Health Psychology</subject><subject>Health Services Accessibility</subject><subject>Health services utilization</subject><subject>HIV</subject><subject>HIV Infections - diagnosis</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - mortality</subject><subject>Hospitals</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Inpatients - statistics & numerical data</subject><subject>Intervention</subject><subject>Male</subject><subject>Medical screening</subject><subject>Medications</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Mortality Rates</subject><subject>Original Paper</subject><subject>Patient Acceptance of Health Care</subject><subject>Public Health</subject><subject>Referral and Consultation - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wanyenze, Rhoda K.</au><au>Hahn, Judith A.</au><au>Liechty, Cheryl A.</au><au>Ragland, Kathie</au><au>Ronald, Allan</au><au>Mayanja-Kizza, Harriet</au><au>Coates, Thomas</au><au>Kamya, Moses R.</au><au>Bangsberg, David R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Linkage to HIV Care and Survival Following Inpatient HIV Counseling and Testing</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2011-05-01</date><risdate>2011</risdate><volume>15</volume><issue>4</issue><spage>751</spage><epage>760</epage><pages>751-760</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><coden>AIBEFC</coden><abstract>Linkage to HIV care and survival in sub-Saharan Africa is not well documented. In 2004 we conducted a randomized trial among medical inpatients in Mulago Hospital to assess the impact of HIV counseling and testing (HCT) on linkage to care and survival. Participants were randomized to inpatient HCT (intervention) or outpatient HCT 1 week post-discharge (control); inpatient HCT was not available at Mulago during the study. Among 590 eligible patients, 85% (500) agreed to participate; 98.8% (248) in the intervention arm received HCT compared to 68.7% (171) in the control arm. Within 6 months, 62.2% (92) of surviving HIV-infected participants received HIV care; 15.0% (20) received antiretroviral medications (ARVs). Overall mortality among HIV-infected participants was 34.6% (72). HCT had significant impact on linkage to care among surviving participants. Referral for HCT was a missed opportunity for diagnosis. There is need for earlier diagnosis and linkage to HIV care among inpatients.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>20431933</pmid><doi>10.1007/s10461-010-9704-1</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acquired Immune Deficiency Syndrome Adult AIDS Serodiagnosis Anti-Retroviral Agents - therapeutic use Antiretroviral agents Counseling Counseling - utilization Female Follow-Up Studies Health care access Health Psychology Health Services Accessibility Health services utilization HIV HIV Infections - diagnosis HIV Infections - drug therapy HIV Infections - mortality Hospitals Human immunodeficiency virus Humans Infectious Diseases Inpatients - statistics & numerical data Intervention Male Medical screening Medications Medicine Medicine & Public Health Middle Aged Mortality Rates Original Paper Patient Acceptance of Health Care Public Health Referral and Consultation - organization & administration Socioeconomic Factors Sub Saharan Africa Survival Analysis Survivor Treatment Outcome Trials Uganda - epidemiology Young Adult |
| title | Linkage to HIV Care and Survival Following Inpatient HIV Counseling and Testing |
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