Journal article
Adherence to antiretroviral therapy and clinical outcomes among young adults reporting high-risk sexual behavior, including men who have sex with men, in coastal Kenya
- Abstract:
- African men who have sex with men (MSM) face significant stigma and barriers to care. We investigated antiretroviral therapy (ART) adherence among high-risk adults, including MSM, participating in a clinic-based cohort. Survival analysis was used to compare attrition across patient groups. Differences in adherence, weight gain, and CD4 counts after ART initiation were assessed. Among 250 HIV-1-seropositive adults, including 108 MSM, 15 heterosexual men, and 127 women, patient group was not associated with attrition. Among 58 participants who were followed on ART, 40 % of MSM had less than 95 % adherence, versus 28.6 % of heterosexual men and 11.5 % of women. Although MSM gained less weight after ART initiation than women (adjusted difference −3.5 kg/year), CD4 counts did not differ. More data are needed on barriers to adherence and clinical outcomes among African MSM, to ensure that MSM can access care and derive treatment and prevention benefits from ART.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, pdf, 232.1KB, Terms of use)
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- Publisher copy:
- 10.1007/s10461-013-0445-9
Authors
+ Wellcome Trust
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- Funder identifier:
- https://ror.org/029chgv08
- Grant:
- 092654/Z/10/A
+ National Institutes of Health
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- Funder identifier:
- https://ror.org/01cwqze88
- Grant:
- P30 AI027757
+ International AIDS Vaccine Initiative
More from this funder
- Funder identifier:
- https://ror.org/05ayv2203
+ United States Agency for International Development
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- Funder identifier:
- https://ror.org/01n6e6j62
- Publisher:
- Springer
- Journal:
- AIDS and Behavior More from this journal
- Volume:
- 17
- Issue:
- 4
- Pages:
- 1255-1265
- Publication date:
- 2013-03-15
- DOI:
- EISSN:
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1573-3254
- ISSN:
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1090-7165
- Language:
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English
- Keywords:
- Pubs id:
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pubs:394117
- UUID:
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uuid:0649d0d0-7cfd-479d-808d-64d489e7ede2
- Local pid:
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pubs:394117
- Source identifiers:
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394117
- Deposit date:
-
2013-11-17
Terms of use
- Copyright holder:
- Graham et al
- Copyright date:
- 2013
- Rights statement:
- © The Author(s) 2013 This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
- Licence:
- CC Attribution (CC BY)
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