title: Retention in care and factors affecting it among people living with HIV/AIDS in Changsha City, China.
abstract: The aim of this study was to describe the retention in care and examine the factors affecting it among people living with HIV and AIDS (PLWHA) in Changsha City, China. Data on treatment, care, and their retention of all registered 822 PLWHA in Changsha Center for Disease Control and Prevention were analyzed. The retention rate had shown 58.1% among this sample. With logistic regression analysis, retention in care was significantly related to education level (senior high school vs university: odds ratio [OR] = 0.471, 95% confidence interval [CI] = 0.237-0.937), CD4 count (<50cells/mm(3) vs >500cells/mm(3): OR = 2.659, 95% CI = 1.816-28.760), and initiation of antiretroviral therapy (No vs Yes: OR = 0.362, 95% CI = 0.180-0.550). In conclusion, the intervention to improve retention in care for PLWHA in Changsha is warranted, especially for those who have lower education level, for those who have higher baseline CD4 count, and for those who have not initiated antiretroviral therapy.
authors.affiliation: The Third Xiangya Hospital, Central South University, Changsha, China.
authors.forename: Guoli L
authors.initials: GL
authors.lastname: Yang
authors.affiliation: The Third Xiangya Hospital, Central South University, Changsha, China.
authors.forename: Jin
authors.initials: J
authors.lastname: Yan
authors.affiliation: The Third Xiangya Hospital, Central South University, Changsha, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Changsha Center for Disease Control and Prevention, Changsha, China.
authors.forename: Zhulin L
authors.initials: ZL
authors.lastname: Huang
authors.affiliation: The Third Xiangya Hospital, Central South University, Changsha, China 1411235775@qq.com.
authors.forename: Shuo
authors.initials: S
authors.lastname: Long
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000628:therapy; D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D018791:CD4 Lymphocyte Count; D002681:China / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D008297:Male; D016017:Odds Ratio; D010349:Patient Compliance; D012959:Socioeconomic Factors
chemical_list: D044966:Anti-Retroviral Agents
keywords: China; HIV/AIDS care; people living with HIV and AIDS; retention