Predictors of retention in the prospective HIV prevention OKAPI cohort in Kinshasa
Open Access
- 8 March 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in Scientific Reports
- Vol. 11 (1), 1-10
- https://doi.org/10.1038/s41598-021-84839-w
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.Funding Information
- Ministerio de Economía, Industria y Competitividad, Gobierno de España (PI16/01908)
- Gobierno de Navarra (045-2015)
- Institute for Culture and Society of the University of Navarra
This publication has 63 references indexed in Scilit:
- Loss to follow-up occurs at all stages in the diagnostic and follow-up period among HIV-infected patients in Guinea-Bissau: a 7-year retrospective cohort studyBMJ Open, 2013
- Factors Associated with Self-Reported Repeat HIV Testing after a Negative Result in Durban, South AfricaPLOS ONE, 2013
- Distance from Home to Study Clinic and Risk of Follow-Up Interruption in a Cohort of HIV-1-Discordant Couples in Nairobi, KenyaPLOS ONE, 2012
- Retention in a NGO Supported Antiretroviral Program in the Democratic Republic of CongoPLOS ONE, 2012
- Loss to follow up from isoniazid preventive therapy among adults attending HIV voluntary counseling and testing sites in UgandaTransactions of the Royal Society of Tropical Medicine and Hygiene, 2012
- Retention and attrition during the preparation phase and after start of antiretroviral treatment in Thyolo, Malawi, and Kibera, Kenya: implications for programmes?Transactions of the Royal Society of Tropical Medicine and Hygiene, 2011
- A systematic review of the effect of retention methods in population-based cohort studiesBMC Public Health, 2011
- Patient retention in antiretroviral therapy programs up to three years on treatment in sub‐Saharan Africa, 2007–2009: systematic reviewTropical Medicine & International Health, 2010
- Adolescent and Adult Participation in an HIV Vaccine Trial Preparedness Cohort in South AfricaJournal of Adolescent Health, 2008
- Predictors of follow-up and assessment of selection bias from dropouts using inverse probability weighting in a cohort of university graduatesEuropean Journal of Epidemiology, 2006