Treatment Buddies Improve Clinic Attendance among Women but Not Men on Antiretroviral Therapy in the Nyanza Region of Kenya
Background. Kenyan antiretroviral (ART) guidelines encourage treatment buddies (TBy) to maximize treatment adherence. This study examined the effect of TBys on clinic attendance in men and women on ART. Methods. This retrospective cohort study included all adult patients initiating ART from August 2...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2016/9124541 |
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| author | Charles Kibaara Cinthia Blat Jayne Lewis-Kulzer Starley Shade Patrick Mbullo Craig R. Cohen Elizabeth A. Bukusi |
| author_facet | Charles Kibaara Cinthia Blat Jayne Lewis-Kulzer Starley Shade Patrick Mbullo Craig R. Cohen Elizabeth A. Bukusi |
| author_sort | Charles Kibaara |
| collection | DOAJ |
| description | Background. Kenyan antiretroviral (ART) guidelines encourage treatment buddies (TBy) to maximize treatment adherence. This study examined the effect of TBys on clinic attendance in men and women on ART. Methods. This retrospective cohort study included all adult patients initiating ART from August 2007 to December 2011 at four health facilities in Kenya. Data were abstracted from electronic medical records and analyzed using Poisson regression. Results. Of 2,430 patients, 2,199 (91%) had a TBy. Relationship between TBy and clinic attendance differed in females and males (interaction p=0.09). After demographic and clinic factor adjustment, females with a TBy were 28% more likely to adhere to all appointments than those without (adjusted aRR = 1.28; 95% CI 1.08–1.53), whereas males were no more likely to adhere (aRR = 1.01; 95% CI 0.76–1.32). Males reported partner/spouse (33%) or brother (11%) as the TBy while females reported sister (17%), partner/spouse (14%), or another family member (12%). Multivariable analysis found no association between clinic attendance and TBy relationship in either gender. Conclusion. Clinic attendance was higher among women with TBys but not men. Results support TBys to help women achieve ART success; alternate strategies to bolster TBy benefits are needed for men. |
| format | Article |
| id | doaj-art-edfe1eb5fb4942fa83ac03b45bd7ec12 |
| institution | Kabale University |
| issn | 2090-1240 2090-1259 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-edfe1eb5fb4942fa83ac03b45bd7ec122025-02-03T05:49:37ZengWileyAIDS Research and Treatment2090-12402090-12592016-01-01201610.1155/2016/91245419124541Treatment Buddies Improve Clinic Attendance among Women but Not Men on Antiretroviral Therapy in the Nyanza Region of KenyaCharles Kibaara0Cinthia Blat1Jayne Lewis-Kulzer2Starley Shade3Patrick Mbullo4Craig R. Cohen5Elizabeth A. Bukusi6Family AIDS Care & Education Services (FACES), P.O. Box 614-40100, Kisumu, KenyaFamily AIDS Care & Education Services (FACES), P.O. Box 614-40100, Kisumu, KenyaFamily AIDS Care & Education Services (FACES), P.O. Box 614-40100, Kisumu, KenyaFamily AIDS Care & Education Services (FACES), P.O. Box 614-40100, Kisumu, KenyaResearch Care and Training Program, Center for Microbiology Research, Kenya Medical Research Institute, Kisumu, KenyaFamily AIDS Care & Education Services (FACES), P.O. Box 614-40100, Kisumu, KenyaFamily AIDS Care & Education Services (FACES), P.O. Box 614-40100, Kisumu, KenyaBackground. Kenyan antiretroviral (ART) guidelines encourage treatment buddies (TBy) to maximize treatment adherence. This study examined the effect of TBys on clinic attendance in men and women on ART. Methods. This retrospective cohort study included all adult patients initiating ART from August 2007 to December 2011 at four health facilities in Kenya. Data were abstracted from electronic medical records and analyzed using Poisson regression. Results. Of 2,430 patients, 2,199 (91%) had a TBy. Relationship between TBy and clinic attendance differed in females and males (interaction p=0.09). After demographic and clinic factor adjustment, females with a TBy were 28% more likely to adhere to all appointments than those without (adjusted aRR = 1.28; 95% CI 1.08–1.53), whereas males were no more likely to adhere (aRR = 1.01; 95% CI 0.76–1.32). Males reported partner/spouse (33%) or brother (11%) as the TBy while females reported sister (17%), partner/spouse (14%), or another family member (12%). Multivariable analysis found no association between clinic attendance and TBy relationship in either gender. Conclusion. Clinic attendance was higher among women with TBys but not men. Results support TBys to help women achieve ART success; alternate strategies to bolster TBy benefits are needed for men.http://dx.doi.org/10.1155/2016/9124541 |
| spellingShingle | Charles Kibaara Cinthia Blat Jayne Lewis-Kulzer Starley Shade Patrick Mbullo Craig R. Cohen Elizabeth A. Bukusi Treatment Buddies Improve Clinic Attendance among Women but Not Men on Antiretroviral Therapy in the Nyanza Region of Kenya AIDS Research and Treatment |
| title | Treatment Buddies Improve Clinic Attendance among Women but Not Men on Antiretroviral Therapy in the Nyanza Region of Kenya |
| title_full | Treatment Buddies Improve Clinic Attendance among Women but Not Men on Antiretroviral Therapy in the Nyanza Region of Kenya |
| title_fullStr | Treatment Buddies Improve Clinic Attendance among Women but Not Men on Antiretroviral Therapy in the Nyanza Region of Kenya |
| title_full_unstemmed | Treatment Buddies Improve Clinic Attendance among Women but Not Men on Antiretroviral Therapy in the Nyanza Region of Kenya |
| title_short | Treatment Buddies Improve Clinic Attendance among Women but Not Men on Antiretroviral Therapy in the Nyanza Region of Kenya |
| title_sort | treatment buddies improve clinic attendance among women but not men on antiretroviral therapy in the nyanza region of kenya |
| url | http://dx.doi.org/10.1155/2016/9124541 |
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