HIV viral suppression and geospatial patterns of HIV antiretroviral therapy treatment facility use in Rakai, Uganda

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dc.contributor.authorBillioux, Veena G.
dc.contributor.authorGrabowski, Mary K.
dc.contributor.authorSsekasanvu, Joseph
dc.contributor.authorReynolds, Steven J.
dc.contributor.authorBerman, Amanda
dc.contributor.authorBazaale, Jeremiah
dc.contributor.authorPatel, Eshan U.
dc.contributor.authorBugos, Eva
dc.contributor.authorNdyanabo, Anthony
dc.contributor.authorKisakye, Alice
dc.contributor.authorKagaayi, Joseph
dc.contributor.authorGray, Ronald H.
dc.contributor.authorNakigozi, Gertrude
dc.contributor.authorSsekubugu, Robert
dc.contributor.authorNalugoda, Fred
dc.contributor.authorSerwadda, David
dc.contributor.authorWawer, Maria J.
dc.contributor.authorChang, Larry W.
dc.date.accessioned2022-03-09T15:40:49Z
dc.date.available2022-03-09T15:40:49Z
dc.date.issued2018
dc.description.abstractTo assess geospatial patterns of HIV antiretroviral therapy (ART) treatment facility use and whether they were impacted by viral load (VL) suppression. Methods—We extracted data on the location and type of care services utilized by HIV-positive persons accessing ART between February 2015 and September 2016 from the Rakai Community Cohort Study (RCCS) in Uganda. The distance from RCCS households to facilities offering ART was calculated using the open street map road network. Modified Poisson regression was used to identify predictors of distance traveled and, for those traveling beyond their nearest facility, the probability of accessing services from a tertiary care facility. Results—1554 HIV-positive participants were identified, of whom 68% had initiated ART. The median distance from households to the nearest ART facility was 3.10 km (Interquartile range, IQR, 1.65–5.05), but the median distance traveled was 5.26 km (IQR, 3.00–10.03, p<0.001) and 57% of individuals travelled further than their nearest facility for ART. Those with higher education and wealth were more likely to travel further. 93% of persons on ART were virally suppressed, and there was no difference in the distance traveled to an ART facility between those with suppressed and unsuppressed VLs (5.26 km vs. 5.27 km, p=0.650). Conclusions—Distance traveled to HIV clinics was increased with higher socioeconomic status, suggesting that wealthier individuals exercise greater choice. However, distance traveled did not vary by those who were or were not virally suppressed.en_US
dc.identifier.citationBillioux, V. G., Grabowski, M. K., Ssekasanvu, J., Reynolds, S. J., Berman, A., Bazaale, J., ... & Chang, L. W. (2018). HIV viral suppression and geospatial patterns of HIV antiretroviral therapy treatment facility use in Rakai, Uganda. AIDS (London, England), 32(6), 819. doi:10.1097/QAD.0000000000001761.en_US
dc.identifier.other10.1097/QAD.0000000000001761.
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2608
dc.language.isoenen_US
dc.publisherAIDS (London, England)en_US
dc.subjectDistance to clinicen_US
dc.subjectGlobal positioning systemsen_US
dc.subjectHIV/AIDSen_US
dc.subjectSub-Saharan Africaen_US
dc.subjectUgandaen_US
dc.titleHIV viral suppression and geospatial patterns of HIV antiretroviral therapy treatment facility use in Rakai, Ugandaen_US
dc.typeArticleen_US
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