99 research outputs found
Factors predictive of successful retention in care among HIV-infected men in a universal test-and-treat setting in Uganda and Kenya: A mixed methods analysis.
BackgroundPrevious research indicates clinical outcomes among HIV-infected men in sub-Saharan Africa are sub-optimal. The SEARCH test and treat trial (NCT01864603) intervention included antiretroviral care delivery designed to address known barriers to HIV-care among men by decreasing clinic visit frequency and providing flexible, patient-centered care with retention support. We sought to understand facilitators and barriers to retention in care in this universal treatment setting through quantitative and qualitative data analysis.MethodsWe used a convergent mixed methods study design to evaluate retention in HIV care among adults (age > = 15) during the first year of the SEARCH (NCT01864603) test and treat trial. Cox proportional hazards regression was used to evaluate predictors of retention in care. Longitudinal qualitative data from n = 190 in-depth interviews with HIV-positive individuals and health care providers were analyzed to identify facilitators and barriers to HIV care engagement.ResultsThere were 1,863 men and 3,820 women who linked to care following baseline testing. Retention in care was 89.7% (95% CI 87.0-91.8%) among men and 89.0% (86.8-90.9%) among women at one year. In both men and women older age was associated with higher rates of retention in care at one year. Additionally, among men higher CD4+ at ART initiation and decreased time between testing and ART initiation was associated with higher rates of retention. Maintaining physical health, a patient-centered treatment environment, supportive partnerships, few negative consequences to disclosure, and the ability to seek care in facilities outside of their community of residence were found to promote retention in care.ConclusionsFeatures of the ART delivery system in the SEARCH intervention and social and structural advantages emerged as facilitators to retention in HIV care among men. Messaging around the health benefits of early ART start, decreasing logistical barriers to HIV care, support of flexible treatment environments, and accelerated linkage to care, are important to men's success in ART treatment programs. Men already benefit from increased social support following disclosure of their HIV-status. Future efforts to shift gender norms towards greater equity are a potential strategy to support high levels of engagement in care for both men and women
The Student Movement Volume 107 Issue 11: Have a Merry Christmas! XOXO, The Student Movement
HUMANS
Coping with Finals, Solana Campbell
Meet Jea Erazo, AUSA Public Relations Officer. Interviewed by: Caryn Cruz
Remembering Sharon Dudgeon, Grace No
Women in STEM: Olivia Joyce, Interviewed by: Gloria Oh
ARTS & ENTERTAINMENT
Football Sunday, Nathaniel Reid, Skylor Stark
Student Picks: Christmas Classics, Ysabelle Fernando
NEWS
AFIA x MLS Christmas Party, Ceiry Flores
Boycotts and Bans at the Qatar World Cup, Hannah Cruse
In Loving Memory of Seth Williams, Gloria Oh
IDEAS
How Do We Address Queer Violence?, Alexander J. Hess
Is Reality Really Real When You Aren\u27t Really Looking?, Alexander Navarro
Reflecting on Christmas Traditions, Rachel Ingram-Clay
The New Era of Book Bans, Elizabeth Getahun
Why is Everyone so Happy During Christmastime?, Kayla-Hope Bruno
PULSE
Bon Appétit and the Threat to Cultural Autonomy, Wambui Karanja
It\u27s OrnaMEANT to be a Wonderful Christmastime, Lexie Dunham
It\u27s the Most Stressful Time of the Year, Reagan McCain
Qatar Controversy: The Shadow Behind the World Cup, Melissa Moore
Reflections on the Semester and Plans for Break, Elizabeth Dovich
LAST WORD
A Student Movement Christmas, The Student Movement Staffhttps://digitalcommons.andrews.edu/sm-107/1010/thumbnail.jp
Predicting the long-term impact of antiretroviral therapy scale-up on population incidence of tuberculosis.
OBJECTIVE: To investigate the impact of antiretroviral therapy (ART) on long-term population-level tuberculosis disease (TB) incidence in sub-Saharan Africa. METHODS: We used a mathematical model to consider the effect of different assumptions about life expectancy and TB risk during long-term ART under alternative scenarios for trends in population HIV incidence and ART coverage. RESULTS: All the scenarios we explored predicted that the widespread introduction of ART would initially reduce population-level TB incidence. However, many modelled scenarios projected a rebound in population-level TB incidence after around 20 years. This rebound was predicted to exceed the TB incidence present before ART scale-up if decreases in HIV incidence during the same period were not sufficiently rapid or if the protective effect of ART on TB was not sustained. Nevertheless, most scenarios predicted a reduction in the cumulative TB incidence when accompanied by a relative decline in HIV incidence of more than 10% each year. CONCLUSIONS: Despite short-term benefits of ART scale-up on population TB incidence in sub-Saharan Africa, longer-term projections raise the possibility of a rebound in TB incidence. This highlights the importance of sustaining good adherence and immunologic response to ART and, crucially, the need for effective HIV preventive interventions, including early widespread implementation of ART
The Student Movement Volume 106 Issue 14: Climb Every Mountain, Tube Every Hill
HUMANS
Getting to Know AU\u27s New Photography Professor Dan Weber. Interviewed by Karenna Lee
Interview with BSCF President Khaylee Sands, Interviewed by: Timmy Duado
Military to Music: Interview with Marcus Carter, Interviewed by: Grace No
ARTS & ENTERTAINMENT
Black Entertainers Who Inspire Me, Hannah Cruse
In the Words of AU: Why Black Art is Important, Solana Campbell
Know Your Roots by Marcel Mattox, Interviewed by: Kaela McFadden
NEWS
Embracing the New Normal, Jenae Rogers
Mask Off: Andrews University Updates Covid-19 Guidelines, Abigail Lee
Panic: Understanding the War Over Ukraine, Chris Ngugi
Winter Storms Flurry Through the Midwest and the South, Nathan Mathieu
IDEAS
Kanye West and Paternal Accountability: Why it Matter, Alyssa Henriquez
Should Joe Biden Cancel Student Debt?
Who Has to Save The World?, Qualyn Robinson
PULSE
Cardinals vs. Golden Eagles: A Few Last Flights at the Season\u27s End, Alannah Tjhatra
Fun Weekend Winter Activities, Shania Watts
Thoughts on the Beijing 2022 Winter Olympics, Kaela McFadden
THE LAST WORD
Please Lamson Hall, Can I Have Some More?, Abigail Leehttps://digitalcommons.andrews.edu/sm-106/1013/thumbnail.jp
The Student Movement Volume 16 Issue 19: Strut to the Beat of Your Own Drum: AUnited Serves Diversity Through Style
HUMANS
Honors Research Scholar: Jessica Rim, Interviewed by: Lauren Kim
Senior Spotlight: Matthew Shelton, Interviewed by: Timmy Duado
Student Movement Editor-in-Chief Candidate: Alannah Tjhatra, Interviewed by: Karenna Lee
ARTS & ENTERTAINMENT
AU\u27s New Community Art Classes, Megan Napod
Son of Man, I Have Made Thee a Watchman : An Update on The Watchmen Acapella, Interviewed by: Steven Injety
The AUnited Fashion Show, Solana Campbell
NEWS
Spring Graduation Schedule 2022, From the President\u27s Office and the Graduation Committee
Statement from Vice President Faehner on Instagram Harassment, Abigail Lee, Francis Faehner, and Alyssa Palmer
Sexual Assault Awareness Month: Take Back the Night , Andrew Pak
IDEAS
How To: Get Rid of that One Friend that Always Drops By at the Worst Moments, Gabriela Francisco
Money, Unionization, and Assumption, Yoel Kim
Should Kids Be Raised With Minimal Technology?, Elizabeth Getahun
The Anonymous Elephant in the Room, Abigail Lee
PULSE
Infusion Vespers 2022, Wambui Karanja
Other User, Anonymous
What We Want, What We Need: Student\u27s Hopes for AUSA, Alannah Tjhatra
THE LAST WORD
Engagement Above All, Kurt Kuhlmanhttps://digitalcommons.andrews.edu/sm-106/1018/thumbnail.jp
The Student Movement Volume 106 Issue 15: AU Theatre Wing Presents Pride and Prejudice
HUMANS
Matchmaking by SASA - Details on the New Club Event!, Interviewed by: Irina Gagiu
Meeting AU\u27s New Librarian, Katherine Van Arsdale Bell, Interviewed by: Grace No
My Future Plans: Hannah Castillo, Interviewed by: Lauren Kim
ARTS & ENTERTAINMENT
Creative Spotlight: Students of the AU Theatre Wing, Interviewed by: Megan Napod
New Artist Releases: Evin Nazya-Musgrove, Eli Wilson, & Jonathan Lutterodt, Solana Compbell
The One Inch Barrier, Steven Injety
NEWS
Herbert Blomstedt Comes to Andrews University, Abigail Lee
It\u27s for the Effect: A Student Response, Chris Ngugi
Worship Concert, Healing Together , Andrew Pak
IDEAS
Are Attention Spans Decreasing?, Elizabeth Getahun
Do I Have to Be a Parent?, Angelina Nesmith
Naming the Familiar: Emotions, Experiences, & our Insufficient Language, Alexander Navarro
PULSE
Checking Out Rate My Professors , Gloria Oh
Dorm Policies, Alannah Tjhatra
Lessons I\u27ve Learned on My Year Abroad, Terika Williams
THE LAST WORD
A Friend, Taylor Uphushttps://digitalcommons.andrews.edu/sm-106/1014/thumbnail.jp
The Student Movement Volume 106 Issue 10: Let\u27s Get This Gingerbread: AU Celebrates the Christmas Season
HUMANS
Christmas with President Luxton - Memories, Traditions, & Favorites!, Interviewed by: Irina Gagiu
My Christmas Wish..., Interviewed by: Grace No
Semester Reflections with Ian Freed, Interviewed by: Timmy Duado
ARTS & ENTERTAINMENT
AU\u27s Christmas Playlist, Solana Campbell
Creative Spotlight, Kayla Bruno (junior, psychology), Interviewed by: Megan Napod
The Conundrum of Christmas Movies, Hannah Cruse
NEWS
A Very Merry Makarios Christmas Party, Nathan Mathieu
Andrews Wind Symphony: Joy to the Season, Andrew Pak
Winter Break Is Almost Here: Now What?
IDEAS
Master Your Sleep to Master Your Finals!, Robert Zhang
Pollution and Progress: The Nuclear Dilemma
Should We Lie To Kids About Santa?, Elizabeth Getahun
PULSE
A Yearly Theme Instead, T Bruggeman
AUSA Christmas Light-Up, Karenna Lee
Christmas Gift Ideas, Gloria Oh
THE LAST WORD
The Positives of a Global Pandemic, Alyssa Henriquezhttps://digitalcommons.andrews.edu/sm-106/1009/thumbnail.jp
The Student Movement Volume 107 Issue 1: We\u27re Back: Andrews Begins First Post-Covid School Year
HUMANS
Interview of NEST performer: Sandrine Adap, Interviewed by: Nora Martin
Meet Helena Hilton!, Interviewed by: Nora Martin
Meet Aya Pagunsan, AUSA President, Interviewed by: Lauren Kim
ARTS & ENTERTAINMENT
Currently..., Solana Campbell
Film and a Fling, Jonathon Woolford-Hunt
Fleabag: Simply Human, Lily Rodriguez
Summer Rewind, Ysabelle Fernando
NEWS
Andy\u27s Welcome Back Party, Gloria Oh
News Analysis: Gun Violence in Cities, Julia Randall
What\u27s New? Genesis Fellowship, Lauren Butler
IDEAS
Bring Balance to the Forest, Alexander Navaro
In Rebuttal of Andrew Tate, Elizabeth Getahun
Student Loan Forgiveness, Gabriela Francisco
The Death of Her Majesty Queen Elizabeth II: The Right to Mourn (and Not), Alexander J. Hess
PULSE
Campus Life After Covid-19: A Newfound Freedom, Amelia Stefanescu
Environmental Fridays Begins a New Season, Princella Tobias
Freshmen Advice, Gloria Oh
What to Eat in a Small Town, Lexie Dunhamhttps://digitalcommons.andrews.edu/sm-107/1000/thumbnail.jp
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