e-Article
Assessing the impact of HIV support groups on antiretroviral therapy adherence and viral suppression in the African cohort study
Document Type
Report
Author
Mbah, Prudence; Iroezindu, Michael; Esber, Allahna L.; Dear, Nicole; Reed, Domonique; Adamu, Yakubu; Tiamiyu, Abdulwasiu Bolaji; Mohammed, Samirah Sani; Kibuuka, Hannah; Maswai, Jonah; Owuoth, John; Bahemana, Emmanuel; Ake, Julie A.; Polyak, Christina S.; Crowell, Trevor A.; Bartolanzo, Danielle; Reynolds, Alexus; Song, Katherine; Milazzo, Mark; Francisco, Leilani; Schech, Steven; Omar, Badryah; Mebrahtu, Tsedal; Lee, Elizabeth; Bohince, Kimberly; Parikh, Ajay; Hern, Jaclyn; Duff, Emma; Lombardi, Kara; Imbach, Michelle; Elle, Leigh Anne; Semwogerere, Michael; Naluyima, Prossy; Zziwa, Godfrey; Tindikahwa, Allan; Bagenda, Claire Nakazzi; Mutebe, Hilda; Kafeero, Cate; Baghendaghe, Enos; Lwebuge, William; Ssentogo, Freddie; Birungi, Hellen; Tegamanyi, Josephine; Wangiri, Paul; Nabanoba, Christine; Namulondo, Phiona; Tumusiime, Richard; Musingye, Ezra; Nanteza, Christina; Wandege, Joseph; Waiswa, Michael; Najjuma, Evelyn; Maggaga, Olive; Kenoly, Isaac Kato; Mukanza, Barbara; Millard, Monica; Langat, Rither; Ngeno, Aaron; Korir, Lucy; Langat, Raphael; Opiyo, Francis; Kasembeli, Alex; Ochieng, Christopher; Towett, Japhet; Kimetto, Jane; Omondi, Brighton; Leelgo, Mary; Obonyo, Michael; Rotich, Linner; Tonui, Enock; Chelangat, Ella; Kapkiai, Joan; Wangare, Salome; Kesi, Zeddy Bett; Ngeno, Janet; Langat, Edwin; Labosso, Kennedy; Rotich, Joshua; Cheruiyot, Leonard; Changwony, Enock; Bii, Mike; Chumba, Ezekiel; Ontango, Susan; Gitonga, Danson; Kiprotich, Samuel; Ngtech, Bornes; Engoke, Grace; Metet, Irene; Airo, Alice; Kiptoo, Ignatius; Sing'oei, Valentine; Rehema, Winnie; Otieno, Solomon; Ogari, Celine; Modi, Elkanah; Adimo, Oscar; Okwaro, Charles; Lando, Christine; Onyango, Margaret; Aoko, Iddah; Obambo, Kennedy; Meyo, Joseph; Suja, George; Chittenden, Laura; Azuakola, Nnamdi; Asuquo, Mfreke; Kokogho, Afoke; Okoye, Ifeanyi; Odeyemi, Sunday; Suleiman, Aminu; Umeji, Lawrence C.; Enas, Onome; Ayogu, Miriam; Chigbu-Ukaegbu, Ijeoma; Adai, Wilson; Odo, Felicia Anayochukwu; Abdu, Rabi; Akiga, Roseline; Nwandu, Helen; Okolo, Chisara Sylvestina; Taiwo, Ogundele; Ben, Otene Oche; Eigege, Nicholas Innocent; Musa, Tony Ibrahim; Joseph, Juliet Chibuzor; Okeke, Ndubuisi C.; Parker, Zahra; Harrison, Nkechinyere Elizabeth; Agbaim, Uzoamaka Concilia; Adegbite, Olutunde Ademola; Asogwa, Ugochukwu Linus; Adelakun, Adewale; Ekeocha, Chioma; Idi, Victoria; Eluwa, Rachel; Nwalozie, Jumoke Titilayo; Faith, Igiri; Wilson, Blessing Irekpitan; Elemere, Jacinta; Nnadi, Nkiru; Idowu, Francis Falaju; Rosemary, Ndubuisi; Uzoegwu, Amaka Natalie; Obende, Theresa Owanza; Obilor, Ifeoma Lauretta; Emekaili, Doris; Akinwale, Edward; Ochai, Inalegwu; Maganga, Lucas; Khamadi, Samoel; Njegite, John; Lueer, Connie; Kisinda, Abisai; Mwamwaja, Jaquiline; Mbwayu, Faraja; David, Gloria; Mwaipopo, Mtasi; Gervas, Reginald; Mkondoo, Dorothy; Somi, Nancy; Kiliba, Paschal; Mwalongo, Ephrasia; Mwaisanga, Gwamaka; Msigwa, Johnisius; Mfumbulwa, Hawa; Edwin, Peter; Olomi, Willyhelmina
Source
BMC Infectious Diseases. July 20, 2021, Vol. 21 Issue 1
Subject
Language
English
ISSN
1471-2334
Abstract
Author(s): Prudence Mbah[sup.1,2] , Michael Iroezindu[sup.1,2] , Allahna L. Esber[sup.1,3] , Nicole Dear[sup.1,3] , Domonique Reed[sup.1,3] , Yakubu Adamu[sup.4] , Abdulwasiu Bolaji Tiamiyu[sup.1,2] , Samirah Sani Mohammed[sup.1,2] , Hannah Kibuuka[sup.5] [...]
Background Support groups for people living with HIV (PLWH) may improve HIV care adherence and outcomes. We assessed the impact of support group attendance on antiretroviral therapy (ART) adherence and viral suppression in four African countries. Methods The ongoing African Cohort Study (AFRICOS) enrolls participants at 12 clinics in Kenya, Uganda, Tanzania, and Nigeria. Self-reported attendance of any support group meetings, self-reported ART adherence, and HIV RNA are assessed every 6 months. Logistic regression models with generalized estimating equations were used to estimate adjusted odds ratios (aORs) and 95% confidence intervals (95% CIs) for support group attendance and other factors potentially associated with ART adherence and viral suppression. Results From January 2013 to December 1, 2019, 1959 ART-experienced PLWH were enrolled and 320 (16.3%) reported any support group attendance prior to enrollment. Complete ART adherence, with no missed doses in the last 30 days, was reported by 87.8% while 92.4% had viral suppression Conclusion Support group attendance was not associated with significantly improved ART adherence or viral suppression, although low support group uptake may have limited our ability to detect a statistically significant impact. Keywords: Africa, ART adherence, HIV, Support group, Viral suppression
Background Support groups for people living with HIV (PLWH) may improve HIV care adherence and outcomes. We assessed the impact of support group attendance on antiretroviral therapy (ART) adherence and viral suppression in four African countries. Methods The ongoing African Cohort Study (AFRICOS) enrolls participants at 12 clinics in Kenya, Uganda, Tanzania, and Nigeria. Self-reported attendance of any support group meetings, self-reported ART adherence, and HIV RNA are assessed every 6 months. Logistic regression models with generalized estimating equations were used to estimate adjusted odds ratios (aORs) and 95% confidence intervals (95% CIs) for support group attendance and other factors potentially associated with ART adherence and viral suppression. Results From January 2013 to December 1, 2019, 1959 ART-experienced PLWH were enrolled and 320 (16.3%) reported any support group attendance prior to enrollment. Complete ART adherence, with no missed doses in the last 30 days, was reported by 87.8% while 92.4% had viral suppression Conclusion Support group attendance was not associated with significantly improved ART adherence or viral suppression, although low support group uptake may have limited our ability to detect a statistically significant impact. Keywords: Africa, ART adherence, HIV, Support group, Viral suppression