Retention in HIV Care Among Female Sex Workers in the Dominican Republic: Implications for Research, Policy and Programming

Rose Zulliger, Cathy Maulsby, Clare Barrington, David Holtgrave, Yeycy Donastorg, Martha Perez, Deanna Kerrigan

Research output: Contribution to journalArticle

Abstract

There are clear benefits of retention in HIV care, yet millions of people living with HIV are sub-optimally retained. This study described factors from Andersen’s behavioral model that were associated with retention in HIV care among 268 female sex workers (FSWs) living with HIV in the Dominican Republic using two measures of retention: a 6-month measure of HIV clinic attendance and a measure that combined clinic attendance and missed visits. FSWs who ever attended HIV care reported high rates (92 %) of 6-month attendance, but 37 % reported missed visits. Using the combined retention measure, the odds of being retained in HIV care were higher among FSWs with more positive perceptions of HIV service providers [adjusted odds ratio (AOR) 1.17; 95 % confidence interval (CI) 01.09, 1.25] and lower among women who reported recent alcohol consumption (AOR 0.50; 95 % CI 0.28, 0.92) and self-stigmatizing beliefs related to sex work (AOR 0.93; 95 % CI 0.88, 0.98). These findings support the hypothesis that retention in HIV care may be best determined through a combined measure as missed visits are an important mechanism to identify in-care patients who require additional support.

Original languageEnglish (US)
Pages (from-to)715-722
Number of pages8
JournalAIDS and behavior
Volume19
Issue number4
DOIs
StatePublished - Apr 10 2015

Keywords

  • Antiretroviral therapy
  • Female sex workers
  • HIV/AIDS
  • Measurement
  • Retention

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Fingerprint Dive into the research topics of 'Retention in HIV Care Among Female Sex Workers in the Dominican Republic: Implications for Research, Policy and Programming'. Together they form a unique fingerprint.

  • Cite this