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Table 2 Psychosocial variables and loss-to-follow up in pre-ART care

From: Factors associated with pre-ART loss-to-follow up in adults in rural KwaZulu-Natal, South Africa: a prospective cohort study

  

Number (% LTFU)a

LTFU rate (per 100 p-y)

Sub Hazard Ratiob(95%CI)

P value of relationship with LTFU

Stigma (α = 0.75)

0–35

57 (35.1)

17.86

1.00

0.59

36–41

54 (33.3)

14.62

0.82 (0.43–1.55)

42–47

64 (37.5)

16.58

0.92 (0.51–1.66)

48+

72 (44.4)

22.80

1.19 (0.67–2.10)

Stigma (continuous)

 

1.00 (0.98–1.03)

0.83

Categories of HIV disclosure

0

34 (47.1)

25.12

1.00

0.52

1

84 (35.7)

17.28

0.73 (0.39–1.34)

2

58 (41.4)

20.43

0.83 (0.44–1.57)

3 +

71 (33.8)

14.51

0.63 (0.34–1.19)

HIV partner disclosure

No

91 (35.2)

17.86

1.00

0.58

Yes

156 (39.7)

18.18

1.13 (0.73–1.74)

Testing reason

Self-initiated: non sickness

79 (34.2)

16.96

1.00

0.82

Self-initiated: sickness

91 (41.8)

19.83

1.17 (0.71–1.92)

Other initiated

77 (37.7)

17.13

1.05 (0.62–1.78)

Changed sexual behaviour

No

78 (42.3)

20.57

1.00

0.42

Yes

169 (36.1)

16.96

0.84 (0.55–1.28)

Knowledge of people on ART

No

44 (45.5)

20.92

1.00

0.41

Yes

203 (36.5)

17.43

0.82 (0.51–1.32)

ART knowledge

Low (> = 21)

57 (40.4)

20.24

1.00

0.44

Mid (22–23)

52 (42.3)

23.12

1.06 (0.59–1.92)

High (24)

138 (35.5)

15.74

0.80 (0.48–1.31)

HIV optimism

No

79 (40.5)

20.85

1.00

0.46

Yes

168 (31.3)

16.91

0.85 (0.55–1.31)

Social support – time with family

< once a month/not at all

20 (35.0)

16.50

1.00

0.61

Once a month

58 (41.4)

18.04

1.12 (0.49–2.57)

At least once a fortnight/several days a week

25 (28.0)

12.20

0.72 (0.26–2.03)

Every day

144 (38.9)

19.49

1.21 (0.55–2.65)

Social support – time with friends

< once a month/not at all

74 (32.4)

14.38

1.00

0.49

At least once a fortnight/Once a month

49 (46.9)

20.62

1.53 (0.87–2.69)

Several days a week

68 (38.2)

19.36

1.32 (0.76–2.30)

Every day

56 (37.5)

19.55

1.40 (0.78–2.51)

Social support – rely on family/friends

A little/not at all

33 (36.4)

17.48

1.00

0.84

A lot

214 (38.3)

18.16

1.06 (0.59–1.93)

Social support – open with friends/family

Not at all

57 (36.8)

15.81

1.00

0.06

A little

93 (31.2)

13.86

0.90 (0.52–1.57)

A lot

97 (45.4)

24.72

1.54 (0.93–2.55)

Social support- confidantc

No

16 (43.8)

20.91

1.00

0.49

Yes

226 (38.1)

18.05

0.74 (0.32–1.72)

Social capital – time with neighbours

< once a month/not at all

65 (43.1)

18.80

1.00

0.88

At least once a fortnight/Once a month

38 (34.2)

15.17

0.78 (0.41–1.49)

Several days a week

61 (37.7)

18.30

0.93 (0.54–1.59)

Every day

83 (36.1)

18.78

1.00 (0.60–1.67)

Social capital – neighbourhood crimed

Common

108 (39.8)

18.85

1.00

0.38

Unusual

87 (33.3)

14.95

0.81 (0.51–1.29)

Rare

49 (42.9)

22.77

1.21(0.72–2.05)

Social capital - group participation

No

197 (41.1)

20.32

1.00

0.07

Yes

50 (26.0)

10.69

0.58 (0.32–1.05)

Social capital – neighbours giving time

No

63 (38.1)

16.42

1.00

0.50

Yes

184 (38.0)

18.72

1.16 (0.75–1.82)

Social capital – neighbours giving money

No

74 (37.8)

15.81

1.00

0.42

Yes

173 (38.2)

19.24

1.19 (0.78–1.82)

Social capital –community working together

Individual/neighbours or traditional leaders or municipal/district leaders taking lead

166 (34.9)

16.57

1.00

0.18

Traditional and local leaders together taking lead

81 (44.4)

21.15

1.32 (0.88–2.00)

Relationship qualitye

Low (0–23)

59 (42.4)

19.01

1.00

0.91

Mid (24–26)

68 (39.7)

19.26

0.95 (0.55–1.65)

High (27–30)

70 (38.6)

18.29

0.89 (0.52–1.52)

Most recent partner age differentialf

Older

186 (36.6)

16.80

1.00

0.40

Same

26 (38.5)

19.87

1.08 (0.55–2.15)

Younger

34 (47.1)

26.21

1.45 (0.85–2.49)

Most recent partner location

In neighbourhood

23 (43.5)

21.42

1.00

0.10

Out of neighbourhood

109 (45.0)

22.22

1.06 (0.54–2.08)

With participant

115 (30.4)

13.84

0.67 (0.33–1.34)

Most recent partner HIV disclosure

No

92 (35.9)

18.15

1.00

0.69

Yes

155 (39.4)

18.03

1.09 (0.71–1.67)

Most recent partner HIV status

Positive

95 (41.1)

18.95

1.00

0.10

Not known

138 (34.1)

16.14

0.78 (0.51–1.19)

Negative

14 (57.1)

34.60

1.78 (0.81–3.90)

  1. a n = 247 unless stated; bCompeting Risks Regression; c n = 242; d n = 244; e n = 197 (for those with a current main partner at enrolment); f n = 246