Table 4.
Characteristics and factors associated with loss to follow-up among HIV-positive Men who have Sex with Men (MSM) in Nigeria. Unadjusted (RH) and adjusted relative hazards (aRH).
| Total | Loss to follow-up
|
aRH (95% CI)* | P | ||||
|---|---|---|---|---|---|---|---|
| N | n | (%) | RH (95%CI) | P | |||
| 187 | 53 | 28.3 | |||||
| Age, years | |||||||
| 16–20 | 24 | 7 | 29.2 | Ref. | |||
| 21–25 | 60 | 20 | 33.3 | 1.21 (0.51, 2.87) | 0.66 | ||
| 26–30 | 68 | 18 | 26.5 | 0.88 (0.37, 2.11) | 0.78 | ||
| 31+ | 29 | 8 | 27.6 | 0.85 (0.31, 2.35) | 0.85 | ||
| Education | |||||||
| Never, <=primary | 21 | 6 | 28.6 | Ref. | |||
| JSS | 11 | 3 | 27.3 | 0.98 (0.24, 3.90) | 0.97 | ||
| SSS | 77 | 23 | 29.9 | 1.04 (0.42, 2.56) | 0.94 | ||
| Higher SSS | 71 | 20 | 28.2 | 0.93 (0.37, 2.31) | 0.87 | ||
| Occupation | |||||||
| Not Working | 48 | 18 | 37.5 | Ref. | |||
| Student | 110 | 28 | 25.5 | 0.66 (0.37, 1.19) | 0.16 | ||
| Working | 23 | 7 | 30.4 | 0.86 (0.36, 2.05) | 0.73 | ||
| Religion | |||||||
| Christian | 129 | 34 | 26.4 | Ref. | Ref. | ||
| Muslim & Other | 56 | 19 | 33.9 | 1.94 (1.10, 3.42) | 0.02 | 1.46 (0.81, 2.63) | 0.21 |
| Marital Status | |||||||
| Married/Cohabiting w/woman | 23 | 8 | 34.8 | Ref. | |||
| Divorces, separated, widowed | 12 | 1 | 8.3 | 0.16 (0.02, 1.29) | 0.09 | ||
| Single, never married | 150 | 44 | 29.3 | 0.68 (0.32, 1.44) | 0.31 | ||
| Sexual Orientation | |||||||
| Gay, Homosexual | 57 | 15 | 26.3 | Ref. | |||
| Bisexual | 128 | 37 | 28.9 | 1.16 (0.64, 2.12) | 0.62 | ||
| Told family MSM Status | |||||||
| No | 145 | 41 | 28.3 | Ref. | |||
| Yes | 35 | 12 | 34.3 | 0.98 (0.51, 1.86) | 0.94 | ||
| Told health care worker MSM Status | |||||||
| No | 111 | 36 | 32.43 | Ref. | Ref. | ||
| Yes | 69 | 17 | 24.64 | 0.58 (0.33, 1.04) | 0.07 | 1.10 (0.57, 2.14) | 0.77 |
| Disclosure of MSM status | |||||||
| None | 98 | 31 | 31.6 | Ref. | |||
| Family only | 12 | 5 | 41.7 | 1.17 (0.45, 3.00) | 0.75 | ||
| Health care worker only | 46 | 10 | 21.7 | 0.55 (0.27, 1.12) | 0.10 | ||
| Both | 23 | 7 | 30.4 | 0.66 (0.29, 1.51) | 0.33 | ||
| HIV Characteristics at Baseline | |||||||
| CD4, cells/uL Binary | |||||||
| <200 | 35 | 10 | 28.6 | Ref. | Ref. | ||
| 200–349 | 67 | 18 | 26.9 | 0.86 (0.40, 1.86) | 0.69 | 0.78 (0.36, 1.72) | 0.54 |
| ≥350 | 81 | 24 | 29.6 | 1.05 (0.50, 2.19) | 0.91 | 0.60 (0.28, 1.31) | 0.20 |
| WHO Stage | |||||||
| 1 | 154 | 46 | 29.9 | Ref. | |||
| 2 | 32 | 6 | 18.8 | 0.45 (0.19, 1.07) | 0.07 | ||
| ART Status during follow-up | |||||||
| Did not engage in TasP | 58 | 33 | 56.9 | Ref. | Ref. | ||
| Engaged in TasP | 70 | 7 | 10.0 | 0.08 (0.04, 0.19) | <0.001 | 0.08 (0.03, 0.19) | <0.001 |
| Already on ART | 58 | 12 | 20.7 | 0.18 (0.09, 0.35) | <0.001 | 0.17 (0.08, 0.35) | <0.001 |
*
model include religion, disclosure of MSM status to health care workers, baseline CD4+ T-lymphocyte counts, and ART status during follow-up.