Table 2. Linkage to and retention in HIV care, and determinant factors on health care uptake among respondents, and by risk group.
Risk group | |||||||
---|---|---|---|---|---|---|---|
Total | MSM | Wariaa | |||||
Variable | N | % | n | % | n | % | p-value |
Total | 298 | 100 | 165 | 55.4 | 133 | 44.6 | |
Linkage to HIV care | |||||||
≤ 3 months after diagnosis | 234 | 78.5 | 132 | 80.0 | 102 | 76.7 | 0.152 |
4–6 months after diagnosis | 7 | 2.3 | 1 | 0.6 | 6 | 4.5 | |
> 6 months after diagnosis | 30 | 10.1 | 18 | 10.9 | 12 | 9.0 | |
Had not yet visited | 27 | 9.1 | 14 | 8.5 | 13 | 9.8 | |
Retention in HIV care | |||||||
Adequate | 198 | 66.4 | 120 | 72.7 | 78 | 58.7 | 0.010 |
Inadequate | 100 | 33.6 | 45 | 27.3 | 55 | 41.3 | |
Predisposing factors | |||||||
Time of diagnosis | |||||||
≤ 12 months prior | 96 | 32.2 | 63 | 38.2 | 33 | 24.8 | 0.014 |
> 12 months prior | 202 | 67.8 | 102 | 61.8 | 100 | 75.2 | |
Had any health problemb | 19 | 6.4 | 11 | 6.7 | 8 | 6.0 | 0.819 |
Ever diagnosed with TB | 97 | 32.6 | 31 | 18.8 | 66 | 49.6 | <0.001 |
Alcohol drinkingc | 70 | 23.5 | 15 | 9.1 | 78 | 58.7 | <0.001 |
Illicit drug used | 54 | 18.1 | 20 | 12.1 | 34 | 25.6 | 0.003 |
Smokingc | 147 | 49.3 | 55 | 33.3 | 92 | 69.2 | <0.001 |
Had unprotected sexb | 69 | 23.2 | 34 | 20.6 | 35 | 26.3 | 0.245 |
HIV-treatment literacy, mean (SD) | 18.1 | (5.29) | 19.25 | (4.45) | 16.74 | (5.90) | <0.001 |
Enabling factors | |||||||
Having medical insurance | 74 | 24.8 | 31 | 18.8 | 43 | 32.3 | 0.007 |
Connected with HIV-related organizatione | 120 | 40.3 | 56 | 33.9 | 64 | 48.1 | 0.013 |
Mobile-phone use | 286 | 96 | 164 | 99.4 | 122 | 91.7 | 0.001 |
SMS use | 283 | 99 | 162 | 98.8 | 121 | 99.2 | 0.743 |
Searched HIV information on internet | 168 | 56.4 | 134 | 81.2 | 34 | 25.6 | 0.001 |
Internet use (hours)f, median | 4 | - | 11 | - | 0 | - | <0.001 |
Reinforcing factors | |||||||
Has been on ART | 168 | 56.4 | 84 | 50.9 | 84 | 63.2 | 0.034 |
Having a partner who knows their HIV status | 29 | 9.7 | 19 | 11.5 | 10 | 7.5 | 0.247 |
Disclosed HIV status externally | 137 | 46 | 65 | 39.4 | 72 | 54.1 | 0.011 |
Experienced stigma & discriminationg | 60 | 20.1 | 16 | 9.7 | 44 | 33.1 | 0.001 |
Social support, mean (SD) | 3.41 | (0.67) | 3.22 | (0.77) | 3.64 | (0.42) | <0.001 |
Note: P-values were derived from Chi-Square test for categorical variables, and independent t-tests or Mann-Whitney U test for continuous variables; SD = standard deviation; TB: tuberculosis; ART: antiretroviral therapy;
aWaria = Indonesian term for transwomen;
bIn the past six months;
cAt present;
dIn lifetime;
eMember of/affiliated with;
fIn the past week;
gIn the past year.