Table 2.
Participants perceptions of HIV service factors which may affect initiation of timely treatment
| Controls (achieved TLA) N (%) | Cases (did not achieve TLA) N (%) | Odds ratioa | LRTb p‐value, 95% confidence interval | Adjusted odds ratioc | LRTb p‐value, 95% confidence interval | |
|---|---|---|---|---|---|---|
| CHiP related factors | ||||||
| Was the CHiP previously known to participant (prior to PopART home‐visit) | ||||||
| N | 259 (70) | 253 (76) | 1 | 0.05 | 1 | 0.006 |
| Y | 113 (30) | 80 (24) | 0.70 | 0.48 to 1.01 | 0.58 | 0.39 to 0.86 |
| Did participant have an HIV test with CHiPd | ||||||
| N | 47 (13) | 27 (8) | 1 | 0.05 | 1 | 0.07 |
| Y | 325 (87) | 306 (92) | 1.63 | 0.99 to 2.71 | 1.60 | 0.95 to 2.70 |
| Was the CHiP someone you could talk to openly? | p trend 0.01e | |||||
| Strongly disagree/Disagree | 7 (2) | 14 (4) | 1 | 0.02 | 1 | 0.04 |
| Agree | 66 (18) | 80 (24) | 0.59 | 0.22 to 1.58 | 0.64 | 0.23 to 1.81 |
| Strongly agree | 299 (80) | 239 (72) | 0.37 | 0.14 to 0.97 | 0.41 | 0.15 to 1.13 |
| Factors specifically affecting linkage to care | ||||||
| Time constraints affecting linkage to care | ||||||
| Already in care/time not a constraint for LTC | 289 (78) | 231 (69) | 1 | 0.02 | 1 | 0.02 |
| Time constraints due to livelihood/housework or both | 82 (22) | 102 (31) | 1.62 | 1.14 to 2.30 | 1.64 | 1.14 to 2.38 |
| Among those never previously registered for care prior to CHiP referral (N = 603), did the following affect linkage to care? | ||||||
| “Clinic is only open when I am at work” | ||||||
| N | 262 (85) | 231 (78) | 1 | 0.03 | 1 | 0.02 |
| Y | 46 (15) | 64 (22) | 1.63 | 1.06 to 2.51 | 1.63 | 1.06 to 2.51 |
| “Clinic is too crowded” | ||||||
| N | 181 (59) | 144 (49) | 1 | 0.12 | 1 | 0.006 |
| Y | 127 (41) | 151 (51) | 1.50 | 1.07 to 2.11 | 1.51 | 1.08 to 2.12 |
| “I could not go to the clinic because it is too far away/because of the time it would take to travel there” | ||||||
| N | 299 (97) | 273 (93) | 1 | 0.02 | 1 | 0.03 |
| Y | 9 (3) | 22 (7) | 2.52 | 1.13 to 5.61 | 2.55 | 1.14 to 5.69 |
| “I am not ready to go the clinic for HIV care” | ||||||
| N | 249 (81) | 183 (62) | 1 | <0.001 | 1 | <0.001 |
| Y | 59 (19) | 112 (38) | 2.68 | 1.84 to 3.89 | 2.75 | 1.89 to 4.01 |
| “I will only go if/when I feel sick” | ||||||
| N | 270 (88) | 232 (79) | 1 | 0.003 | 1 | 0.02 |
| Y | 38 (12) | 63 (21) | 1.96 | 1.26 to 3.07 | 2.00 | 1.27 to 3.14 |
Values in italics are p‐values, values in bold (with or without italics) indicate statistically significant values.
A priori adjusted for gender and community to reflect sampling strategy.
Likelihood ratio test.
Multivariable model a priori including gender, community, age category as well as demographic/behavioural factors which were associated with case/control status (i.e. whether CHiP was known to participant prior to PopART to home‐visit, whether HIV status has been disclosed, whether partner is HIV positive and on ART, and lifetime number of sexual partners).
Participants who did not have a test with CHiPs were those who self‐reported known HIV‐positive status, while those who had an HIV test with CHiPs were likely to be previously undiagnosed.
p‐value for test for tend.