Mugenyi, Levicatus, Hansen, Christian H., Mayaud, Philippe et al. (8 more authors) (2023) Effect of the “universal test and treat” policy on the characteristics of persons registering for HIV care and initiating antiretroviral therapy in Uganda. Frontiers in public health. ISSN 2296-2565
Abstract
We examined the effect of the Universal Test and Treat (UTT) policy on the characteristics of people living with HIV (PLHIV) at enrolment in HIV care and initiation of antiretroviral therapy (ART) in Uganda using data from 11 nationally representative clinics of The AIDS Support Organisation (TASO). We created two retrospective PLHIV cohorts: pre-UTT (2004–2016), where ART initiation was conditional on CD4 cell count and UTT (2017–2022), where ART was initiated regardless of World Health Organisation (WHO) clinical stage or CD4 cell count. We used a two-sample test of proportions and Wilcoxon rank-sum test to compare proportions and medians, respectively, between the cohorts. A total of 244,693 PLHIV were enrolled at the clinics [pre-UTT, 210,251 (85.9%); UTT, 34,442 (14.1%)]. Compared to the pre-UTT cohort, the UTT cohort had higher proportions of PLHIV that were male (p 69 years, never married (p 500 cells/μL (47.3% vs. 13.2%, p
Metadata
Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2023 Mugenyi, Hansen, Mayaud, Seeley, Newton, Nanfuka, Abaasa, Mugisha, Etukoit, Kaleebu and Ruzagira. |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Depositing User: | Pure (York) |
Date Deposited: | 11 Jul 2023 10:10 |
Last Modified: | 06 Dec 2023 15:12 |
Published Version: | https://doi.org/10.3389/fpubh.2023.1187274 |
Status: | Published |
Refereed: | Yes |
Identification Number: | https://doi.org/10.3389/fpubh.2023.1187274 |