Socio-demographic, economic and behavioral determinants of loss to follow-up status among human immunodeficiency virus-infected patients in southern Benin in 2020

Authors

  • Charles Sossa-Jerome Department of Health Promotion, Regional Institute of Public Health, University of Abomey-Calavi, Ouidah, Benin https://orcid.org/0000-0001-5886-2875
  • Lamidhi Salami Department of Health Policy and Systems, Regional Institute of Public Health, University of Abomey-Calavi, Ouidah, Benin https://orcid.org/0000-0002-3261-3173
  • Rebecca Adjaffon Department of Health Promotion, Regional Institute of Public Health, University of Abomey-Calavi, Ouidah, Benin
  • Moussiliou N. Paraiso Department of Health Promotion, Regional Institute of Public Health, University of Abomey-Calavi, Ouidah, Benin

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20233828

Keywords:

Loss to follow-up, A factors, HIV, Benin, ARV treatment, Determinants

Abstract

Background: The recurrence of cases lost to follow-up constitutes a major concern for human immunodeficiency virus (HIV) care programs, particularly in Africa. The present study was carried out to determine the economic and socio-behavioral factors associated with the status of loss to follow-up among HIV-infected patients followed at the Suru Lere Zonal Teaching Hospital Center in Benin.

Methods: This was a case-control study carried out with 41 cases selected for convenience and 82 controls retained according to a reasoned choice. Matching was done on the variables age (±5 years), sex and year of initiation of treatment. The data collected using questionnaires and counting sheets then entered using the Epi data 3.1 software were analyzed using the STATA 11 software. A multiple conditional logistic regression model at the 5% threshold was used to determine factors associated with “lost to follow-up” status.

Results: In the sample, the average age of the people surveyed was 41±9 years for both cases and controls and women were predominantly represented (63.41%). The factors associated with the status of loss to follow-up were the non-existence of a means of transport (p=0.008), the lack of nutritional support (p=0.01), incorrect knowledge about antiretroviral treatment such as “ARVs cure HIV/AIDS” (p=0.002) or “treatment can be stopped when you feel better” (p=0.014).

Conclusions: This study revealed the significant association of “lost to follow-up” status with socio-demographic, economic and behavioral factors among people on ARV treatment. These results will lead to better guide the care of these patients and improve the performance of the AIDS control program.

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Published

2023-12-08

How to Cite

Sossa-Jerome, C., Salami, L., Adjaffon, R., & Paraiso, M. N. (2023). Socio-demographic, economic and behavioral determinants of loss to follow-up status among human immunodeficiency virus-infected patients in southern Benin in 2020. International Journal Of Community Medicine And Public Health, 11(1), 1–10. https://doi.org/10.18203/2394-6040.ijcmph20233828

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Original Research Articles