Built Environment and HIV Linkage to Care in Rural South Africa
| dc.contributor.author | Nosipho Shangase | |
| dc.contributor.author | Brian Pence | |
| dc.contributor.author | Sheri A. Lippman | |
| dc.contributor.author | Mi-Suk Kang Dufour | |
| dc.contributor.author | Chodziwadziwa Whiteson Kabudula | |
| dc.contributor.author | F. Xavier Gomez-Olive | |
| dc.contributor.author | Kathleen Kahn | |
| dc.contributor.author | Audrey Pettifor | |
| dc.date.accessioned | 2024-03-04T10:01:17Z | |
| dc.date.available | 2024-03-04T10:01:17Z | |
| dc.date.issued | 2023-01 | |
| dc.description.abstract | Background: We assessed built environment (residential density, landuse mix and aesthetics) and HIV linkage to care (LTC) among 1,681 (18–49 years-old) residents of 15 Mpumalanga villages, South Africa. Methods: Multilevel models (linear-binomial) were used for the association between built environment, measured using NEWS for Africa, and LTC from a clinical database of 9 facilities (2015–2018). Additionally, we assessed effect-measure modification by universal test-and-treat policy (UTT). Results: We observed, a significant association in the adjusted 3-month probability of LTC for residential density (risk difference (RD)%: 5.6, 95%CI: 1.2–10.1), however, no association for land-use mix (RD%: 2.4, 95%CI: 0.4, 5.2) and aesthetics (RD%: 1.2, 95% CI: 4.5–2.2). Among those diagnosed after UTT, residents of high land-use villages were more likely to link-to-care than those of low land-use villages at 12 months (RD%: 4.6, 95%CI: 1.1–8.1, p < 0.04), however, not at 3 months (RD%: 3.0, 95%CI: 2.1–8.0, p > 0.10). Conclusion: Findings suggest, better built environment conditions (adequate infrastructure, proximity to services etc.) help facilitate LTC. Moreover, UTT appears to have a protective effect on LTC. | |
| dc.description.librarian | PM2023 | |
| dc.faculty | Faculty of Health Sciences | |
| dc.identifier.uri | https://hdl.handle.net/10539/37746 | |
| dc.language.iso | en | |
| dc.school | Public Health | |
| dc.subject | HIV linkage to care, Agincourt Health and Demographic Surveillance System, built environment, universal test and treat, South Africa | |
| dc.title | Built Environment and HIV Linkage to Care in Rural South Africa | |
| dc.type | Article |