Predictors of accessing antiretroviral therapy among XXXX -positive drug users in China's National @entity284 Maintenance Treatment Programme.

@entity1 @entity404 @entity569 @entity645 @entity284
AIMS: The objective of this study was to examine factors that predict antiretroviral therapy (ART) access among eligible, @entity645 -positive @entity284 maintenance treatment ( @entity569 ) clients. We also tested the hypothesis that sustained @entity569 participation increases the likelihood of accessing ART. DESIGN: A nation-wide cohort study conducted from 1 March 2004 to 31 December 2011. SETTING: @entity569 clients were followed from the time of their enrolment in China's national @entity569 programme until their death or the study end date. @entity1 : Our cohort comprised 7111 ART-eligible, @entity645 -positive @entity569 clients, 49.2% of whom remained ART-naive and 50.8% of whom received ART. MEASUREMENTS: Demographic variables, drug use history, @entity569 programme participation and @entity645 -related clinical characteristics of study @entity1 who remained naive to ART and those who accessed ART were compared by univariate and multivariable analysis. FINDINGS: Predictors of accessing ART among this cohort included being retained in @entity569 at the time of first meeting ART eligibility [adjusted odds ratio (AOR)   =   1.84, confidence interval (CI)   =   1.54-2.21, P   <   0.001] compared to meeting ART eligibility before entering @entity569 (AOR   =   0.98, CI   =   0.80-1.21, P   =   0.849) or previously entering @entity569 and dropping out before meeting ART eligibility. Additional predictors were @entity404  <=200 cells/ l when ART-eligibility requirement was first met (AOR   =   1.81, CI   =   1.61-2.05, P   <   0.001 compared to @entity404   =   201-350 cells/ l), and being in a stable partner relationship (married/cohabitating: AOR   =   1.14, CI   =   1.01-1.28, P   =   0.030). CONCLUSIONS: Retained participation in @entity284 maintenance treatment increases the likelihood that eligible clients will access antiretroviral therapy. These results highlight the potential benefit of colocalization of @entity284 maintenance treatment and antiretroviral therapy services in a 'one-stop-shop' model.
