Factors that influence the satisfaction of people living with HIV with differentiated antiretroviral therapy delivery models in East Central Uganda: a cross-sectional study

Baleeta, Keith; Muhwezi, Augustin; Tumwesigye, Nathan; Kintu, Betty Nsangi; Riese, Sara; Byonanebye, Dathan; Mbonye, Martin; Mwehire, Daniel; Iriso, Robert; Ayebazibwe, Bernard; Bailey, Lauren; Lopez, Deborah; McGough, Laura; Etukoit, Michael; Nantamu, Dyogo; Nakitende, Louisa; Tibengana, Baker; Wasswa, Jacob

doi:10.1186/s12913-023-09114-2

Table 3 Multivariate analysis of correlates of patient satisfaction with DSDMs among patients enrolled for at least 12 months

From: Factors that influence the satisfaction of people living with HIV with differentiated antiretroviral therapy delivery models in East Central Uganda: a cross-sectional study

Variable	Category	Patients on DSDM		Bivariate Analysis		Multivariate Analysis
Variable	Category	Total (N = 842)	Satisfied n (%) (N = 541)	Unadjusted (Crude) Prevalence Ratio [95% CI]	p-value	aPR [95% CI]	p-value
DSDM	CCLAD	166	71 (42.8%)	Ref		Ref
	CDDP	530	417 (78.7%)	1.98 [1.65–2.39]	< 0.001^a	1.51 [1.47–1.56]	< 0.001^a
	FTDR	146	53 (36.3%)	1.80 [1.47–2.20]	< 0.001^a	1.47 [1.26–1.71]	< 0.001^a
Gender	Female	588	366 (62.2%)	Ref		Ref
Gender	Male	254	175 (68.9%)	1.10 [1.03–1.16]	0.003^a	1.10 [0.98–1.24]	0.106
Age category	18–29 years	24	12 (50.0%)	Ref
	30–39 years	101	70 (69.3%)	1.20 [0.95–1.53]	0.125
	40–59 years	560	391 (69.8%)	1.13 [0.91–1.41]	0.28
	≥60 years	48	33 (68.8%)	1.10 [0.98–1.23]	0.092
Period in HIV care (Years)	< 10 Years	369	232 (62.9%)	Ref		Ref
Period in HIV care (Years)	≥10 Years	457	296 (64.8%)	0.91 [0.90–0.93]	< 0.001^a	1.00 [0.96–1.03]	0.923
Period in DSDM (Years)	1–2 years	139	46 (33.1%)	Ref		Ref
Period in DSDM (Years)	3+ years	700	494 (70.6%)	1.44 [1.08–1.92]	0.014^a	1.28 [1.11–1.48]	0.001^a
Poor adherence to ART (Last 3 days)	No	732	523 (71.5%)	Ref
Poor adherence to ART (Last 3 days)	Yes	110	18 (16.4%)	0.57 [0.48–0.67]	< 0.001^a	0.33 [0.19–0.56]	< 0.001^a
Baseline WHO stage	Stage 1 or 2	796	532 (66.8%)	Ref		Ref
Baseline WHO stage	Stage 3 or 4	35	7 (20.0%)	0.49 [0.33–0.73]	< 0.001^a	0.36 [0.20–0.64]	< 0.001^a
HIV viral load suppression	Detectable HIV viral load	130	79 (60.8%)	Ref
HIV viral load suppression	Undetectable HIV viral load	666	436 (65.5%)	0.95 [0.82–1.09]	0.857
Employment status	Unemployed	153	50 (32.6%)	Ref		Ref
Employment status	Employed	684	491 (71.8%)	2.00 [1.73–2.31]	< 0.001^a	1.61 [1.38–1.87]	< 0.001^a
Average income/day	< $1.90/ day	720	470 (65.3%)	Ref	Ref
Average income/day	> $1.90/ day	122	71 (58.2%)	1.02 [0.98–1.06]	0.395
Education level	No education	99	66 (66.7%)	Ref
	Primary education	486	324 (66.7%)	1.02 [0.93–1.12]	0.687
	Secondary education	218	129 (59.2%)	1.05 [0.99–1.12]	0.069
	Tertiary education	39	22 (56.4%)	1.02 [0.82–1.29]	0.835
Marital status	Married	499	307 (61.5%)	Ref		Ref
Marital status	Single	114	81 (71.1%)	1.12 [1.07–1.18]	< 0.001^a	1.10 [1.08–1.13]	< 0.001^a
Transport costs to facility	≥5000 UGX ($1.35)	231	106 (45.9%)	Ref	Ref
Transport costs to facility	< 5000 UGX ($1.35)	611	435 (71.2%)	1.39 [1.32–1.46]	< 0.001^a	1.34 [1.17–1.53]	< 0.001^a
Estimated distance to health facility	< 10 KM	318	249 (78.3%)	Ref		Ref
Estimated distance to health facility	≥10KM	130	72 (55.4%)	0.71 [0.66–0.76]	< 0.001^a	0.98 [0.87–1.10]	0.735
Friend/relative at ART point	No	387	206 (53.2%)	Ref	Ref	Ref
Friend/relative at ART point	Yes	455	335 (73.6%)	1.36 [1.24–1.49]	< 0.001^a	1.01 [0.99–1.02]	0.292
Alcohol consumption	Fewer than once a week	745	517 (69.4%)	Ref	Ref
Alcohol consumption	At least once a week	97	24 (24.7%)	0.55 [0.36–0.85]	0.008^a	0.77 [0.63–0.93]	0.008^a

^a significant variables at bivariate and multivariate analysis

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