Publications by authors named "Michael Macharia"
Article Synopsis
- African men who have sex with men (MSM) experience stigma and barriers to accessing healthcare, particularly in ART adherence.
- The study analyzed ART adherence among 250 HIV-1 positive individuals, finding that 40% of MSM had less than 95% adherence compared to lower rates in heterosexual men (28.6%) and women (11.5%).
- Although MSM gained less weight after starting ART compared to women, their CD4 counts remained similar across groups, indicating a need for more research on adherence challenges specific to MSM.
Background: Acute HIV-1 infection (AHI) may present with symptoms for which urgent healthcare is sought. However, little is known about healthcare seeking around the time of HIV-1 seroconversion in sub-Saharan Africa.
Methods: Review of clinical, counselling, treatment and laboratory records of previously HIV-1 seronegative at-risk adults, followed at monthly or 3-monthly visits, who seroconverted and enrolled in an AHI cohort.