{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:07:52Z","timestamp":1777853272668,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The HIV epidemic continues to be a major public health challenge worldwide, particularly in sub-Saharan African countries such as Ethiopia. Community-based antiretroviral refill groups are emerging as a patient-centered approach, but there is limited evidence. Therefore, this study aimed to assess attrition and predictors in community antiretroviral refill groups among ART users in Eastern Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Institutional-based retrospective cohort study was conducted. Systematic random sampling techniques were used. Data were collected via Kobo Collect and exported to Stata. Statistically significant effects were assumed for a P-value\u2009&lt;\u20090.05 at a confidence interval of 95%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The incidence of attrition in community-based ART refill groups was 6.63 (95% CI: 5.78, 7.48) per 100 person-years. The median duration of months in CAGs from the start till the end of the follow-up period was 9 months (IQR\u2009=\u200924). Thus, recruitment level from health facilities, history of LTFU, and stage IV were statistically significant variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings of this study highlight the importance of improving the use of community antiretroviral groups in care. Healthcare programs can ultimately improve health outcomes for individuals living with HIV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582241273338","type":"journal-article","created":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T19:02:19Z","timestamp":1724266939000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Proportional Hazards Model on Attrition and its Predictors in Community Antiretroviral Refill Groups among ART Users in Eastern Ethiopia"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0455-9460","authenticated-orcid":false,"given":"Lakew","family":"Asmare","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fekade Demeke","family":"Bayou","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mastewal","family":"Arefaynie","sequence":"additional","affiliation":[{"name":"Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asnakew Molla","family":"Mekonen","sequence":"additional","affiliation":[{"name":"Department of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abiyu Abadi","family":"Tareke","sequence":"additional","affiliation":[{"name":"Amref health in Africa, COVID-219 vaccine\/EPI Technical Assistant at West Gondar Zonal Health Department, Gondar, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Awoke","family":"Keleb","sequence":"additional","affiliation":[{"name":"Department of Environmental Health College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaleab Mesfin","family":"Abera","sequence":"additional","affiliation":[{"name":"Department of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natnael","family":"Kebede","sequence":"additional","affiliation":[{"name":"Department of Health Promotion, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Endalkachew Mesfin","family":"Gebeyehu","sequence":"additional","affiliation":[{"name":"Department of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aznamariam","family":"Ayres","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yawkal","family":"Tsega","sequence":"additional","affiliation":[{"name":"Department of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abel","family":"Endawkie","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shimels Derso","family":"Kebede","sequence":"additional","affiliation":[{"name":"Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eyob Tilahun","family":"Abeje","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ermias Bekele","family":"Enyew","sequence":"additional","affiliation":[{"name":"Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chala","family":"Daba","sequence":"additional","affiliation":[{"name":"Department of Environmental Health College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,20]]},"reference":[{"key":"bibr1-23259582241273338","volume-title":"Prevalence and associated factors of HIV among family members of index cases on chronic HIV care at west Arsi Zone","author":"Bedaso W","year":"2021"},{"key":"bibr2-23259582241273338","volume-title":"Open Forum Infect Dis","author":"Melak 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