HIV Linkage to Care and Retention in Care Rate Among MSM in Guangzhou, China

AIDS Behav. 2018 Mar;22(3):701-710. doi: 10.1007/s10461-017-1893-4.


Quantifying HIV service provision along the HIV care continuum is increasingly important for monitoring and evaluating HIV interventions. We examined factors associated with linkage and retention in care longitudinally among MSM (n = 1974, 4933 person-years) diagnosed and living in Guangzhou, China, in 2008-2014. We measured longitudinal change of retention in care (≥2 CD4 tests per year) from linkage and antiretroviral therapy initiation (ART). We examined factors associated with linkage using logistic regression and with retention using generalized estimating equations. The rate of linkage to care was 89% in 2014. ART retention rate dropped from 71% (year 1) to 46% (year 2), suggesting that first-year retention measures likely overestimate retention over longer periods. Lower CD4 levels and older age predicted retention in ART care. These data can inform interventions to improve retention about some subgroups.

Keywords: China; HIV care continuum; Linkage to care; MSM; Retention in care.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anti-HIV Agents / therapeutic use*
  • CD4 Lymphocyte Count
  • China / epidemiology
  • Continuity of Patient Care / organization & administration
  • Continuity of Patient Care / statistics & numerical data*
  • Female
  • HIV
  • HIV Infections / drug therapy*
  • HIV Infections / epidemiology
  • Health Services Accessibility
  • Homosexuality, Male / psychology*
  • Homosexuality, Male / statistics & numerical data
  • Humans
  • Logistic Models
  • Male
  • Referral and Consultation / statistics & numerical data*
  • Retention in Care*


  • Anti-HIV Agents