Role of education in HIV clinical outcomes in a tuberculosis endemic setting

SOURCE: Journal of the International Association of Providers of AIDS Care (JIAPAC)
OUTPUT TYPE: Journal Article
TITLE AUTHOR(S): G.M.Cohen, L.Wener, S.Gengiah, K.Naidoo
Print: HSRC Library: shelf number 8124
HANDLE: 20.500.11910/2533

If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at


This study evaluated how educational attainment impacts clinical outcomes of HIV-positive patients in Durban, South Africa. The authors conducted a prospective study of 466 adult HIV-positive patients initiating antiretroviral therapy (ART) at an urban TBHIV clinic from October 2004 to June 2007. The level of educational attainment (highest grade completed) was assessed at ART initiation. The authors measured tuberculosis treatment outcomes as well as death, lost to follow-up, viral suppression, and immunologic response at 6, 12, and 24 months after ART initiation. After 24 months of ART initiation, there were 43 deaths; viral suppression and immunologic response were observed in 88% and 83% of the remaining patients, respectively. The authors found no association between level of educational attainment and mortality, loss to follow-up, virologic response, or immunologic response. Similar findings were observed at 6 and 12 months post-ART initiation.