Retention in Care within 1 Year of Initial HIV Care Visit in a Multisite US Cohort: Who’s In and Who’s Out?
Biannual attendance at medical visits is an established measure of retention in HIV care. We examined factors associated with attending at least 2 clinic visits at least 90 days apart among HIV-infected, antiretroviral therapy (ART)-naive HIV Outpatient Study participants entering care during 2000 t...
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| Veröffentlicht in: | Journal of the International Association of Providers of AIDS Care 2014-05, Vol.13 (3), p.232-241 |
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| container_title | Journal of the International Association of Providers of AIDS Care |
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| creator | Tedaldi, Ellen M. Richardson, James T. Debes, Rachel Young, Benjamin Chmiel, Joan S. Durham, Marcus D. Brooks, John T. Buchacz, Kate |
| description | Biannual attendance at medical visits is an established measure of retention in HIV care. We examined factors associated with attending at least 2 clinic visits at least 90 days apart among HIV-infected, antiretroviral therapy (ART)-naive HIV Outpatient Study participants entering care during 2000 to 2011. Of 1441 patients, 85% were retained in care during the first year of observation. Starting ART during the year was the strongest correlate of retention (adjusted odds ratio [aOR] 6.4, 95% confidence interval [CI] 4.4-9.4). After adjusting for starting ART, publicly insured patients (aOR 0.6, 95% CI 0.4-1.0), and patients with baseline CD4 counts |
| doi_str_mv | 10.1177/2325957413514631 |
| format | Article |
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We examined factors associated with attending at least 2 clinic visits at least 90 days apart among HIV-infected, antiretroviral therapy (ART)-naive HIV Outpatient Study participants entering care during 2000 to 2011. Of 1441 patients, 85% were retained in care during the first year of observation. Starting ART during the year was the strongest correlate of retention (adjusted odds ratio [aOR] 6.4, 95% confidence interval [CI] 4.4-9.4). After adjusting for starting ART, publicly insured patients (aOR 0.6, 95% CI 0.4-1.0), and patients with baseline CD4 counts <200 cells/mm3 (aOR 0.5, 95% CI 0.3-0.9) or missing CD4 counts (aOR 0.3, 95% CI 0.2-0.6) were less likely to be retained in care. Although most patients had recommended biannual care visits, some ART-naive individuals may require additional interventions to remain in care. Promptly initiating ART may facilitate engagement in care.</description><identifier>ISSN: 2325-9574</identifier><identifier>ISSN: 2325-9582</identifier><identifier>EISSN: 2325-9582</identifier><identifier>DOI: 10.1177/2325957413514631</identifier><identifier>PMID: 24493009</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Ambulatory Care Facilities ; Anti-Retroviral Agents - therapeutic use ; CD4 Lymphocyte Count ; Continental Population Groups - statistics & numerical data ; Cross-Sectional Studies ; Female ; HIV Infections - drug therapy ; HIV Infections - epidemiology ; Humans ; Insurance, Health - statistics & numerical data ; Male ; Middle Aged ; Multivariate Analysis ; Patient Acceptance of Health Care - statistics & numerical data ; Patient Compliance ; Prospective Studies ; United States</subject><ispartof>Journal of the International Association of Providers of AIDS Care, 2014-05, Vol.13 (3), p.232-241</ispartof><rights>The Author(s) 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c260t-ab246cca499dd73ce1f0d9332bd5265c168aa77248545f205e7f049f75c41d183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/2325957413514631$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/2325957413514631$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>230,314,776,780,860,881,21947,27832,27903,27904,44924,45312</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1177/2325957413514631?utm_source=summon&utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24493009$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tedaldi, Ellen M.</creatorcontrib><creatorcontrib>Richardson, James T.</creatorcontrib><creatorcontrib>Debes, Rachel</creatorcontrib><creatorcontrib>Young, Benjamin</creatorcontrib><creatorcontrib>Chmiel, Joan S.</creatorcontrib><creatorcontrib>Durham, Marcus D.</creatorcontrib><creatorcontrib>Brooks, John T.</creatorcontrib><creatorcontrib>Buchacz, Kate</creatorcontrib><creatorcontrib>HOPS Investigators</creatorcontrib><creatorcontrib>the HOPS Investigators</creatorcontrib><title>Retention in Care within 1 Year of Initial HIV Care Visit in a Multisite US Cohort: Who’s In and Who’s Out?</title><title>Journal of the International Association of Providers of AIDS Care</title><addtitle>J Int Assoc Provid AIDS Care</addtitle><description>Biannual attendance at medical visits is an established measure of retention in HIV care. We examined factors associated with attending at least 2 clinic visits at least 90 days apart among HIV-infected, antiretroviral therapy (ART)-naive HIV Outpatient Study participants entering care during 2000 to 2011. Of 1441 patients, 85% were retained in care during the first year of observation. Starting ART during the year was the strongest correlate of retention (adjusted odds ratio [aOR] 6.4, 95% confidence interval [CI] 4.4-9.4). After adjusting for starting ART, publicly insured patients (aOR 0.6, 95% CI 0.4-1.0), and patients with baseline CD4 counts <200 cells/mm3 (aOR 0.5, 95% CI 0.3-0.9) or missing CD4 counts (aOR 0.3, 95% CI 0.2-0.6) were less likely to be retained in care. Although most patients had recommended biannual care visits, some ART-naive individuals may require additional interventions to remain in care. Promptly initiating ART may facilitate engagement in care.</description><subject>Adult</subject><subject>Ambulatory Care Facilities</subject><subject>Anti-Retroviral Agents - therapeutic use</subject><subject>CD4 Lymphocyte Count</subject><subject>Continental Population Groups - statistics & numerical data</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - epidemiology</subject><subject>Humans</subject><subject>Insurance, Health - statistics & numerical data</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Patient Compliance</subject><subject>Prospective Studies</subject><subject>United States</subject><issn>2325-9574</issn><issn>2325-9582</issn><issn>2325-9582</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1LAzEQhoMottTePUmOXlbzudm9CFLUFiqC2oKnkGazbWS7qUlW8d-7S2tRwVwyM3nmnckMAKcYXWAsxCWhhOdcMEw5ZinFB6DfhZKcZ-RwbwvWA8MQXlF7MpKiTByDHmEspwjlffD4aKKpo3U1tDUcKW_gh42r1sbwxSgPXQkntY1WVXA8mW-JuQ02dryC900VO8_A2RMcuZXz8QQclaoKZri7B2B2e_M8GifTh7vJ6Hqa6LaNmKgFYanWiuV5UQiqDS5RkVNKFgUnKdc4zZQSgrCMM14SxI0oEctLwTXDBc7oAFxtdTfNYm0K3X7Dq0puvF0r_ymdsvL3S21XcuneJUu5ELQTON8JePfWmBDl2gZtqkrVxjVBYk4oQxwL3qJoi2rvQvCm3JfBSHbbkH-30aac_Wxvn_A9-xZItkBQSyNfXePrdlz_C34BrxOP7Q</recordid><startdate>201405</startdate><enddate>201405</enddate><creator>Tedaldi, Ellen M.</creator><creator>Richardson, James T.</creator><creator>Debes, Rachel</creator><creator>Young, Benjamin</creator><creator>Chmiel, Joan S.</creator><creator>Durham, Marcus D.</creator><creator>Brooks, John T.</creator><creator>Buchacz, Kate</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201405</creationdate><title>Retention in Care within 1 Year of Initial HIV Care Visit in a Multisite US Cohort</title><author>Tedaldi, Ellen M. ; 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We examined factors associated with attending at least 2 clinic visits at least 90 days apart among HIV-infected, antiretroviral therapy (ART)-naive HIV Outpatient Study participants entering care during 2000 to 2011. Of 1441 patients, 85% were retained in care during the first year of observation. Starting ART during the year was the strongest correlate of retention (adjusted odds ratio [aOR] 6.4, 95% confidence interval [CI] 4.4-9.4). After adjusting for starting ART, publicly insured patients (aOR 0.6, 95% CI 0.4-1.0), and patients with baseline CD4 counts <200 cells/mm3 (aOR 0.5, 95% CI 0.3-0.9) or missing CD4 counts (aOR 0.3, 95% CI 0.2-0.6) were less likely to be retained in care. Although most patients had recommended biannual care visits, some ART-naive individuals may require additional interventions to remain in care. Promptly initiating ART may facilitate engagement in care.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>24493009</pmid><doi>10.1177/2325957413514631</doi><tpages>10</tpages></addata></record> |
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| source | Sage Journals GOLD Open Access 2024 |
| subjects | Adult Ambulatory Care Facilities Anti-Retroviral Agents - therapeutic use CD4 Lymphocyte Count Continental Population Groups - statistics & numerical data Cross-Sectional Studies Female HIV Infections - drug therapy HIV Infections - epidemiology Humans Insurance, Health - statistics & numerical data Male Middle Aged Multivariate Analysis Patient Acceptance of Health Care - statistics & numerical data Patient Compliance Prospective Studies United States |
| title | Retention in Care within 1 Year of Initial HIV Care Visit in a Multisite US Cohort: Who’s In and Who’s Out? |
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