Retention in Care within 1 Year of Initial HIV Care Visit in a Multisite US Cohort: Who’s in and Who’s Out?
Published Date:2014 May-Jun
Source:J Int Assoc Provid AIDS Care. 13(3):232-241.
Corporate Authors:HOPS Investigators
Ambulatory Care Facilities
CD4 Lymphocyte Count
Continental Population Groups
Patient Acceptance Of Health Care
Pubmed Central ID:PMC4657738
Funding:CC999999/Intramural CDC HHS/United States
200-2001-00133/PHS HHS/United States
200-2006-18797/PHS HHS/United States
200-2011-41872/PHS HHS/United States
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/mm(3) (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.
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