Comparing different measures of retention in outpatient HIV care

Yehia, Baligh R.; Fleishman, John A.; Metlay, Joshua P.; Korthuis, P. Todd; Agwu, Allison L.; Berry, Stephen; Moore, Richard D.; Gebo, Kelly A.

doi:10.1097/qad.0b013e3283528afa

Cited by 102 publications

(109 citation statements)

References 30 publications

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“…First, there are different ways of defining retention and suppression, [38][39][40] and the HRSA HAB measures 25,26 should be compared with these other metrics of retention and suppression to ascertain how robust findings are. Second, our analysis does not take into account the time-varying nature of some behaviors (e.g.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Retention and Viral Suppression Among a Cohort of HIV+ Women of Color

Blank

Fletcher

Verdecias

et al. 2015

AIDS Patient Care and STDs

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Access to sustained HIV medical care is critical to achieving viral suppression. However, a variety of factors may impede or facilitate retention in care or becoming virally suppressed. Though retention and suppression are often treated separately, this study examined both in a cohort of 921 HIV + women of color who participated in eight demonstration programs across the US. For women who met the inclusion criteria, 83% (n = 587) were retained and 73% (n = 357) were virally suppressed. Average age of women retained was 40.9, and 41.9 for those virally suppressed. The majority were African American/Black or Hispanic/Latina, single, and had no children less than 18 years of age, had health insurance, a high school degree or higher, were stably housed, and unemployed. Some factors associated with retention in care were indecision about seeking HIV medical care (AOR = 0.42) and having children under the age of 18 (AOR = 0.59). Some factors associated with being virally suppressed were living with others (AOR = 0.58), current substance abuse (AOR = 0.38), and fair/poor health (AOR = 0.40). The findings suggest different processes and social mechanisms may influence retention and viral suppression. Interventions seeking to improve retention in care may require tailored program components and strategies that focus on improving viral suppression.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with Retention and Viral Suppression Among a Cohort of HIV+ Women of Color

Blank

Fletcher

Verdecias

et al. 2015

AIDS Patient Care and STDs

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show abstract

“…The primary outcome was retention in care, defined as having two or more HIV outpatient visits in 2011 with at least 90 days between the first and last visits during the calendar year. 20 Outpatient visits refer to HIV primary care visits made to HIVRN clinics. 16,19 we defined structures of care considered to be youth-friendly a priori and specifically focused on structural components that could exist in both pediatric and adult clinics in order to deconstruct the cultural and environmental differences that are known to exist between these clinical settings.…”

Section: Methodsmentioning

confidence: 99%

The Impact of Youth-Friendly Structures of Care on Retention Among HIV-Infected Youth

Lee

Yehia

Gaur

et al. 2016

AIDS Patient Care and STDs

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Limited data exist on how structures of care impact retention among youth living with HIV (YLHIV). We describe the availability of youth-friendly structures of care within HIV Research Network (HIVRN) clinics and examine their association with retention in HIV care. Data from 680 15-to 24-year-old YLHIV receiving care at 7 adult and 5 pediatric clinics in 2011 were included in the analysis. The primary outcome was retention in care, defined as completing ‡2 primary HIV care visits ‡90 days apart in a 12-month period. Sites were surveyed to assess the availability of clinic structures defined a priori as 'youth-friendly'. Univariate and multivariable logistic regression models assessed structures associated with retention in care. Among 680 YLHIV, 85% were retained. Nearly half (48%) of the 680 YLHIV attended clinics with youth-friendly waiting areas, 36% attended clinics with evening hours, 73% attended clinics with adolescent health-trained providers, 87% could email or text message providers, and 73% could schedule a routine appointment within 2 weeks. Adjusting for demographic and clinical factors, YLHIV were more likely to be retained in care at clinics with a youth-friendly waiting area (AOR 2.47, 95% CI [1.11-5.52]), evening clinic hours (AOR 1.94; 95% CI [1.13-3.33]), and providers with adolescent health training (AOR 1.98; 95% CI [1.01-3.86]). Youth-friendly structures of care impact retention in care among YLHIV. Further investigations are needed to determine how to effectively implement youth-friendly strategies across clinical settings where YLHIV receive care.

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“…[1][2][3] Racial and ethnic disparities are even more pronounced among older Americans, 4 women, 5 and men who have sex with men (MSM). 6,7 In addition to having disproportionately high prevalence, recent analyses have also suggested that among individuals receiving HIV care, African American patients are less likely to be retained in care 8,9 and to achieve viral suppression in response to antiretroviral therapy. [10][11][12] Because they are disproportionately affected by the HIV epidemic, African Americans may derive greater benefit from participation in HIV research.…”

Section: Introductionmentioning

confidence: 99%

Racial/Ethnic Differences in Trust in Health Care: HIV Conspiracy Beliefs and Vaccine Research Participation

et al. 2013

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Comparing different measures of retention in outpatient HIV care

Cited by 102 publications

References 30 publications

Factors Associated with Retention and Viral Suppression Among a Cohort of HIV+ Women of Color

Factors Associated with Retention and Viral Suppression Among a Cohort of HIV+ Women of Color

The Impact of Youth-Friendly Structures of Care on Retention Among HIV-Infected Youth

Racial/Ethnic Differences in Trust in Health Care: HIV Conspiracy Beliefs and Vaccine Research Participation

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