The influence of the patients’ educational levels on socioeconomic, clinical, immunological and virological endpoints

Collazos, Julio; Asensi, Vı́ctor; Cartón, José A.; Ibarra, Sofía

doi:10.1080/09540120802270300

Cited by 17 publications

(21 citation statements)

References 35 publications

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“…This finding may reflect the fact that older adults with HIV, if not suffering from cognitive impairments, have been shown to be more adherent to medication regimens (Hinkin et al, 2004). It was also observed that the older patients were more likely to show up for medical appointments--a factor associated with improved virologic outcomes in other studies (Collazos, Asensi, Carton, & Ibarra, 2009;Giordano et al, 2003). Older adults also had comparable CD41 T lymphocyte count values.…”

Section: Discussionmentioning

confidence: 70%

Aging With HIV: A Cross-Sectional Study of Comorbidity Prevalence and Clinical Characteristics Across Decades of Life

Vance¹,

Mugavero²,

Willig³

et al. 2011

Journal of the Association of Nurses in AIDS Care

183

160

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Nurses and nurse practitioners require information on the health problems faced by aging HIV-infected adults. In this descriptive, cross-sectional study, we reviewed the electronic medical records of 1,478 adult patients seen in an HIV clinic between May 2006 and August 2007 to examine patterns of comorbidities, and immunological and clinical characteristics across each decade of life. With increasing age, patients were found to have lower HIV viral loads, more prescribed medications, and a higher prevalence of comorbid conditions, including coronary artery disease, hypertension, hypercholesterolemia, hypogonadism, erectile dysfunction, diabetes, peripheral neuropathy, hepatitis C, esophageal gastric reflux disease, and renal disease. Fortunately, with increasing age, patients were also more likely to have public or private health insurance and tended to be more compliant to medical appointments. With growing interest in aging with HIV, this study highlights the vastly different comorbidity profiles across decades of life, calling into question what constitutes "older" with HIV.

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Section: Discussionmentioning

confidence: 70%

Aging With HIV: A Cross-Sectional Study of Comorbidity Prevalence and Clinical Characteristics Across Decades of Life

Vance¹,

Mugavero²,

Willig³

et al. 2011

Journal of the Association of Nurses in AIDS Care

183

160

View full text Add to dashboard Cite

show abstract

“…An examination of patient scheduling may explain why patients with a higher level of education were more likely to default for one visit but not multiple appointments (Collazos, Asensi, Carton, & Ibarra, 2009; Lacy, Paulman, & Reuter, 2004). …”

Section: Discussionmentioning

confidence: 99%

The relationship between adherence to clinic appointments and year-one mortality for newly enrolled HIV infected patients at a regional referral hospital in Western Kenya, January 2011–December 2012

et al. 2015

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This retrospective cohort analysis was conducted to describe the association between adherence to clinic appointments and mortality, one year after enrollment into HIV care. We examined appointment-adherence for newly enrolled patients between January 2011 and December 2012 at a regional referral hospital in western Kenya. The outcomes of interest were patient default, risk factors for repeat default, and year-one risk of death. Of 582 enrolled patients, 258 (44%) were defaulters. GEE revealed that once having been defaulters, patients were significantly more likely to repeatedly default (OR 1.4; 95% CI 1.12–1.77), especially the unemployed (OR 1.43; 95% CI 1.07–1.91), smokers (OR 2.22; 95% CI 1.31–3.76), and those with no known disclosure (OR 2.17; 95% CI 1.42–3.3). Nineteen patients (3%) died during the follow-up period. Cox proportional hazards revealed that the risk of death was significantly higher among defaulters (HR 3.12; 95% CI 1.2–8.0) and increased proportionally to the rate of patient default; HR was 4.05 (95% CI1.38–11.81) and 4.98 (95% CI 1.45–17.09) for a cumulative of 4–60 and ≥60 days elapsed between all scheduled and actual clinic appointment dates, respectively. Risk factors for repeat default suggest a need to deliver targeted adherence programs.

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“…A recent systematic review found that less than one-third of studies had shown a statistically significant association between educational level and adherence 27. On the other hand, some studies that have directly evaluated the virological, clinical and immunological responses to HAART have found lower effectiveness in persons with less education,28 even after adjusting for adherence to treatment;29 therefore, other factors may be implicated.…”

Section: Discussionmentioning

confidence: 99%

Educational level and HIV disease progression before and after the introduction of HAART: a cohort study in 989 HIV seroconverters in Spain

et al. 2011

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The influence of the patients’ educational levels on socioeconomic, clinical, immunological and virological endpoints

Cited by 17 publications

References 35 publications

Aging With HIV: A Cross-Sectional Study of Comorbidity Prevalence and Clinical Characteristics Across Decades of Life

Aging With HIV: A Cross-Sectional Study of Comorbidity Prevalence and Clinical Characteristics Across Decades of Life

The relationship between adherence to clinic appointments and year-one mortality for newly enrolled HIV infected patients at a regional referral hospital in Western Kenya, January 2011–December 2012

Educational level and HIV disease progression before and after the introduction of HAART: a cohort study in 989 HIV seroconverters in Spain

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