Associations with sub-optimal clinic attendance and reasons for missed appointments among heterosexual women and men living with HIV in London.
Autor: | Howarth, A R, Apea, V, Michie, S, Morris, S, Sachikonye, M, Mercer, C H, Evans, A, Delpech, V C, Sabin, C, Burns, F M |
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Předmět: |
HIV infections & psychology
HIV prevention HETEROSEXUALS HIV infections IMMIGRANTS THERAPEUTICS PSYCHOLOGY of men CONFIDENCE intervals SOCIAL determinants of health ATTITUDE (Psychology) CROSS-sectional method ANTIRETROVIRAL agents EMIGRATION & immigration ACTIVITIES of daily living SOCIAL stigma PATIENTS' attitudes ATTITUDES toward illness PSYCHOSOCIAL factors PSYCHOLOGY of women DESCRIPTIVE statistics DRUGS HEALTH attitudes MEDICAL appointments PATIENT compliance HOUSING ODDS ratio PSYCHOLOGY of HIV-positive persons |
Zdroj: | AIDS & Behavior; Nov2022, Vol. 26 Issue 11, p3620-3629, 10p, 5 Charts |
Abstrakt: | Poor engagement in HIV care is associated with poorer health outcomes and increased mortality. Our survey examined experiential and circumstantial factors associated with clinic attendance among women (n = 250) and men (n = 106) in London with heterosexually-acquired HIV. While no associations were found for women, among men, sub-optimal attendance was associated with insecure immigration status (25.6% vs. 1.8%), unstable housing (32.6% vs. 10.2%) and reported effect of HIV on daily activities (58.7% vs. 40.0%). Among women and men on ART, it was associated with missing doses of ART (OR = 2.96, 95% CI:1.74–5.02), less belief in the necessity of ART (OR = 0.56, 95% CI:0.35–0.90) and more concern about ART (OR = 3.63, 95% CI:1.45–9.09). Not wanting to think about being HIV positive was the top reason for ever missing clinic appointments. It is important to tackle stigma and the underlying social determinants of health to improve HIV prevention, and the health and well-being of people living with HIV. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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