Non-HIV-related health care utilization, demographic, clinical and laboratory factors associated with time to initial retention in HIV care among HIV-positive individuals linked to HIV care
| Autor: | Viviane D. Lima, Lillian Lourenço, Julio S. G. Montaner, Guillaume Colley, Bohdan Nosyk, Dimitry Shopin, Adriana Nohpal |
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| Rok vydání: | 2015 |
| Předmět: |
0301 basic medicine
Pediatrics medicine.medical_specialty business.industry Health Policy Health care service Hazard ratio Psychological intervention Human immunodeficiency virus (HIV) medicine.disease medicine.disease_cause 030112 virology Confidence interval 3. Good health 03 medical and health sciences 0302 clinical medicine Infectious Diseases Acquired immunodeficiency syndrome (AIDS) Health care Cohort medicine Pharmacology (medical) 030212 general & internal medicine business |
| Zdroj: | HIV Medicine. 17:269-279 |
| ISSN: | 1464-2662 |
| DOI: | 10.1111/hiv.12297 |
| Popis: | Objectives The aim of the study was to explore non-HIV-related health care service (NHRHS) utilization, demographic, clinical and laboratory factors associated with timely initial “retention” in HIV care among individuals “linked” to HIV care in British Columbia (BC), Canada. Methods We conducted a Weibull time-to-initial-retention analysis among BC Seek and Treat for Optimal Prevention of HIV/AIDS (STOP HIV/AIDS) cohort participants linked in 2000–2010, who had ≥ 1 year of follow-up. We defined “linked” as the first HIV-related service accessed following HIV diagnosis and “retained” as having, within a calendar year, either: (i) at least two HIV-related physician visits/diagnostic tests or (ii) at least two antiretroviral therapy (ART) dispensations, ≥ 3 months apart. Individuals were followed until they were retained, died, their last contact date, or until 31 December 2011, whichever occurred first. Results Of 5231 linked individuals (78% male; median age 39: (Q1−Q3: 32–46) years], 4691 (90%) were retained [median time to initial retention of 9 (Q1–Q3: 5–13) months] by the end of follow-up and 540 (10%) were not. Eighty-four per cent of not retained and 96% of retained individuals used at least one type of NHRHS during follow-up. Individuals who saw a specialist for NHRHS during follow-up had a shorter time to initial retention than those who did not [adjusted hazard ratio (aHR) 2.79; 95% confidence interval (CI): 2.47–3.16]. However, those who saw a general practitioner (GP) for NHRHS (aHR 0.79; 95% CI: 0.74–0.84) and those admitted to the hospital for NHRHS (aHR 0.60; 95% CI: 0.54–0.67), versus those who did/were not, respectively, had longer times to initial retention, as did female patients, people who inject drugs (PWID) and individuals |
| Databáze: | OpenAIRE |
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