Factors Associated with Improved HIV/AIDS Treatment Outcomes: Comparing two Major ART Service Delivery Models in Vietnam
Autor: | Carl A. Latkin, Long Hoang Nguyen, Quang Nhat Nguyen, Bach Xuan Tran, Cuong Tat Nguyen, Nu Thi Truong, Huyen Phuc Do |
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Rok vydání: | 2019 |
Předmět: |
Adult
Counseling Male medicine.medical_specialty Multivariate statistics Alcohol Drinking Social Psychology Anti-HIV Agents Service delivery framework Treatment outcome HIV Infections 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Health care medicine Humans Longitudinal Studies 030212 general & internal medicine Aged Retrospective Studies 030505 public health Primary Health Care Delivery of Health Care Integrated business.industry Medical record Public health Smoking Public Health Environmental and Occupational Health Middle Aged medicine.disease CD4 Lymphocyte Count Health psychology Cross-Sectional Studies Treatment Outcome Infectious Diseases Vietnam Family medicine Female 0305 other medical science business |
Zdroj: | AIDS and Behavior. 23:2840-2848 |
ISSN: | 1573-3254 1090-7165 |
Popis: | A mixed design approach was performed to assess the CD4 count levels over time and their associated factors among 362 HIV patients on ART from clinics with HIV testing and counseling (ART-HTC) services and those with general healthcare (ART-GH) services. Longitudinal CD4 count data were retrospectively collected from medical records. Sociodemographic, clinical, alcohol use and smoking characteristics were obtained via face-to-face interviews. Multivariate mixed effect linear regression was utilized to determine the association. We found that HIV patients at ART-GH clinics were more likely to achieve higher CD4 counts over time compared to patients at ART-HTC clinics. Additionally, having an increase in CD4 counts was found to be associated with having longer duration of ART and higher baseline CD4 levels. Cigarette smoking and hazardous alcohol use, however, were not associated with CD4 count improvement. Our findings suggest that combining HTC and GH services might provide a synergistic benefit in ART treatment outcomes through an improved access to comprehensive HIV healthcare services for HIV patients on therapy. |
Databáze: | OpenAIRE |
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