Predictors of Adult Retention in HIV Care: A Systematic Review.
Predictors of Adult Retention in HIV Care: A Systematic Review.
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DOI：
10.1007/s10461-016-1644-y
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发表时间：
2018-03
影响因子：
4.4
通讯作者：
Newton-John TRO
中科院分区：
文献类型：
--
作者：
Bulsara SM;Wainberg ML;Newton-John TRO
进行了系统的文献综述，以确定发达国家和发展中国家艾滋病毒医疗护理中成人保留率低的预测因素。使用MEDLINE（奥维德）、PubMED、EBSCO、SCOPUS和科克伦数据库进行电子检索，以及手动检索。包括1995年至2015年期间出版的英文原创，定量，成人研究。只有那些专注于保留在护理的预测因素进行了报道。在确定的345篇文章中，30篇被纳入后，由两名评分员独立评估。在发达国家，最常被引用的预测不良保留的因素是活性物质的使用和人口因素。在发展中国家，身体健康因素最常与护理保留率低有关。从这次审查的结果表明，主要关注不良保留包括物质使用和身体健康因素。其他心理社会因素，如精神疾病和社会/福利因素，也被认为是相关的。
A systematic literature review was conducted to identify predictors of poor adult retention in HIV medical care in developed and developing countries. An electronic search was conducted with MEDLINE (OVID), PubMED, EBSCO, SCOPUS, and Cochrane databases, as well as manual searches. Original, quantitative, adult studies in English, published between 1995 and 2015 were included. Only those with a focus on predictors of retention in care were reported on. Of the 345 articles identified, thirty were included following an independent assessment by two raters. In developed countries, the most frequently cited predictors of poor retention were active substance use and demographic factors. In developing countries, physical health factors were most frequently associated with poor retention in care. The results from this review suggests primary concerns for poor retention include substance use and physical health factors. Other psychosocial factors, such as psychiatric illness and social/welfare factors, were also found to be relevant.