The Effect of Initial Patient Experiences and Life Stressors on Predicting Lost to Follow-Up in Patients New to an HIV Clinic.
The Effect of Initial Patient Experiences and Life Stressors on Predicting Lost to Follow-Up in Patients New to an HIV Clinic.
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DOI：
10.1007/s10461-021-03539-8
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发表时间：
2022-06
影响因子：
4.4
通讯作者：
Dang, Bich N.
中科院分区：
文献类型：
--
作者：
Guajardo, Emmanuel;Giordano, Thomas P.;Westbrook, Robert A.;Black, William C.;Njue-Marendes, Sarah;Dang, Bich N.
我们对德克萨斯州休斯敦的一家HIV诊所的450名新患者进行了前瞻性队列研究，以检验生活应激源和初始护理经历在预测失去第一年护理随访中的作用。患者在首次就诊后完成了一项自我管理的调查。在Logistic回归模型中，首次就诊时报告与艾滋病病毒提供者有较好体验的患者在6个月(AOR=0.866，p=0.038)和12个月(AOR=0.825，p=0.008)时失去随访的可能性较小。压力生活事件负担越大的患者在6个月(AOR=1.232，p=0.037)和12个月(AOR=1.263，p=0.029)时失去随访的可能性更大。首次就诊时对患者经历和生活压力源的评估有可能预测患者有退出护理的风险。
We conducted a prospective cohort study of 450 patients new to an HIV clinic in Houston, TX, to examine the roles of life stressors and initial care experiences in predicting being lost to follow-up in the first year of care. Patients completed a self-administered survey following their initial provider visit. In logistic regression models, patients who reported better experiences with the HIV provider at the first visit were less likely to be lost to follow-up at 6 months (aOR = 0.866, p = 0.038) and 12 months (aOR = 0.825, p = 0.008). Patients with a higher burden of stressful life events were more likely to be lost to follow-up at 6 months (aOR = 1.232, p = 0.037) and 12 months (aOR = 1.263, p = 0.029). Assessments of patient experience and life stressors at the initial visit have potential to predict patients at risk of dropping out of care.
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