Risk and protective factors for retention in HIV care.

Risk and protective factors for retention in HIV care.
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DOI:
10.1007/s10461-013-0633-7
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发表时间:
2014-08
期刊:
影响因子:
4.4
通讯作者:
Jones, Deborah L.
Jones, Deborah L.
中科院分区:
医学2区
文献类型:
--
作者:
Waldrop-Valverde, Drenna;Guo, Ying;Ownby, Raymond L.;Rodriguez, Allan;Jones, Deborah L.

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保持对艾滋病毒的护理对于有效的疾病管理至关重要;然而,对坚持定期艾滋病毒护理可能带来风险或保护的因素了解较少。这项研究测试了艾滋病毒相关的认知障碍(CI)和低健康素养是否会降低对常规艾滋病毒医疗和抽血检查的依从性,以及社会支持和患者-提供者关系是否具有保护作用。参与者是210名参加门诊治疗的HIV感染者,随访28周。结果表明,那些参加>75%的静脉切开术访问的人更有可能被病毒抑制。健康素养与坚持医疗或抽血访问无关。CI与医疗或静脉切开术访视依从性没有直接关系;然而,CI和更多使用社会支持的患者不太可能错过医疗访视。利用社会支持可能是一种有效的手段,管理访问的坚持,特别是在CI患者。
Retention in care for HIV is essential for effective disease management; however, factors that may confer risk or protection for adherence to regular HIV care are less well understood. This study tested whether HIV-associated cognitive impairment (CI) and low health literacy reduced adherence to routine HIV medical and phlebotomy visits and if social support and patient-provider relationship conferred a protective effect. Participants were 210 HIV-infected patients enrolled in outpatient care and followed for 28-weeks. Results showed that those attending >75% of phlebotomy visits were more likely to be virally suppressed. Health literacy was unassociated with adherence to medical or phlebotomy visits. CI was not directly related to medical or phlebotomy visit adherence; however those with CI and greater use of social support were less likely to miss medical visits. Utilizing social support may be an effective means of managing visit adherence, especially among patients with CI.
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