Faculty Articles
Risk and protective factors for retention in HIV care
Publication Title
AIDS and Behavior
Publisher
Springer Science + Business Media
ISSN
1090-7165
Publication Date
8-1-2014
Abstract
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.
DOI
10.1007/s10461-013-0633-7
Volume
18
Issue
8
First Page
1483
Last Page
1491
Disciplines
Medical Specialties | Medicine and Health Sciences | Osteopathic Medicine and Osteopathy
NSUWorks Citation
Waldrop-Valverde, Drenna; Guo, Ying; Ownby, Raymond L.; Rodriguez, Allan; and Jones, Deborah L., "Risk and protective factors for retention in HIV care" (2014). Faculty Articles. 89.
https://nsuworks.nova.edu/hpd_com_faculty_articles/89
