Factors determining irregular attendance to follow-up visits among human immunodeficiency virus patients

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Subtitle: Results of the hospital survey of patients infected with human immunodeficiency virus
Author list: Diaz A, Ten A, Marcos H, Gutierrez G, Gonzalez-Garcia J, Moreno S, Barrios AM, Arponeni S, Portillo A, Serrano R, Garcia MT, Perez JL, Toledo J, Royo MC, Gonzalez G, Izquierdo A, Viloria LJ, Lopez I, Elizalde L, Martinez E, Castrillejo D, Aranguren R, Redondo C, Diez M
Publisher: Elsevier España (Elsevier Doyma)
Publication year: 2015
Volume number: 33
Issue number: 5
Start page: 324
End page: 330
Number of pages: 7
ISSN: 0213-005X
Languages: English-Great Britain (EN-GB)


Abstract

Introduction: To describe the occurrence of non-regular attendance to follow-up visits among HIV patients and to analyze the determining factors.Methods: One-day survey carried out annually (2002-2012) in public hospitals. Epidemiological, clinical and behavioral data are collected in all HIV-infected inpatients and outpatients receiving HIV-related care on the day of the survey. Non-regular attendance to a follow-up visit was defined as sporadic attendance to the medical appointments, according to the judgment of the attending physician. Descriptive and bivariate analyses were performed, and factors associated to non-regular attendance to follow-up visits were estimated using logistic regression.Results: A total of 7,304 subjects were included, of whom 13.7% did not attend medical appointments regularly. Factors directly associated with non-regular attendance were: age between 25-49 years; birth in Sub-Saharan Africa or Latin-America; low educational level; being homeless or in prison; living alone or in closed institutions; being unemployed or retired; being an intravenous drug user; not using a condom at last sexual encounter, and injecting drugs in the last 30 days. Conversely, HIV diagnosis within the last year and being men who have sex with men were factors inversely associated with non-regular attendance to follow-up visits.Conclusion: In spite of health care beings free of charge for everyone in Spain, social factors can act as barriers to regular attendance to medical appointments, which, in turn, can endanger treatment effectiveness in some population groups. This should be taken into account when planning HIV policies in Spain. (C) 2014 Elsevier Espana, S.L.U. and Sociedad Espanola de Enfermedades Infecciosas y Microbiologia Clinica. All rights reserved.


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Last updated on 2019-23-08 at 11:15