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Correlates of missed clinic visits among youth living with HIV.
- Source :
- AIDS Care; Aug2018, Vol. 30 Issue 8, p982-989, 8p
- Publication Year :
- 2018
-
Abstract
- Youth living with HIV (YLH) have significant problems with attending their medical appointments. Poor attendance, consequently, predicts viral non-suppression and other negative health outcomes. To identity targets of intervention, this cross-sectional study examined correlates of past-year missed clinic visits among YLH (N = 2125) attending HIV clinics in the United States and Puerto Rico. Thirty-six percent of YLH missed two or more visits in the past year. Several factors were associated with missed visits in our regression model. Among sociodemographic characteristics and HIV disclosure status, females (adjusted odds ratio [OR] = 1.63, compared to males), Black YLH or YLH of mixed racial heritage (AORs = 1.76, 1.71, respectively, compared to White YLH), YLH with an unknown route of infection (AOR = 1.86, compared to YLH with perinatal infection), and YLH endorsing HIV disclosure (AOR = 1.37, compared to YLH not endorsing disclosure) were at greater risk for missed visits. Among behavioral health risks, YLH who endorsed marijuana use (AOR = 1.42), frequent other drug use (AOR = 1.60), or a history of incarceration (AOR = 1.27) had greater odds of missed visits than youth not endorsing these risks. Finally, two social-cognitive resources emerged as protective factors: adherence self-efficacy (AOR = .28) and social support (AOR = .88). We discuss how providers working with YLH can improve this population's retention outcomes. [ABSTRACT FROM AUTHOR]
- Subjects :
- BLACK people
HEALTH behavior
HEALTH facilities
HIV-positive persons
PRISONERS
MEDICAL appointments
MEDICAL personnel
REGRESSION analysis
SELF-efficacy
SEX distribution
SUBSTANCE abuse
DISCLOSURE
SOCIAL support
SOCIOECONOMIC factors
CROSS-sectional method
VERTICAL transmission (Communicable diseases)
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 30
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 129925161
- Full Text :
- https://doi.org/10.1080/09540121.2018.1437252