학술논문
Partnership status and retention in care among cisgender heterosexual newly diagnosed people with HIV: a cohort study.
Document Type
Article
Author
Source
Subject
*HIV infections
*HETEROSEXUALS
*STATISTICS
*KRUSKAL-Wallis Test
*CONFIDENCE intervals
*SOCIAL support
*VIRAL load
*SEVERITY of illness index
*PSYCHOSOCIAL factors
*DESCRIPTIVE statistics
*MENTAL depression
*RESEARCH funding
*MARITAL status
*PATIENT compliance
*ODDS ratio
*LOGISTIC regression analysis
*STATISTICAL models
*DATA analysis software
*DATA analysis
*CISGENDER people
*PSYCHOLOGY of HIV-positive persons
*LONGITUDINAL method
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Language
ISSN
0954-0121
Abstract
This study examined the role of partnership status (married, unmarried-partnered, and unpartnered) on retention in care among newly diagnosed (2013–2017), cisgender heterosexual people with HIV in Birmingham, Alabama (n = 152). This study evaluated all scheduled HIV primary care provider visits for two years following diagnosis date. A kept-visit measure was calculated such that, if an individual attended ≥1 visit in each of the four 6-month intervals, they were considered to have high visit constancy. A missed-visit measure was categorized as ≥1 no-show vs. 0 no-show for first and second year after diagnosis. Odds ratios (OR) and 95% confidence intervals (CI) were calculated using logistic regression models. Models were adjusted for confounding sociodemographic and clinical characteristics. The study population was 76% Black, 57% male, median age of 37 years. Overall, 65% had high visit consistency and 34.5% had ≥1 no-show in both years. Compared to unpartnered, married individuals had higher visit constancy [AOR (95% CI): 2.88 (1.02, 8.16)]; no differences were observed among unmarried-partnered individuals. No differences in having ≥1 no-show among partnership status groups were observed for either year. These findings suggest potential success of interventions involving a social confidant in optimizing retention in care among newly diagnosed, heterosexual PWH. [ABSTRACT FROM AUTHOR]