Associations with sub-optimal clinic attendance and reasons for missed appointments among heterosexual women and men living with HIV in London.

Poor engagement in HIV care is associated with poorer health outcomes and increased mortality. Our survey examined experiential and circumstantial factors associated with clinic attendance among women (n = 250) and men (n = 106) in London with heterosexually-acquired HIV. While no associations were...

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Publicado en:AIDS & Behavior Vol. 26; no. 11; pp. 3620 - 3630
Autores principales: Howarth, A R, Apea, V, Michie, S, Morris, S, Sachikonye, M, Mercer, C H, Evans, A, Delpech, V C, Sabin, C, Burns, F M
Formato: research tables/charts Journal Article
Publicado: Springer Nature Nov2022
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Associations with sub-optimal clinic attendance and reasons for missed appointments among heterosexual women and men living with HIV in London.
      aug:
        au:
          Howarth, A R
          Apea, V
          Michie, S
          Morris, S
          Sachikonye, M
          Mercer, C H
          Evans, A
          Delpech, V C
          Sabin, C
          Burns, F M
        affil: Institute for Global Health, University College London, London, UK
      sug:
        subj:
          Heterosexuals Psychosocial Factors
          HIV Infections Drug Therapy
          Anti-Retroviral Agents Therapeutic Use
          Office Visits
          Patient Compliance Evaluation
          Men Psychosocial Factors
          Women Psychosocial Factors
          Human
          England
          Male
          Female
          HIV-Positive Persons Psychosocial Factors
          Descriptive Statistics
          Emigration and Immigration
          Immigrants Psychosocial Factors
          Housing
          HIV Infections Psychosocial Factors
          Activities of Daily Living
          Anti-Retroviral Agents Administration and Dosage
          Medication Compliance
          Odds Ratio
          Confidence Intervals
          Health Beliefs
          Patient Attitudes
          Attitude to Medical Treatment
          Attitude to Illness
          Stigma
          Social Determinants of Health
          Cross Sectional Studies
          HIV Infections Prevention and Control
          Male
          Female
      ab: Poor engagement in HIV care is associated with poorer health outcomes and increased mortality. Our survey examined experiential and circumstantial factors associated with clinic attendance among women (n = 250) and men (n = 106) in London with heterosexually-acquired HIV. While no associations were found for women, among men, sub-optimal attendance was associated with insecure immigration status (25.6% vs. 1.8%), unstable housing (32.6% vs. 10.2%) and reported effect of HIV on daily activities (58.7% vs. 40.0%). Among women and men on ART, it was associated with missing doses of ART (OR = 2.96, 95% CI:1.74–5.02), less belief in the necessity of ART (OR = 0.56, 95% CI:0.35–0.90) and more concern about ART (OR = 3.63, 95% CI:1.45–9.09). Not wanting to think about being HIV positive was the top reason for ever missing clinic appointments. It is important to tackle stigma and the underlying social determinants of health to improve HIV prevention, and the health and well-being of people living with HIV.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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