Sociodemographic characteristics associated with medical appointment adherence among HIV-seropositive patients seeking treatment in a county outpatient facility.

作者: Dennis Israelski , Cheryl Gore-Felton , Rachel Power , Mary Jane Wood , Cheryl Koopman

DOI: 10.1006/PMED.2001.0917

关键词:

摘要: Abstract Background. Adherence is a major problem facing HIV-seropositive patients. Low adherence has been associated with faster disease progression as well development of drug-resistant strains HIV. Thus it critical to understand factors treatment compliance. This study examined the independent contributions severity, age, gender, household income, homelessness, ethnicity, and sexual orientation on appointment adherence. Methods. Participants ( n = 671) scheduled for appointments in an outpatient county facility HIV-related medical care completed demographic questionnaires clinic staff collected attendance data. Results. Multiple regression analyses indicated that patients diagnosed AIDS, older receiving higher income were more likely keep appointments. Additionally, African American ethnicity identifying heterosexual missing Conclusions. These data suggest cultural sociodemographic characteristics influence patients' services. Implications interventions aimed at increasing are discussed.

参考文章(24)
J COHN, Human immunodeficiency virus and AIDS. 1993 update Journal of Nurse-midwifery. ,vol. 38, pp. 65- 85 ,(1993) , 10.1016/0091-2182(93)90140-C
Henry G. Kunkel, The immunopathology of SLE. Hospital Practice. ,vol. 15, pp. 47- 56 ,(1980) , 10.1080/21548331.1980.11946682
Donna Greenberg, Barry S. Fogel, Alan Stoudemire, Psychiatric Care of the Medical Patient ,(1993)
Frederick L Altice, Gerald H Friedland, The Era of Adherence to HIV Therapy Annals of Internal Medicine. ,vol. 129, pp. 503- 505 ,(1998) , 10.7326/0003-4819-129-6-199809150-00015
S. L. Catz, J. B. Mcclure, G. N. Jones, P. J. Brantley, Predictors of outpatient medical appointment attendance among persons with HIV. Aids Care-psychological and Socio-medical Aspects of Aids\/hiv. ,vol. 11, pp. 361- 373 ,(1999) , 10.1080/09540129947983
Judith G. Rabkin, A 'Second Life' Agenda Archives of General Psychiatry. ,vol. 54, pp. 1049- 1053 ,(1997) , 10.1001/ARCHPSYC.1997.01830230091013
Lois J. Eldred, Albert W. Wu, Richard E. Chaisson, Richard D. Moore, Adherence to antiretroviral and pneumocystis prophylaxis in HIV disease. Journal of Acquired Immune Deficiency Syndromes. ,vol. 18, pp. 117- 125 ,(1998) , 10.1097/00042560-199806010-00003
N. Singh, C. Squier, C. Sivek, M. Wagener, M. Hong Nguyen, V. L. Yu, Determinants of compliance with antiretroviral therapy in patients with human immunodeficiency virus: Prospective assessment with implications for enhancing compliance Aids Care-psychological and Socio-medical Aspects of Aids\/hiv. ,vol. 8, pp. 261- 270 ,(1996) , 10.1080/09540129650125696
Debra L. Roter, Judith A. Hall, Rolande Merisca, Beth Nordstrom, Deborah Cretin, Bonnie Svarstad, Effectiveness of Interventions to Improve Patient Compliance a Meta-Analysis Medical Care. ,vol. 36, pp. 1138- 1161 ,(1998) , 10.1097/00005650-199808000-00004
Gail Ironson, Andrea Friedman, Nancy Klimas, Michael Antoni, Mary Ann Fletcher, Arthur LaPerriere, John Simoneau, Neil Schneiderman, Distress, denial, and low adherence to behavioral interventions predict faster disease progression in gay men infected with human immunodeficiency virus International Journal of Behavioral Medicine. ,vol. 1, pp. 90- 105 ,(1994) , 10.1207/S15327558IJBM0101_6