Reengagement in Care After a Gap in HIV Care Among a Population of Privately Insured Persons with HIV in the United States

作者: Kathy K. Byrd , Melissa Furtado , Tim Bush , Lytt Gardner

DOI: 10.1089/APC.2016.0188

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摘要: Abstract The HIV care continuum illustrates steps needed to reach viral suppression, including retention in care. continuum's measure does not account for gaps or reengagement and thus provides an incomplete picture of long-term engagement. We used a claims database determine the proportion privately insured persons with who experienced gap subsequently reengaged between 2008 2012. A was defined as no office visit claim >6 months ≥1 after gap. Cox proportional hazards models were conducted factors associated time first reengagement. Of 5142 study, 79% males median age 46 years (range, 19–64 years). No race/ethnicity data available. Thirty percent (n = 1555) Median 15 (IQR: 6–30). length 3.2 months. Seventy reengaged; 22% more than once. 1086 p...

参考文章(33)
Baligh R. Yehia, Leslie Stewart, Florence Momplaisir, Aaloke Mody, Carol W. Holtzman, Lisa M. Jacobs, Janet Hines, Karam Mounzer, Karen Glanz, Joshua P. Metlay, Judy A. Shea, Barriers and facilitators to patient retention in HIV care BMC Infectious Diseases. ,vol. 15, pp. 246- 246 ,(2015) , 10.1186/S12879-015-0990-0
Michael Alan Horberg, Leo Bartemeier Hurley, Daniel Benjamin Klein, William James Towner, Peter Kadlecik, Diana Antoniskis, Miguel Mogyoros, Philip Sigmund Brachman, Carol Louise Remmers, Rebecca Claire Gambatese, Jackie Blank, Courtney Georgiana Ellis, Michael Jonah Silverberg, The HIV Care Cascade Measured Over Time and by Age, Sex, and Race in a Large National Integrated Care System Aids Patient Care and Stds. ,vol. 29, pp. 582- 590 ,(2015) , 10.1089/APC.2015.0139
Tanya M. Ellman, Mary Elizabeth Sexton, Daniel Warshafsky, Magdalena E. Sobieszczyk, Ellen A. B. Morrison, A Forgotten Population: Older Adults with Newly Diagnosed HIV Aids Patient Care and Stds. ,vol. 28, pp. 530- 536 ,(2014) , 10.1089/APC.2014.0152
Chinazo O. Cunningham, Nancy L. Sohler, Mitchell D. Wong, Michael Relf, William E. Cunningham, Mari-Lynn Drainoni, Judith Bradford, Moses B. Pounds, Howard D. Cabral, Utilization of health care services in hard-to-reach marginalized HIV-infected individuals. Aids Patient Care and Stds. ,vol. 21, pp. 177- 186 ,(2007) , 10.1089/APC.2006.103
Thomas P. Giordano, Christine Hartman, Allen L. Gifford, Lisa I. Backus, Robert O. Morgan, Predictors of retention in HIV care among a national cohort of US veterans. Hiv Clinical Trials. ,vol. 10, pp. 299- 305 ,(2009) , 10.1310/HCT1005-299
M. B. Berg, S. A. Safren, M. J. Mimiaga, C. Grasso, S. Boswell, K. H. Mayer, Nonadherence to medical appointments is associated with increased plasma HIV RNA and decreased CD4 cell counts in a community-based HIV primary care clinic Aids Care-psychological and Socio-medical Aspects of Aids\/hiv. ,vol. 17, pp. 902- 907 ,(2005) , 10.1080/09540120500101658
R. Sherer, K. Stieglitz, J. Narra, J. Jasek, L. Green, B. Moore, S. Shott, M. Cohen, HIV multidisciplinary teams work: Support services improve access to and retention in HIV primary care Aids Care-psychological and Socio-medical Aspects of Aids\/hiv. ,vol. 14, pp. 31- 44 ,(2002) , 10.1080/09540120220149975
Timothy N. Crawford, Examining the relationship between multiple comorbidities and retention in HIV medical care: a retrospective analysis Aids Care-psychological and Socio-medical Aspects of Aids\/hiv. ,vol. 27, pp. 892- 899 ,(2015) , 10.1080/09540121.2015.1009361
Baligh R. Yehia, Shreya Kangovi, Ian Frank, Patients in transition: avoiding detours on the road to HIV treatment success. AIDS. ,vol. 27, pp. 1529- 1533 ,(2013) , 10.1097/QAD.0B013E328360104E
Lourdes W. H Yun, Moises Maravi, Joyce S Kobayashi, Phoebe L Barton, Arthur J Davidson, Antidepressant treatment improves adherence to antiretroviral therapy among depressed HIV-infected patients. Journal of Acquired Immune Deficiency Syndromes. ,vol. 38, pp. 432- 438 ,(2005) , 10.1097/01.QAI.0000147524.19122.FD