Factors predicting 12-month retention in care for minority women living with HIV
Objectives: Retention in HIV medical care is associated with improved clinical outcomes and reduced mortality. The present study was conducted to identify significant predictors of 1-year retention in care for a sample of minority women whose engagement in HIV care at baseline varied along the care...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-04-01
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| Series: | Therapeutic Advances in Infectious Disease |
| Online Access: | https://doi.org/10.1177/20499361221089815 |
| _version_ | 1818364422128664576 |
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| author | Mercedes V. Ingram Nancy Amodei Veronica Villela Perez Victor German |
| author_facet | Mercedes V. Ingram Nancy Amodei Veronica Villela Perez Victor German |
| author_sort | Mercedes V. Ingram |
| collection | DOAJ |
| description | Objectives: Retention in HIV medical care is associated with improved clinical outcomes and reduced mortality. The present study was conducted to identify significant predictors of 1-year retention in care for a sample of minority women whose engagement in HIV care at baseline varied along the care continuum from newly diagnosed to lost-to-care. Methods: One hundred sixty-five cisgender and transgender women living with HIV in a southern US state were offered a multicomponent retention intervention that included outreach, medical case management (MCM), patient navigation services (PN), and a group intervention for stigma. Multilevel logistic regression analysis was performed to identify baseline and intervention predictors of retention in care at 12 months following enrollment. Results: Multilevel logistic regression analysis revealed that baseline characteristics such as working significantly reduced the odds of being retained as did increasing CD4 counts. However, greater amounts of patient navigation and medical case management services received increased the odds of being retained. Conclusion: MCM services designed to accelerate coordination and linkage or re-linkage to primary care and PN services to help navigate the complex system of HIV offered in the present study are particularly effective for minority women who lack health insurance, have low CD4 counts, and are unemployed. |
| first_indexed | 2024-12-13T22:04:07Z |
| format | Article |
| id | doaj.art-66b430b6f5be43d891736b67f37fbd67 |
| institution | Directory Open Access Journal |
| issn | 2049-937X |
| language | English |
| last_indexed | 2024-12-13T22:04:07Z |
| publishDate | 2022-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Infectious Disease |
| spelling | doaj.art-66b430b6f5be43d891736b67f37fbd672022-12-21T23:29:54ZengSAGE PublishingTherapeutic Advances in Infectious Disease2049-937X2022-04-01910.1177/20499361221089815Factors predicting 12-month retention in care for minority women living with HIVMercedes V. IngramNancy AmodeiVeronica Villela PerezVictor GermanObjectives: Retention in HIV medical care is associated with improved clinical outcomes and reduced mortality. The present study was conducted to identify significant predictors of 1-year retention in care for a sample of minority women whose engagement in HIV care at baseline varied along the care continuum from newly diagnosed to lost-to-care. Methods: One hundred sixty-five cisgender and transgender women living with HIV in a southern US state were offered a multicomponent retention intervention that included outreach, medical case management (MCM), patient navigation services (PN), and a group intervention for stigma. Multilevel logistic regression analysis was performed to identify baseline and intervention predictors of retention in care at 12 months following enrollment. Results: Multilevel logistic regression analysis revealed that baseline characteristics such as working significantly reduced the odds of being retained as did increasing CD4 counts. However, greater amounts of patient navigation and medical case management services received increased the odds of being retained. Conclusion: MCM services designed to accelerate coordination and linkage or re-linkage to primary care and PN services to help navigate the complex system of HIV offered in the present study are particularly effective for minority women who lack health insurance, have low CD4 counts, and are unemployed.https://doi.org/10.1177/20499361221089815 |
| spellingShingle | Mercedes V. Ingram Nancy Amodei Veronica Villela Perez Victor German Factors predicting 12-month retention in care for minority women living with HIV Therapeutic Advances in Infectious Disease |
| title | Factors predicting 12-month retention in care for minority women living with HIV |
| title_full | Factors predicting 12-month retention in care for minority women living with HIV |
| title_fullStr | Factors predicting 12-month retention in care for minority women living with HIV |
| title_full_unstemmed | Factors predicting 12-month retention in care for minority women living with HIV |
| title_short | Factors predicting 12-month retention in care for minority women living with HIV |
| title_sort | factors predicting 12 month retention in care for minority women living with hiv |
| url | https://doi.org/10.1177/20499361221089815 |
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