Retention in Continuous Care and Sustained Viral Suppression
Objectives: To examine the relationship between retention in continuous care and sustained viral suppression. Methods: The authors retrospectively followed 653 persons who were virally suppressed and seeking care at an infectious disease clinic in Kentucky for an average of 6 years to determine the...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2017-01-01
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| Series: | Journal of the International Association of Providers of AIDS Care |
| Online Access: | https://doi.org/10.1177/2325957416678929 |
| _version_ | 1828465252978655232 |
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| author | Timothy N. Crawford PhD, MPH Alice Thornton MD |
| author_facet | Timothy N. Crawford PhD, MPH Alice Thornton MD |
| author_sort | Timothy N. Crawford PhD, MPH |
| collection | DOAJ |
| description | Objectives: To examine the relationship between retention in continuous care and sustained viral suppression. Methods: The authors retrospectively followed 653 persons who were virally suppressed and seeking care at an infectious disease clinic in Kentucky for an average of 6 years to determine the rates of retention in medical care (≥2 visits separated by ≥3 months within a 12-month period) and sustained viral suppression (<400 copies/mL). A generalized linear mixed model was used to determine an association between retention and suppression over time. Results: Approximately 61% of the study population were retained in continuous care and 75% had sustained viral suppression for all patient-years. Persons retained in care were 3 times the odds of sustaining viral suppression over time ( P < .001). Conclusion: Retention is essential to achieving and maintaining viral suppression. Strategies should be set in place that emphasize increasing the rates of retention, which in turn may increase the rates of suppression. |
| first_indexed | 2024-12-11T03:29:05Z |
| format | Article |
| id | doaj.art-b36152daa32e4457a027adef05fde212 |
| institution | Directory Open Access Journal |
| issn | 2325-9574 2325-9582 |
| language | English |
| last_indexed | 2024-12-11T03:29:05Z |
| publishDate | 2017-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of the International Association of Providers of AIDS Care |
| spelling | doaj.art-b36152daa32e4457a027adef05fde2122022-12-22T01:22:25ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95742325-95822017-01-011610.1177/2325957416678929Retention in Continuous Care and Sustained Viral SuppressionTimothy N. Crawford PhD, MPH0Alice Thornton MD1 School of Nursing, University of Louisville, Louisville, KY, USA College of Medicine, University of Kentucky, Lexington, KY, USAObjectives: To examine the relationship between retention in continuous care and sustained viral suppression. Methods: The authors retrospectively followed 653 persons who were virally suppressed and seeking care at an infectious disease clinic in Kentucky for an average of 6 years to determine the rates of retention in medical care (≥2 visits separated by ≥3 months within a 12-month period) and sustained viral suppression (<400 copies/mL). A generalized linear mixed model was used to determine an association between retention and suppression over time. Results: Approximately 61% of the study population were retained in continuous care and 75% had sustained viral suppression for all patient-years. Persons retained in care were 3 times the odds of sustaining viral suppression over time ( P < .001). Conclusion: Retention is essential to achieving and maintaining viral suppression. Strategies should be set in place that emphasize increasing the rates of retention, which in turn may increase the rates of suppression.https://doi.org/10.1177/2325957416678929 |
| spellingShingle | Timothy N. Crawford PhD, MPH Alice Thornton MD Retention in Continuous Care and Sustained Viral Suppression Journal of the International Association of Providers of AIDS Care |
| title | Retention in Continuous Care and Sustained Viral Suppression |
| title_full | Retention in Continuous Care and Sustained Viral Suppression |
| title_fullStr | Retention in Continuous Care and Sustained Viral Suppression |
| title_full_unstemmed | Retention in Continuous Care and Sustained Viral Suppression |
| title_short | Retention in Continuous Care and Sustained Viral Suppression |
| title_sort | retention in continuous care and sustained viral suppression |
| url | https://doi.org/10.1177/2325957416678929 |
| work_keys_str_mv | AT timothyncrawfordphdmph retentionincontinuouscareandsustainedviralsuppression AT alicethorntonmd retentionincontinuouscareandsustainedviralsuppression |