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Associations with sub-optimal clinic attendance and reasons for missed appointments among heterosexual women and men living with HIV in London.
- Source :
- AIDS & Behavior; Nov2022, Vol. 26 Issue 11, p3620-3629, 10p, 5 Charts
- Publication Year :
- 2022
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV infections & psychology
HIV prevention
HETEROSEXUALS
HIV infections
IMMIGRANTS
THERAPEUTICS
PSYCHOLOGY of men
CONFIDENCE intervals
SOCIAL determinants of health
ATTITUDE (Psychology)
CROSS-sectional method
ANTIRETROVIRAL agents
EMIGRATION & immigration
ACTIVITIES of daily living
SOCIAL stigma
PATIENTS' attitudes
ATTITUDES toward illness
PSYCHOSOCIAL factors
PSYCHOLOGY of women
DESCRIPTIVE statistics
DRUGS
HEALTH attitudes
MEDICAL appointments
PATIENT compliance
HOUSING
ODDS ratio
PSYCHOLOGY of HIV-positive persons
Subjects
Details
- Language :
- English
- ISSN :
- 10907165
- Volume :
- 26
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- AIDS & Behavior
- Publication Type :
- Academic Journal
- Accession number :
- 159577255
- Full Text :
- https://doi.org/10.1007/s10461-022-03681-x