Correlates of missed clinic visits among youth living with HIV.

TitleCorrelates of missed clinic visits among youth living with HIV.
Publication TypePublication
Year of Publication2018
AuthorsTarantino N, Brown LK, Whiteley L, M Fernández I, Nichols SL, Harper G
Corporate AuthorsATN 086 Protocol Team for the Adolescent Medicine Trials Network for HIV/AIDS Intervention
JournalAIDS Care
Volume30
Issue8
Pagination982-989
Date Published2018 08
ISSN1360-0451
KeywordsAdolescent, Ambulatory Care Facilities, Child, Cross-Sectional Studies, Female, HIV Infections, Humans, Male, Marijuana Smoking, Office Visits, Puerto Rico, Social Support, United States, Young Adult
Abstract

<p>Youth living with HIV (YLH) have significant problems with attending their medical appointments. Poor attendance, consequently, predicts viral non-suppression and other negative health outcomes. To identity targets of intervention, this cross-sectional study examined correlates of past-year missed clinic visits among YLH (N = 2125) attending HIV clinics in the United States and Puerto Rico. Thirty-six percent of YLH missed two or more visits in the past year. Several factors were associated with missed visits in our regression model. Among sociodemographic characteristics and HIV disclosure status, females (adjusted odds ratio [OR] = 1.63, compared to males), Black YLH or YLH of mixed racial heritage (AORs = 1.76, 1.71, respectively, compared to White YLH), YLH with an unknown route of infection (AOR = 1.86, compared to YLH with perinatal infection), and YLH endorsing HIV disclosure (AOR = 1.37, compared to YLH not endorsing disclosure) were at greater risk for missed visits. Among behavioral health risks, YLH who endorsed marijuana use (AOR = 1.42), frequent other drug use (AOR = 1.60), or a history of incarceration (AOR = 1.27) had greater odds of missed visits than youth not endorsing these risks. Finally, two social-cognitive resources emerged as protective factors: adherence self-efficacy (AOR = .28) and social support (AOR = .88). We discuss how providers working with YLH can improve this population's retention outcomes.</p>

DOI10.1080/09540121.2018.1437252
Alternate JournalAIDS Care
PubMed ID29455553
PubMed Central IDPMC6240743
Grant ListP30 AI042853 / AI / NIAID NIH HHS / United States
T32 MH078788 / MH / NIMH NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States