Are missed- and kept-visit measures capturing different aspects of retention in HIV primary care?

on behalf of the Retention in Care (RIC) Study Group

Research output: Contribution to journalArticle

Abstract

The literature recognizes six measures of retention in care, an integral component of the HIV Continuum of Care. Given prior research showing that different retention measures are differentially associated with HIV health outcomes (e.g., CD4 count and viral suppression), we hypothesized that different groups of people living with HIV (PLWH) would also have differential retention outcomes based on the retention measure applied. We conducted a cross-sectional analysis of multisite patient-level medical record data (n = 10,053) from six academically-affiliated HIV clinics using six different measures of retention. Principal component analysis indicated two distinct retention constructs: kept-visit-measures and missed-visit measures. Although black (compared to white) PLWH had significantly poorer retention on the three missed-visit measures, race was not significantly associated with any of the three kept-visit measures. Males performed significantly worse than females on all kept-visit measures, but sex differences were not observed for any missed-visit retention measures. IDU risk transmission group and younger age were associated with poorer retention on both missed- and kept-visit retention measures. Missed- and kept-visit measures may capture different aspects of retention, as indicated in the observed differential associations among race, sex, age, and risk transmission group. Multiple measures are needed to effectively assess retention across patient subgroups.

Original languageEnglish (US)
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Primary Health Care
HIV
Group
suppression
Continuity of Patient Care
CD4 Lymphocyte Count
Principal Component Analysis
Sex Characteristics
Medical Records
health
Age Groups
Cross-Sectional Studies
Health
Research
literature

Keywords

  • continuum of care
  • HIV
  • kept visits
  • missed visits
  • retention in care

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health

Cite this

Are missed- and kept-visit measures capturing different aspects of retention in HIV primary care? / on behalf of the Retention in Care (RIC) Study Group.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 01.01.2019.

Research output: Contribution to journalArticle

@article{5e9e86b2742844889d40b9dfcfe25016,
title = "Are missed- and kept-visit measures capturing different aspects of retention in HIV primary care?",
abstract = "The literature recognizes six measures of retention in care, an integral component of the HIV Continuum of Care. Given prior research showing that different retention measures are differentially associated with HIV health outcomes (e.g., CD4 count and viral suppression), we hypothesized that different groups of people living with HIV (PLWH) would also have differential retention outcomes based on the retention measure applied. We conducted a cross-sectional analysis of multisite patient-level medical record data (n = 10,053) from six academically-affiliated HIV clinics using six different measures of retention. Principal component analysis indicated two distinct retention constructs: kept-visit-measures and missed-visit measures. Although black (compared to white) PLWH had significantly poorer retention on the three missed-visit measures, race was not significantly associated with any of the three kept-visit measures. Males performed significantly worse than females on all kept-visit measures, but sex differences were not observed for any missed-visit retention measures. IDU risk transmission group and younger age were associated with poorer retention on both missed- and kept-visit retention measures. Missed- and kept-visit measures may capture different aspects of retention, as indicated in the observed differential associations among race, sex, age, and risk transmission group. Multiple measures are needed to effectively assess retention across patient subgroups.",
keywords = "continuum of care, HIV, kept visits, missed visits, retention in care",
author = "{on behalf of the Retention in Care (RIC) Study Group} and Batey, {D. Scott} and Kay, {Emma Sophia} and Westfall, {Andrew O.} and Anne Zinski and Drainoni, {Mari Lynn} and Gardner, {Lytt I.} and Thomas Giordano and Keruly, {Jeanne C} and Allan Rodriguez and Wilson, {Tracey E.} and Mugavero, {Michael J.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1080/09540121.2019.1659918",
language = "English (US)",
journal = "AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV",
issn = "0954-0121",
publisher = "Routledge",

}

TY - JOUR

T1 - Are missed- and kept-visit measures capturing different aspects of retention in HIV primary care?

AU - on behalf of the Retention in Care (RIC) Study Group

AU - Batey, D. Scott

AU - Kay, Emma Sophia

AU - Westfall, Andrew O.

AU - Zinski, Anne

AU - Drainoni, Mari Lynn

AU - Gardner, Lytt I.

AU - Giordano, Thomas

AU - Keruly, Jeanne C

AU - Rodriguez, Allan

AU - Wilson, Tracey E.

AU - Mugavero, Michael J.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - The literature recognizes six measures of retention in care, an integral component of the HIV Continuum of Care. Given prior research showing that different retention measures are differentially associated with HIV health outcomes (e.g., CD4 count and viral suppression), we hypothesized that different groups of people living with HIV (PLWH) would also have differential retention outcomes based on the retention measure applied. We conducted a cross-sectional analysis of multisite patient-level medical record data (n = 10,053) from six academically-affiliated HIV clinics using six different measures of retention. Principal component analysis indicated two distinct retention constructs: kept-visit-measures and missed-visit measures. Although black (compared to white) PLWH had significantly poorer retention on the three missed-visit measures, race was not significantly associated with any of the three kept-visit measures. Males performed significantly worse than females on all kept-visit measures, but sex differences were not observed for any missed-visit retention measures. IDU risk transmission group and younger age were associated with poorer retention on both missed- and kept-visit retention measures. Missed- and kept-visit measures may capture different aspects of retention, as indicated in the observed differential associations among race, sex, age, and risk transmission group. Multiple measures are needed to effectively assess retention across patient subgroups.

AB - The literature recognizes six measures of retention in care, an integral component of the HIV Continuum of Care. Given prior research showing that different retention measures are differentially associated with HIV health outcomes (e.g., CD4 count and viral suppression), we hypothesized that different groups of people living with HIV (PLWH) would also have differential retention outcomes based on the retention measure applied. We conducted a cross-sectional analysis of multisite patient-level medical record data (n = 10,053) from six academically-affiliated HIV clinics using six different measures of retention. Principal component analysis indicated two distinct retention constructs: kept-visit-measures and missed-visit measures. Although black (compared to white) PLWH had significantly poorer retention on the three missed-visit measures, race was not significantly associated with any of the three kept-visit measures. Males performed significantly worse than females on all kept-visit measures, but sex differences were not observed for any missed-visit retention measures. IDU risk transmission group and younger age were associated with poorer retention on both missed- and kept-visit retention measures. Missed- and kept-visit measures may capture different aspects of retention, as indicated in the observed differential associations among race, sex, age, and risk transmission group. Multiple measures are needed to effectively assess retention across patient subgroups.

KW - continuum of care

KW - HIV

KW - kept visits

KW - missed visits

KW - retention in care

UR - http://www.scopus.com/inward/record.url?scp=85071309160&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071309160&partnerID=8YFLogxK

U2 - 10.1080/09540121.2019.1659918

DO - 10.1080/09540121.2019.1659918

M3 - Article

JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

SN - 0954-0121

ER -