Losses to follow-up of HIV-infected people in the Spanish VACH cohort over the period between 2013 and 2014: The importance of sociodemographic factors
Por:
Teira, R, Espinosa, N, Gutierrez, M, Montero, M, Martinez, E, Gonzalez, F, de Leon, F, Tellez, F, Galindo, M, Peraire, J, Deig, E, Munoz-Sanchez, P, de la Fuente, B, Campoamor, M, Domingo, P, Puig, T, Ribera, E, Roca, B, Garcia, J, Castano, M, Mayorga, M, Terron, A, Alvarez, A, Suarez-Lozano, I, Merino, L, Geijo, P, Belinchon, O, Sepulveda, M, Estrada, V, Munoz-Sanz, A, Mateo, M, Vilades, C, Castro, I, Lopez-Cortes, L, Mateos, F and Grp Estudio VACH
Publicada:
1 jun 2019
Categoría:
Microbiology (medical)
Resumen:
Objective: To determine the proportion of people infected by HIV or AIDS under follow-up in the VACH Cohort in 2012 who were lost to follow-up from 2013 to 2014, and to establish the sociodemographic features relating to this loss.
Methods: We considered subjects with less than one recorded consultation per year studied to be lost to follow-up. We built logistic regression models to calculate the odds ratios (OR) and their 95% confidence intervals (95% CI), of the variables relating to loss to follow-up.
Results: The overall percentage of losses to follow-up was 15.5% (95% CI 14.9-16-1). The variables associated with loss to follow up were: not receiving antiretroviral treatment (ART) (OR: 1.948, 95% CI: 1.651-2.298), being an immigrant (OR: 1.746; 95%Cl: 1.494-2.040), intravenous drug consumption being the mechanism for HIV transmission (OR: 1.498, 95% CI: 1.312-1.711), being unemployed (OR: 1.331; 95% CI: 1.179-1.503), being without a partner (OR: 1.948, 95% CI: 1.651-1.298), belonging to a low socioeconomic class (OR: 1.279; 95% Cl: 1.143-1.431), and being attended in a hospital with fewer than 1000 patients under follow-up (OR: 1.257, 95% CI: 1.121-1.457), as well as being under age and having spent less time under follow-up in the Cohort.
Conclusions: 15.5% of the patients were lost to follow-up over a period of 2 years in the VACH Cohort. This was associated with a series of sociodemographic and epidemiological variables that it might be useful to identify to design initiatives targeting the populations most likely to abandon the circuits of care, and guide strategies towards achieving Objective 90-90-90. (C) 2018 Published by Elsevier Espana, S.L.U.
Filiaciones:
Teira, R:
Hosp Univ Sierrallana, Serv Med Interna, Torrelavega, Cantabria, Spain
Espinosa, N:
Univ Seville, Hosp Univ Virgen del Rocio, Unidad Clin Enfermedades Infecciosas Microbiol Cl, Inst Biomed Sevilla,CSIC, Seville, Spain
Gutierrez, M:
Hosp Santa Creu & Sant Pau, Unidad Enfermedades Infecciosas, Barcelona, Spain
Montero, M:
Hosp Univ & Politecn La Fe, Unidad Enfermedades Infecciosas, Valencia, Spain
Martinez, E:
Complejo Hosp Univ Albacete, Unidad Enfermedades Infecciosas, Albacete, Spain
Gonzalez, F:
Complejo Hosp Huelva, Unidad Gest Clin Enfermedades Infecciosas, Huelva, Spain
de Leon, F:
Hosp Univ Valme, Unidad Clin Enfermedades Infecciosas & Microbiol, Seville, Spain
Tellez, F:
Hosp La Linea, Hosp Univ Puerto Real, Inst Invest & Innovac Ciencias Biomed Prov Cadiz, Unidad Enfermedades Infecciosas, Cadiz, Spain
Galindo, M:
Hosp Clin Univ Valencia, Unidad Enfermedades Infecciosas, Valencia, Spain
Peraire, J:
Univ Rovira & Virgili, Hosp Univ Tarragona Joan 23, IISPV, Serv Med Interna, Tarragona, Spain
Deig, E:
Hosp Gen Granollers, Unidad VIH, Serv Med Interna, Barcelona, Spain
Munoz-Sanchez, P:
Hosp Univ Basurto, Serv Enfermedades Infecciosas, Bilbao, Vizcaya, Spain
de la Fuente, B:
Hosp Cabuenes, Gijon, Spain
Campoamor, M:
Hosp Cabuenes, Gijon, Spain
Domingo, P:
Hosp Arnau Vilanova, Lleida, Spain
Puig, T:
Hosp Arnau Vilanova, Lleida, Spain
Ribera, E:
Hosp Valle De Hebron, Barcelona, Spain
:
Hosp Gen, Castellon De La Plana, Spain
Garcia, J:
Hosp Santa Lucia, Cartagena, Spain
Castano, M:
Hosp Carlos Haya, Malaga, Spain
Mayorga, M:
Hosp Carlos Haya, Malaga, Spain
Terron, A:
Hosp Jerez, Jerez de la Frontera, Spain
Alvarez, A:
Hosp Jerez, Jerez de la Frontera, Spain
Suarez-Lozano, I:
Complejo Hosp Huelva, Huelva, Spain
Merino, L:
Complejo Hosp Huelva, Huelva, Spain
Geijo, P:
Hosp Virgen de la Luz, Cuenca, Spain
Belinchon, O:
Hosp Virgen de la Luz, Cuenca, Spain
Sepulveda, M:
Hosp Virgen de la Salud, Toledo, Spain
Estrada, V:
Hosp Clin San Carlos, Madrid, Spain
Munoz-Sanz, A:
Hosp Infanta Cristina, Badajoz, Spain
Mateo, M:
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Vilades, C:
Hosp Joan 23, Tarragona, Spain
Castro, I:
Hosp La Fe, Valencia, Spain
Lopez-Cortes, L:
Hosp Virgen del Rocio, Seville, Spain
Mateos, F:
Complejo Hosp, Albacete, Spain
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