Show simple item record

dc.contributor.authorWalburn, A.
dc.contributor.authorSwindells, S.
dc.contributor.authorFisher, Christopher
dc.contributor.authorHigh, R.
dc.contributor.authorIslam, K.
dc.date.accessioned2017-01-30T11:10:32Z
dc.date.available2017-01-30T11:10:32Z
dc.date.created2016-05-31T19:30:21Z
dc.date.issued2012
dc.identifier.citationWalburn, A. and Swindells, S. and Fisher, C. and High, R. and Islam, K. 2012. Missed visits and decline in CD4 cell count among HIV-infected patients: a mixed methods study. International Journal of Infectious Diseases. 16 (11): pp. e779-e785.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/9102
dc.identifier.doi10.1016/j.ijid.2012.06.004
dc.description.abstract

Objective: To determine the impact of missed visits on CD4 cell count with HIV disease in a Midwest clinic. Methods: This was a mixed method study consisting of a quantitative retrospective cohort study of missed clinic visits among HIV-infected patients, and a qualitative study to collect information on factors impacting appointment attendance. A drop in CD4 cell count greater than 50 cells/mm3 from baseline was the primary outcome variable for the quantitative study. The exposure variable was missed visits. Results: Of 77 patients, 16.4% experienced the outcome of interest. Lower visit proportions increased the risk of a CD4 drop (hazard ratio 0.0188, 95% confidence interval 0.001–0.292). For each 10% increase in the missed visit proportion, the risk of a CD4 drop of >50 cells/mm3 from baseline increased by 33%. Qualitative data suggested that stigma, external support, and physician–patient interactions impacted engagement in care. Conclusion: These results may help providers increase patient motivation and ability to attend clinic appointments.

dc.publisherElsevier Ltd
dc.titleMissed visits and decline in CD4 cell count among HIV-infected patients: a mixed methods study
dc.typeJournal Article
dcterms.source.volume16
dcterms.source.number11
dcterms.source.startPagee779
dcterms.source.endPagee785
dcterms.source.issn1878-3511
dcterms.source.titleInternational Journal of Infectious Diseases
curtin.departmentDepartment of Health Promotion and Sexology
curtin.accessStatusOpen access via publisher


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record