Predictors of Adult Retention in HIV Care: A Systematic Review

被引：108
作者：
Bulsara, Shiraze M. [1 ,2 ]
Wainberg, Milton L. [3 ]
Newton-John, Toby R. O. [1 ]
机构：
[1] Univ Technol Sydney, Grad Sch Hlth, Clin Psychol, Level 4,Bldg 7,67 Thomas St, Sydney, NSW 2007, Australia
[2] Albion Ctr, Surry Hills, Sydney, NSW 2010, Australia
[3] Columbia Univ, Dept Psychiat, New York, NY USA
来源：
AIDS AND BEHAVIOR | 2018年 / 22卷 / 03期
关键词：
Retention; HIV; Predictors; Adult; Developing countries; Developed countries; ANTIRETROVIRAL THERAPY; TREATMENT PROGRAMS; RISK-FACTORS; ADHERENCE; ENGAGEMENT; COHORT; DIAGNOSIS; HIV/AIDS; BARRIERS; LINKAGE;
D O I：
10.1007/s10461-016-1644-y
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
A systematic literature review was conducted to identify predictors of poor adult retention in HIV medical care in developed and developing countries. An electronic search was conducted with MEDLINE (OVID), PubMED, EBSCO, SCOPUS, and Cochrane databases, as well as manual searches. Original, quantitative, adult studies in English, published between 1995 and 2015 were included. Only those with a focus on predictors of retention in care were reported on. Of the 345 articles identified, thirty were included following an independent assessment by two raters. In developed countries, the most frequently cited predictors of poor retention were active substance use and demographic factors. In developing countries, physical health factors were most frequently associated with poor retention in care. The results from this review suggests primary concerns for poor retention include substance use and physical health factors. Other psychosocial factors, such as psychiatric illness and social/welfare factors, were also found to be relevant.
引用
收藏
页码：752 / 764
页数：13
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