ArticleAIDS patient care and STDs2017
Missed Initial Medical Visits: Predictors, Timing, and Implications for Retention in HIV Care.
Article in AIDS patient care and STDs, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Prior-Year Substance Use Disorders and Subsequent HIV Retention in Care Among Men Living with HIV Who Have Sex with Men.AIDS and behavior · 2026Article
- Health System-Level Implementation of Digital Health Support for People Living With HIV and Substance Use Disorders: Protocol for a Cluster-Randomized, Stepped-Wedge Clinical Trial.JMIR research protocols · 2025Article
- Insights into medication adherence among HIV-positive patients: the integrated change model.AIDS research and therapy · 2025Article
- St. Louis enhancing engagement and retention (STEER) in HIV/AIDS care: a participatory intersectional needs assessment for intervention and implementation planning.Frontiers in public health · 2025Article
- Telemedicine appointments are more likely to be completed than in-person healthcare appointments: a retrospective cohort study.JAMIA open · 2024Article
- Demographic and Clinical Characteristics Predicting Missed Clinic Visits among Patients Living with HIV on Antiretroviral Treatment in Kinshasa and Haut-Katanga Provinces of the Democratic Republic of Congo.Healthcare (Basel, Switzerland) · 2024Article
- Brief Telephonic Motivational Interviewing for People Living with HIV with Follow-up Problems.Journal of clinical psychology in medical settings · 2024Article
- Evaluation of a Linkage to care Quality Improvement Initiative for People with HIV.AIDS and behavior · 2024Article
- Factors Influencing the Status of Adherence to Second Clinic Visit Among Clients Newly Diagnosed with HIV in Northern Uganda: A Mixed-Methods Study.HIV/AIDS (Auckland, N.Z.) · 2023Article
- Measuring Unmet Needs among Persons Living with HIV at Different Stages of the Care Continuum.AIDS and behavior · 2021Article
- A Scoping Review of Employment and HIV.AIDS and behavior · 2020Article
- Falling Through the Cracks: Risk Factors for Becoming Lost to HIV Care After Incarceration in a Southern Jail.AIDS and behavior · 2020Article
- Determinants of adherence to clinic appointments among tuberculosis and HIV co-infected individuals attending care at Helen Joseph Hospital, Johannesburg, South Africa.The Pan African medical journal · 2020Article
- Quantifying the reduction in sexual transmission of HIV-1 among MSM by early initiation of ART: A mathematical model.PloS one · 2020Article
- Compound Retention in Care and All-Cause Mortality Among Persons Living With Human Immunodeficiency Virus.Open forum infectious diseases · 2019Article
- Who Will Show? Predicting Missed Visits Among Patients in Routine HIV Primary Care in the United States.AIDS and behavior · 2019Article
- Improving HIV Care Engagement in the South from the Patient and Provider Perspective: The Role of Stigma, Social Support, and Shared Decision-Making.AIDS patient care and STDs · 2018Article
- Racial/Ethnic Disparities in Failure to Initiate HIV Care: Role of HIV Testing Site, Individual Factors, and Neighborhood Factors, Florida, 2014-2015.Journal of health care for the poor and underserved · 2018Article
- Rapid Start of Antiretroviral Therapy in a Large Urban Clinic in the US South: Impact on HIV Care Continuum Outcomes and Medication Adherence.Journal of the International Association of Providers of AIDS CareArticle
- Differential Role of Psychosocial, Health Care System and Neighborhood Factors on the Retention in HIV Care of Women and Men in the Ryan White Program.Journal of the International Association of Providers of AIDS CareArticle
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
HIV disproportionately affects racial/ethnic minorities and individuals living in the southern United States, and missed clinic visits account for much of this disparity. We sought to evaluate: (1) predictors of missed initial HIV medical visits, (2) time to initial visit, and (3) the association between initial visit attendance and retention in HIV care. Chart reviews were conducted for 200 consecutive HIV-infected patients (100 in Dallas, 100 in San Antonio) completing case management (CM) intake. Of these, 52 (26%) missed their initial visit, with 22 (11%) never presenting for care. Mean age was 40 years, 85% were men, >70% were of minority race/ethnicity, and 28% had a new HIV diagnosis. Unemployment (OR [95% CI] = 2.33 [1.04-5.24], p = 0.04) and lower attendance of CM visits (OR = 3.08 [1.43-6.66], p = 0.004) were associated with missing the initial medical visit. A shorter time to visit completion was associated with CD4 ≤ 200 (HR 1.90 [1.25-2.88], p = 0.003), Dallas study site (HR = 1.48 [1.03-2.14], p = 0.04), and recent hospitalization (HR = 2.18 [1.38-3.43], p < 0.001). Patients who did not complete their initial medical visit within 90 days of intake were unlikely to engage in care. Initial medical visit attendance was associated with higher proportion of visits attended (p = 0.04) and fewer gaps in care (p = 0.01). Missed medical visits were common among HIV patients initiating or reinitiating care in Texas. Employment and CM involvement predicted initial medical visit attendance, which was associated with retention in care. New, early engagement strategies are needed to decrease missed visits and reduce HIV health disparities.
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