Personal HIV knowledge, appointment adherence and HIV outcomes

Deborah Jones, Ryan Cook, Allan Rodriguez, Drenna Waldrop-Valverde

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

HIV knowledge may impact patient access, understanding, and utilization of HIV medical information. This study explored the relationship between personal HIV knowledge, appointment adherence and treatment outcomes. HIV-infected individuals (n = 210) were assessed on factors related to HIV knowledge and appointment adherence. Adherence data and laboratory values were extracted from medical records. HIV knowledge was measured by participants' knowledge of their CD4 count and viral load (VL) and adherence was defined as attendance at >75 % of appointments. Two-thirds of participants were adherent, but only one-third knew their CD4 count and VL. Controlling for time since last appointment, HIV knowledge more than doubled the odds of appointment adherence. In combination with relationship with provider, knowledge predicted increased CD4 count and increased odds of an undetectable VL by almost five times. Personal HIV knowledge may be a valuable indicator of engagement in care and may also facilitate improved treatment outcomes.

Original languageEnglish (US)
Pages (from-to)242-249
Number of pages8
JournalAIDS and Behavior
Volume17
Issue number1
DOIs
StatePublished - Jan 2013

Keywords

  • Adherence
  • HIV
  • Knowledge
  • Treatment outcomes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology

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