Risk factors for missed HIV primary care visits among men who have sex with men

Lara Traeger, Conall O'Cleirigh, Margie R. Skeer, Kenneth H. Mayer, Steven Safren

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

Benefits of anti-retroviral therapy (ART) depend on consistent HIV care attendance. However, appointment non-adherence (i.e. missed appointments) is common even in programs that reduce financial barriers. Demographic, health/treatment, and psychosocial contributors to appointment non-adherence were examined among men who have sex with men (MSM) attending HIV primary care. Participants (n = 503) completed questionnaires, and HIV biomarker data were extracted from medical records. At 12 months, records were reviewed to assess HIV primary care appointment non-adherence. Among MSM, 31.2% missed without cancellation at least one appointment during 12-month study period. Independent predictors (P <0.05) were: low income (OR = 1.87); African American (OR = 3.00) and Hispanic/Latino (OR = 4.31) relative to non-Hispanic White; depression (OR = 2.01); and low expectancy for appointments to prevent/treat infection (OR = 2.38), whereas private insurance (OR = 0.48) and older age (OR = 0.94) predicted lower risk. Low self-efficacy predicted marginal risk (OR = 2.74, P = 0.10). The following did not independently predict risk for non-adherence: education, relationship status, general health, time since HIV diagnosis, ART history, post-traumatic stress disorder, HIV stigma, or supportive clinic staff. Appointment non-adherence is prevalent, particularly among younger and racial/ethnic minority MSM. Socioeconomic barriers, depression and low appointment expectancy and self-efficacy may be targets to increase care engagement.

Original languageEnglish (US)
Pages (from-to)548-556
Number of pages9
JournalJournal of Behavioral Medicine
Volume35
Issue number5
DOIs
StatePublished - Oct 2012
Externally publishedYes

Fingerprint

Primary Health Care
Appointments and Schedules
HIV
Self Efficacy
Hispanic Americans
Depression
Post-Traumatic Stress Disorders
Insurance
African Americans
Health Status
Medical Records
Therapeutics
Biomarkers
History
Demography
Education
Health
Infection

Keywords

  • Adherence
  • Depression
  • HIV
  • Missed appointments
  • Patient perceptions
  • PTSD

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health

Cite this

Risk factors for missed HIV primary care visits among men who have sex with men. / Traeger, Lara; O'Cleirigh, Conall; Skeer, Margie R.; Mayer, Kenneth H.; Safren, Steven.

In: Journal of Behavioral Medicine, Vol. 35, No. 5, 10.2012, p. 548-556.

Research output: Contribution to journalArticle

Traeger, Lara ; O'Cleirigh, Conall ; Skeer, Margie R. ; Mayer, Kenneth H. ; Safren, Steven. / Risk factors for missed HIV primary care visits among men who have sex with men. In: Journal of Behavioral Medicine. 2012 ; Vol. 35, No. 5. pp. 548-556.
@article{c2f22c17a8fd4648aefffce28b5db7c3,
title = "Risk factors for missed HIV primary care visits among men who have sex with men",
abstract = "Benefits of anti-retroviral therapy (ART) depend on consistent HIV care attendance. However, appointment non-adherence (i.e. missed appointments) is common even in programs that reduce financial barriers. Demographic, health/treatment, and psychosocial contributors to appointment non-adherence were examined among men who have sex with men (MSM) attending HIV primary care. Participants (n = 503) completed questionnaires, and HIV biomarker data were extracted from medical records. At 12 months, records were reviewed to assess HIV primary care appointment non-adherence. Among MSM, 31.2{\%} missed without cancellation at least one appointment during 12-month study period. Independent predictors (P <0.05) were: low income (OR = 1.87); African American (OR = 3.00) and Hispanic/Latino (OR = 4.31) relative to non-Hispanic White; depression (OR = 2.01); and low expectancy for appointments to prevent/treat infection (OR = 2.38), whereas private insurance (OR = 0.48) and older age (OR = 0.94) predicted lower risk. Low self-efficacy predicted marginal risk (OR = 2.74, P = 0.10). The following did not independently predict risk for non-adherence: education, relationship status, general health, time since HIV diagnosis, ART history, post-traumatic stress disorder, HIV stigma, or supportive clinic staff. Appointment non-adherence is prevalent, particularly among younger and racial/ethnic minority MSM. Socioeconomic barriers, depression and low appointment expectancy and self-efficacy may be targets to increase care engagement.",
keywords = "Adherence, Depression, HIV, Missed appointments, Patient perceptions, PTSD",
author = "Lara Traeger and Conall O'Cleirigh and Skeer, {Margie R.} and Mayer, {Kenneth H.} and Steven Safren",
year = "2012",
month = "10",
doi = "10.1007/s10865-011-9383-z",
language = "English (US)",
volume = "35",
pages = "548--556",
journal = "Journal of Behavioral Medicine",
issn = "0160-7715",
publisher = "Springer New York",
number = "5",

}

TY - JOUR

T1 - Risk factors for missed HIV primary care visits among men who have sex with men

AU - Traeger, Lara

AU - O'Cleirigh, Conall

AU - Skeer, Margie R.

AU - Mayer, Kenneth H.

AU - Safren, Steven

PY - 2012/10

Y1 - 2012/10

N2 - Benefits of anti-retroviral therapy (ART) depend on consistent HIV care attendance. However, appointment non-adherence (i.e. missed appointments) is common even in programs that reduce financial barriers. Demographic, health/treatment, and psychosocial contributors to appointment non-adherence were examined among men who have sex with men (MSM) attending HIV primary care. Participants (n = 503) completed questionnaires, and HIV biomarker data were extracted from medical records. At 12 months, records were reviewed to assess HIV primary care appointment non-adherence. Among MSM, 31.2% missed without cancellation at least one appointment during 12-month study period. Independent predictors (P <0.05) were: low income (OR = 1.87); African American (OR = 3.00) and Hispanic/Latino (OR = 4.31) relative to non-Hispanic White; depression (OR = 2.01); and low expectancy for appointments to prevent/treat infection (OR = 2.38), whereas private insurance (OR = 0.48) and older age (OR = 0.94) predicted lower risk. Low self-efficacy predicted marginal risk (OR = 2.74, P = 0.10). The following did not independently predict risk for non-adherence: education, relationship status, general health, time since HIV diagnosis, ART history, post-traumatic stress disorder, HIV stigma, or supportive clinic staff. Appointment non-adherence is prevalent, particularly among younger and racial/ethnic minority MSM. Socioeconomic barriers, depression and low appointment expectancy and self-efficacy may be targets to increase care engagement.

AB - Benefits of anti-retroviral therapy (ART) depend on consistent HIV care attendance. However, appointment non-adherence (i.e. missed appointments) is common even in programs that reduce financial barriers. Demographic, health/treatment, and psychosocial contributors to appointment non-adherence were examined among men who have sex with men (MSM) attending HIV primary care. Participants (n = 503) completed questionnaires, and HIV biomarker data were extracted from medical records. At 12 months, records were reviewed to assess HIV primary care appointment non-adherence. Among MSM, 31.2% missed without cancellation at least one appointment during 12-month study period. Independent predictors (P <0.05) were: low income (OR = 1.87); African American (OR = 3.00) and Hispanic/Latino (OR = 4.31) relative to non-Hispanic White; depression (OR = 2.01); and low expectancy for appointments to prevent/treat infection (OR = 2.38), whereas private insurance (OR = 0.48) and older age (OR = 0.94) predicted lower risk. Low self-efficacy predicted marginal risk (OR = 2.74, P = 0.10). The following did not independently predict risk for non-adherence: education, relationship status, general health, time since HIV diagnosis, ART history, post-traumatic stress disorder, HIV stigma, or supportive clinic staff. Appointment non-adherence is prevalent, particularly among younger and racial/ethnic minority MSM. Socioeconomic barriers, depression and low appointment expectancy and self-efficacy may be targets to increase care engagement.

KW - Adherence

KW - Depression

KW - HIV

KW - Missed appointments

KW - Patient perceptions

KW - PTSD

UR - http://www.scopus.com/inward/record.url?scp=84867881817&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84867881817&partnerID=8YFLogxK

U2 - 10.1007/s10865-011-9383-z

DO - 10.1007/s10865-011-9383-z

M3 - Article

VL - 35

SP - 548

EP - 556

JO - Journal of Behavioral Medicine

JF - Journal of Behavioral Medicine

SN - 0160-7715

IS - 5

ER -