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Losses to follow-up of HIV-infected people in the Spanish VACH cohort over the period between 2013 and 2014: The importance of sociodemographic factors

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Teira, R
  • Espinosa, N
  • Gutierrez, MM
  • Martinez, E
  • Gonzalez, F
  • de Leon, FL
  • Tellez, F
  • Galindo, MJ
  • Peraire, J
  • Deig, E
  • Munoz-Sanchez, P
  • de la Fuente, B
  • Campoamor, M
  • Domingo, P
  • Puig, T
  • Ribera, E
  • Roca, B
  • Garcia, J
  • Castano, M
  • Mayorga, MI
  • Terron, A
  • Alvarez, A
  • Suarez-Lozano, I
  • Merino, L
  • Geijo, P
  • Belinchon, O
  • Sepulveda, MA
  • Estrada, V
  • Munoz-Sanz, A
  • Mateo, MG
  • Vilades, C
  • Lopez-Cortes, L
  • Mateos, F
  • Grp Estudio VACH

Grupos

Abstract

Objective: To determine the proportion of people infected by HIV or AIDS under follow-up in the VACH Cohort in 2012 who were lost to follow-up from 2013 to 2014, and to establish the sociodemographic features relating to this loss. Methods: We considered subjects with less than one recorded consultation per year studied to be lost to follow-up. We built logistic regression models to calculate the odds ratios (OR) and their 95% confidence intervals (95% CI), of the variables relating to loss to follow-up. Results: The overall percentage of losses to follow-up was 15.5% (95% CI 14.9-16-1). The variables associated with loss to follow up were: not receiving antiretroviral treatment (ART) (OR: 1.948, 95% CI: 1.651-2.298), being an immigrant (OR: 1.746; 95%Cl: 1.494-2.040), intravenous drug consumption being the mechanism for HIV transmission (OR: 1.498, 95% CI: 1.312-1.711), being unemployed (OR: 1.331; 95% CI: 1.179-1.503), being without a partner (OR: 1.948, 95% CI: 1.651-1.298), belonging to a low socioeconomic class (OR: 1.279; 95% Cl: 1.143-1.431), and being attended in a hospital with fewer than 1000 patients under follow-up (OR: 1.257, 95% CI: 1.121-1.457), as well as being under age and having spent less time under follow-up in the Cohort. Conclusions: 15.5% of the patients were lost to follow-up over a period of 2 years in the VACH Cohort. This was associated with a series of sociodemographic and epidemiological variables that it might be useful to identify to design initiatives targeting the populations most likely to abandon the circuits of care, and guide strategies towards achieving Objective 90-90-90. (C) 2018 Published by Elsevier Espana, S.L.U.

Datos de la publicación

ISSN/ISSNe:
0213-005X, 1578-1852

ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA  EDICIONES DOYMA S A

Tipo:
Article
Páginas:
361-366
PubMed:
30514587
Factor de Impacto:
0,317 SCImago ℠
Cuartil:
Q3 SCImago ℠

Citas Recibidas en Web of Science: 12

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Keywords

  • Human immunodeficiency virus; Cohorts; Follow-up; Epidemiology

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