Exploring definitions of retention in care for people living with HIV in the United States in the modern treatment era.

ABSTRACT:

Objective

To describe retention in HIV care based on various definitions of retention in the modern treatment era.

Design

A cohort study of people enrolled in care at seven mostly urban HIV clinics across the United States, 2010-2018.

Methods

We estimated retention based on missed visits, kept visits, kept encounters (clinical visits, CD4 counts, and viral loads), and HIV labs. We contrasted risk factors for retention by different definitions and estimated odds ratios for of viral suppression and hazard ratios for mortality in 2 years immediately following the year in which retention was defined (the study year).

Results

Across 108 171 person-years (N = 21 481 people), in 71% of years people kept ≥75% of scheduled visits; in 78%, people kept ≥2 visits >90 days

SUBMITTER: Lesko CR 

PROVIDER: S-EPMC9273016 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature