The Role of Comorbidity on Retention in HIV Care.

Bulsara, SM; Wainberg, ML; Rogers, K; McAloon, J; Grove, R; Newton-John, TRO

The Role of Comorbidity on Retention in HIV Care.

Bulsara, SM Wainberg, ML Rogers, K

McAloon, J Grove, R

Newton-John, TRO

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Publisher:: SPRINGER/PLENUM PUBLISHERS
Publication Type:: Journal Article
Citation:: AIDS and behavior, 2020
Issue Date:: 2020-08-05

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Field	Value	Language
dc.contributor.author	Bulsara, SM
dc.contributor.author	Wainberg, ML
dc.contributor.author	Rogers, K https://orcid.org/0000-0001-5497-4298
dc.contributor.author	McAloon, J
dc.contributor.author	Grove, R https://orcid.org/0000-0001-6669-9385
dc.contributor.author	Newton-John, TRO
dc.date.accessioned	2020-11-24T05:17:03Z
dc.date.available	2020-11-24T05:17:03Z
dc.date.issued	2020-08-05
dc.identifier.citation	AIDS and behavior, 2020
dc.identifier.issn	1090-7165
dc.identifier.issn	1573-3254
dc.identifier.uri	http://hdl.handle.net/10453/144319
dc.description.abstract	Retention is a central component of the Cascade, facilitating monitoring of comorbidity. Country-specific definitions differ and may suit stable and functioning clients, while not appropriately classifying complex clinical presentations characterized by comorbidity. A retrospective file review of 363 people living with HIV attending a Sydney HIV clinic was conducted. Retention was compared with Australian (attendance once/12-months) and World Health Organization (attendance 'appropriate to need') recommendations to identify those attending according to the Australian definition, but not clinician recommendations (AUnotWHO). Multivariable logistic regression analyses determined the impact of age/sex and clinician-assessed comorbidity on retention. Most (97%) participants were considered retained according to the Australian definition, but only 56.7% according to clinician recommendations. Those with psychosocial comorbidity alone were less likely to be in the AUnotWHO group (OR 0.51, 95%CI 0.27-0.96, p = 0.04). The interaction of physical and psychosocial comorbidity was predictive of poor retention (Wald test: χ2 = 6.39, OR 2.39 [95% CI 1.15-4.97], p = 0.01), suggesting a syndemic relationship.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	SPRINGER/PLENUM PUBLISHERS
dc.relation.ispartof	AIDS and behavior
dc.relation.isbasedon	10.1007/s10461-020-02992-1
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1117 Public Health and Health Services, 1607 Social Work
dc.subject.classification	Public Health
dc.title	The Role of Comorbidity on Retention in HIV Care.
dc.type	Journal Article
utslib.location.activity	United States
utslib.for	1117 Public Health and Health Services
utslib.for	1607 Social Work
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Clinical Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHT - Health Technologies
utslib.copyright.status	closed_access	*
dc.date.updated	2020-11-24T05:16:53Z
pubs.publication-status	Published

Abstract:

Retention is a central component of the Cascade, facilitating monitoring of comorbidity. Country-specific definitions differ and may suit stable and functioning clients, while not appropriately classifying complex clinical presentations characterized by comorbidity. A retrospective file review of 363 people living with HIV attending a Sydney HIV clinic was conducted. Retention was compared with Australian (attendance once/12-months) and World Health Organization (attendance 'appropriate to need') recommendations to identify those attending according to the Australian definition, but not clinician recommendations (AUnotWHO). Multivariable logistic regression analyses determined the impact of age/sex and clinician-assessed comorbidity on retention. Most (97%) participants were considered retained according to the Australian definition, but only 56.7% according to clinician recommendations. Those with psychosocial comorbidity alone were less likely to be in the AUnotWHO group (OR 0.51, 95%CI 0.27-0.96, p = 0.04). The interaction of physical and psychosocial comorbidity was predictive of poor retention (Wald test: χ2 = 6.39, OR 2.39 [95% CI 1.15-4.97], p = 0.01), suggesting a syndemic relationship.

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http://hdl.handle.net/10453/144319