Retention in care in aging adults with a dual diagnosis of HIV infection and type 2 diabetes mellitus: a longitudinal retrospective cross-sectional studyopen access
- Authors
- Zuniga, Julie Ann; Garcia, Alexandra A.; Lee, Junse; Park, Jungmin
- Issue Date
- May-2020
- Publisher
- BMC
- Keywords
- CD4 count; Type 2 diabetes mellitus; HIV; Retention in care; Comorbidity
- Citation
- AIDS RESEARCH AND THERAPY, v.17, no.1, pp.1 - 11
- Indexed
- SCIE
SCOPUS
- Journal Title
- AIDS RESEARCH AND THERAPY
- Volume
- 17
- Number
- 1
- Start Page
- 1
- End Page
- 11
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/145783
- DOI
- 10.1186/s12981-020-00286-z
- ISSN
- 1742-6405
- Abstract
- Background
This study aimed to investigate the measures of retention in care (RIC) in persons living with HIV (PLWH) and type 2 diabetes mellitus (T2DM) by age group (younger vs. older adults).
Methods
This was a longitudinal retrospective cross-sectional study that used secondary data from the Center for AIDS Research Network of Integrated Clinical Systems (CNICS). We examined RIC in 798 adult PLWH + T2DM who visited a CNICS clinic at least once in 2015. Six measures of RIC were examined: missed visits [measured as a continuous variable (total number of missed visits) and dichotomous variable (0 = never missed, 1 = missed)], visit adherence, 6-month visit gap, 4-month visit constancy, and the Health and Resources Services Administration HIV/AIDS Bureau’s RIC measure. We calculated Spearman correlation coefficients and conducted logistic regression and multi-group path analysis.
Results
Most RIC measures were significantly correlated (p < 0.05) with one another; only 4-month visit constancy was not correlated with other measures. Except for the number of missed visits in older adult PLWH + T2DM, we found no significant relationships between RIC measures and CD4 cell count using logistic regression. However, multi-group path analysis demonstrated significant positive relationships between most RIC measures and CD4 cell count in both age groups. In younger adults living with HIV (YALWH) + T2DM, HbA1c level, but not CD4 count, was significantly associated with most RIC measures.
Conclusions
RIC is related to disease control (CD4 cell count and HbA1c level) in PLWH + T2DM and notably, HbA1c level was only significantly affected in YALWH + T2DM. A future study is needed to find more accurate reasons for the fact that only HbA1c level had significant relationships in YALWH + T2DM. The findings from this study provide guidance in measuring RIC in PLWH who have comorbidities.
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