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与HIV阳性门诊患者预约就诊相关的人口统计学和社会心理因素。

Demographic and psychosocial factors associated with appointment attendance among HIV-positive outpatients.

作者信息

Bofill Lina, Waldrop-Valverde Drenna, Metsch Lisa, Pereyra Margaret, Kolber Michael A

机构信息

Department of Epidemiology and Public Health, University of Miami, Miller School of Medicine, FL, USA.

出版信息

AIDS Care. 2011 Oct;23(10):1219-25. doi: 10.1080/09540121.2011.555743. Epub 2011 May 23.

DOI:10.1080/09540121.2011.555743
PMID:21562998
Abstract

Non-adherence to medical regimens is a critical threat to HIV-infected individuals. Persons living with HIV/AIDS must adhere to their outpatient medical appointments to benefit from continually improving HIV care regimens. The primary purpose of the present study was to identify individual and psychosocial characteristics associated with HIV-related medical appointment non-attendance. One hundred seventy eight adult participants attending the Outpatient Adult HIV/AIDS Immunology Clinic at Jackson Memorial Hospital (JMH) in Miami, Florida participated in the study. Scheduled and missed appointments obtained retrospectively over a 12-month period indicated that medical appointment non-attendance was a significant problem. Overall, 27.9% of scheduled appointments were missed during the study period. Young age and limited family support were predictors of non-attendance. These findings support those of others and highlight targeted intervention efforts to reduce appointment non-attendance among persons living with HIV/AIDS.

摘要

不遵守医疗方案对感染艾滋病毒的个体构成了严重威胁。艾滋病毒/艾滋病感染者必须按时赴门诊就医,才能从不断改进的艾滋病毒治疗方案中获益。本研究的主要目的是确定与未按时参加艾滋病毒相关医疗预约有关的个人和社会心理特征。178名成年参与者参加了这项研究,他们均在佛罗里达州迈阿密市杰克逊纪念医院(JMH)的成人艾滋病毒/艾滋病门诊免疫科就诊。回顾性收集的12个月期间的预约和未就诊记录表明,未按时参加医疗预约是一个严重问题。总体而言,在研究期间,27.9%的预约未就诊。年龄较小和家庭支持有限是未就诊的预测因素。这些发现与其他研究结果一致,并突出了针对性干预措施,以减少艾滋病毒/艾滋病感染者未按时就诊的情况。

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