Waldrop-Valverde Drenna, Guo Ying, Ownby Raymond L, Rodriguez Allan, Jones Deborah L
Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road NE, Atlanta, GA, 30342, USA,
AIDS Behav. 2014 Aug;18(8):1483-91. doi: 10.1007/s10461-013-0633-7.
Retention in care for HIV is essential for effective disease management; however, factors that may confer risk or protection for adherence to regular HIV care are less well understood. This study tested whether HIV-associated cognitive impairment (CI) and low health literacy reduced adherence to routine HIV medical and phlebotomy visits and if social support and patient-provider relationship conferred a protective effect. Participants were 210 HIV-infected patients enrolled in outpatient care and followed for 28-weeks. Results showed that those attending >75 % of phlebotomy visits were more likely to be virally suppressed. Health literacy was unassociated with adherence to medical or phlebotomy visits. CI was not directly related to medical or phlebotomy visit adherence; however those with CI and greater use of social support were less likely to miss medical visits. Utilizing social support may be an effective means of managing visit adherence, especially among patients with CI.
坚持接受艾滋病治疗对于有效管理疾病至关重要；然而，对于可能影响坚持定期接受艾滋病护理的风险因素或保护因素，我们的了解还比较有限。本研究旨在测试与艾滋病相关的认知障碍（CI）和低健康素养是否会降低对常规艾滋病医疗和采血检查的依从性，以及社会支持和医患关系是否具有保护作用。研究对象为210名接受门诊治疗的艾滋病感染患者，随访期为28周。结果显示，采血检查就诊率超过75%的患者更有可能实现病毒抑制。健康素养与医疗或采血检查的依从性无关。CI与医疗或采血检查的依从性没有直接关系；然而，有CI且更多利用社会支持的患者错过医疗就诊的可能性较小。利用社会支持可能是管理就诊依从性的有效手段，尤其是对于有CI的患者。
