Ho Christina P, Zinski Anne, Fogger Susanne A, Peters Jonathan D, Westfall Andrew O, Mugavero Michael J, Lawrence Sarah T, Nevin Christa R, Raper James L, Saag Michael S, Willig James H
Department of Medicine, University of Alabama at Birmingham, BBRB 206B, 845 19th Street S, Birmingham, AL, 35294, USA.
AIDS Behav. 2015 Aug;19(8):1423-9. doi: 10.1007/s10461-014-0967-9.
Psychiatric co-management is often required in HIV primary care. While rates and clinical impact of linkage and retention in HIV are well explored, fewer investigations focus specifically on linkage to psychiatry. In this investigation, we evaluate factors associated with linkage to psychiatric services using a retrospective cohort study of HIV-infected patients during a two-year observation period. Descriptive statistics depict patient characteristics, and logistic regression models were fit to evaluate factors associated with failure to establish care at the co-located psychiatry clinic following referral from HIV provider. Of 370 referred, 23 % did not attend a scheduled psychiatry appointment within 6 months of initial referral. In multivariable analysis, Non-white race, younger age, non-suppressed viral load, and increased wait time to appointment (in days) were associated with failure to attend. Further exploration of barriers that contribute to disparate linkage to psychiatric care may inform future interventions to improve HIV outcomes in this population.
在艾滋病病毒初级护理中，通常需要精神科共同管理。虽然艾滋病病毒的关联率和留存率及其临床影响已得到充分研究，但专门针对与精神科关联的调查较少。在本研究中，我们通过对一组艾滋病病毒感染患者进行为期两年的回顾性队列研究，评估与精神科服务关联相关的因素。描述性统计描述了患者特征，并采用逻辑回归模型评估在艾滋病病毒医疗机构转诊后，未能在同地精神科诊所建立治疗关系的相关因素。在370名被转诊患者中，23%在首次转诊后的6个月内未按预约就诊。在多变量分析中，非白人种族、年龄较小、病毒载量未得到抑制以及预约等待时间增加（以天数计）与未就诊相关。进一步探究导致精神科护理关联差异的障碍，可能会为改善该人群艾滋病病毒治疗效果的未来干预措施提供参考。
