From the Center for Epidemiologic Research, Department of Epidemiology, Brown University School of Public Health, Providence, RI.
Program in Epidemiology, University of Delaware, Newark, DE.
Epidemiology. 2025 Jan 1;36(1):99-106. doi: 10.1097/EDE.0000000000001801. Epub 2024 Oct 10.
Attending clinic appointments supports HIV viral suppression, yet racial disparities are documented. We assessed whether multilevel resilience resources were associated with appointment attendance among African American/Black (AA/B) adults living with HIV in the United States.
We ascertained data from 291 AA/B clinical cohort participants from 2018 to 2021. We assessed resilience using the Multilevel Resilience Resource Measure. Binary outcomes were a nonrepeated indicator of attending ≥87.5% of scheduled HIV appointments over 12 months (i.e., visit adherence) and a repeated measure of attending appointments during two sequential 6-month follow-up windows (i.e., clinic attendance). Modified Poisson models estimated adjusted risk ratios (aRRs).
The aRR for clinic attendance among participants with greater versus lesser multilevel resilience resource endorsement was 0.95 (95% confidence interval: 0.88, 1.0). The aRR for visit adherence among participants with greater versus lesser multilevel resilience resource endorsement was 1.2 (0.95, 1.4).
This analysis is one of the first to assess appointment attendance as a function of resilience. Findings should be confirmed in larger cohorts.
就诊能帮助艾滋病毒感染者实现病毒抑制，但存在种族差异。我们评估了多层次韧性资源是否与美国艾滋病毒感染者中的非裔/黑人（AA/B）成年人的就诊出席率相关。
我们从 2018 年至 2021 年的 291 名 AA/B 临床队列参与者中获得数据。我们使用多层次韧性资源衡量表评估韧性。二元结局指标为在 12 个月内是否至少出席 87.5%的预约（即就诊依从性），重复测量指标为在两个连续的 6 个月随访期内是否出席预约（即就诊出席率）。修正泊松模型估计了调整后的风险比（aRR）。
与韧性资源认可程度较低的参与者相比，韧性资源认可程度较高的参与者的就诊出席率的 aRR 为 0.95（95%置信区间：0.88，1.0）。与韧性资源认可程度较低的参与者相比，韧性资源认可程度较高的参与者的就诊依从性的 aRR 为 1.2（0.95，1.4）。
这项分析是评估韧性与就诊出席率之间关系的首批研究之一。应在更大的队列中进行确认。
