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J Int Assoc Provid AIDS Care. 2014 May-Jun;13(3):232-41. doi: 10.1177/2325957413514631. Epub 2014 Feb 3.

Retention in care within 1 year of initial HIV care visit in a multisite US cohort: who's in and who's out?

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  • 1Department of Medicine, Temple University School of Medicine, Philadelphia, PA, USA.


Biannual attendance at medical visits is an established measure of retention in HIV care. We examined factors associated with attending at least 2 clinic visits at least 90 days apart among HIV-infected, antiretroviral therapy (ART)-naive HIV Outpatient Study participants entering care during 2000 to 2011. Of 1441 patients, 85% were retained in care during the first year of observation. Starting ART during the year was the strongest correlate of retention (adjusted odds ratio [aOR] 6.4, 95% confidence interval [CI] 4.4-9.4). After adjusting for starting ART, publicly insured patients (aOR 0.6, 95% CI 0.4-1.0), and patients with baseline CD4 counts <200 cells/mm(3) (aOR 0.5, 95% CI 0.3-0.9) or missing CD4 counts (aOR 0.3, 95% CI 0.2-0.6) were less likely to be retained in care. Although most patients had recommended biannual care visits, some ART-naive individuals may require additional interventions to remain in care. Promptly initiating ART may facilitate engagement in care.


HIV infection; antiretroviral adherence; retention

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