Catálogo general VIH/sida
Who will be lost? A psychosocial review on loss to follow-up in people with HIV
Resumen
Background: Although access to antiretroviral therapy and viral suppression may be available and achievable, retention in care is crucial to reach these and other successful goals in HIV clinical management. However, undesirable rates of loss to follow-up (LTFU) are still present today. We reviewed the literature with 2 primary aims: 1) to identify the correlates associated with LTFU, and 2) to categorize those factors involving psychological, social and cultural issues. Methods: We developed a narrative review of studies in HIV infection in which variables concerning retention in care were investigated. We used Pubmed with a selection period from January 2010 to December 2017. Eligible studies met the following criteria: 1) English language, 2) published in a peer-reviewed journal, 3) including any step of the HIV care continuum, and 4) finding at least one of the following factors as relevant: psychological, social or cultural. We performed descriptive statistical analyses. Results: We found 2325 citations investigating aspects related to retention in care. A total of 29 reports met the study criteria and were included in the review. The most common definition of LTFU was not attending the next scheduled clinical or medical appointment up to 180 days following the last clinical visit. The rate of LTFU ranged from 1% to 59%. The studies described up to 55 variables, which could be classified into 7 categories: anthropometric, demographic, institutional, physical complications, psychosocial, related to laboratory results, and therapeutic. Regarding psychosocial variables, 13 factors were detected in connection with LTFU (Table 1): the most important were depression (in 14% of the reports), low social support (14%), perceived stigma (14%), and HIV nondisclosure (10%). Conclusions: Psychological, social and cultural factors influence not only health-related outcomes of people living with HIV, but also, importantly, retention in care. Risk factors such as depression, poor social support, highly perceived stigma, and difficulties for HIV disclosure lead to a greater likelihood of LTFU. Detection and assessment of psychosocial variables are strongly recommended in people living with HIV, in order to both predict a potential loss of retention in care, and propose and establish intervention programs to ensure and optimize linkage to care.- Tema:
Autoría:
MUÑOZ MORENO, José A.; TORRES BERTRAL, P.; FERRER LASALA, M. J.
Autoría institucional: Fundación Lucha contra las Infecciones (España)
Autoría institucional: Fundación Lucha contra las Infecciones (España)
Ficha bibliográfica
- Año de publicación:
- [2018]
- Descripción física:
- [1] p.
- Formato:
- Folleto
- Tipo de documento:
- Coloquios y ponencias
- Notas:
- Póster presentado en la 22nd International AIDS Conference celebrada en Amsterdam (Holanda) del 23 al 27 de julio de 2018.
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