Associations with sub-optimal clinic attendance and reasons for missed appointments among heterosexual women and men living with HIV in London

A. R. Howarth; V. Apea; S. Michie; S. Morris; M. Sachikonye; C. H. Mercer; A. Evans; V. C. Delpech; C. Sabin; F. M. Burns

doi:10.1007/s10461-022-03681-x

Associations with sub-optimal clinic attendance and reasons for missed appointments among heterosexual women and men living with HIV in London

A. R. Howarth^*, V. Apea, S. Michie, S. Morris, M. Sachikonye, C. H. Mercer, A. Evans, V. C. Delpech, C. Sabin, F. M. Burns

^*Corresponding author for this work

UK Health Security Agency

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

7 Downloads (Pure)

Abstract

Poor engagement in HIV care is associated with poorer health outcomes and increased mortality. Our survey examined experiential and circumstantial factors associated with clinic attendance among women (n = 250) and men (n = 106) in London with heterosexually-acquired HIV. While no associations were found for women, among men, sub-optimal attendance was associated with insecure immigration status (25.6% vs. 1.8%), unstable housing (32.6% vs. 10.2%) and reported effect of HIV on daily activities (58.7% vs. 40.0%). Among women and men on ART, it was associated with missing doses of ART (OR = 2.96, 95% CI:1.74–5.02), less belief in the necessity of ART (OR = 0.56, 95% CI:0.35–0.90) and more concern about ART (OR = 3.63, 95% CI:1.45–9.09). Not wanting to think about being HIV positive was the top reason for ever missing clinic appointments. It is important to tackle stigma and the underlying social determinants of health to improve HIV prevention, and the health and well-being of people living with HIV.

Original language	English
Pages (from-to)	3620-3629
Number of pages	10
Journal	AIDS and Behavior
Volume	26
Issue number	11
Early online date	10 May 2022
DOIs	https://doi.org/10.1007/s10461-022-03681-x
Publication status	E-pub ahead of print - 10 May 2022

Bibliographical note

Funding Information: This study was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme (project number 11/2004/50). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care.

Open Access: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to
obtain permission directly from the copyright holder. To view a copy of
this licence, visit http://creativecommons.org/licenses/by/4.0/.

Publisher Copyright: © The Author(s) 2022

Citation: Howarth, A.R., Apea, V., Michie, S. et al. Associations with sub-optimal clinic attendance and reasons for missed appointments among heterosexual women and men living with HIV in London. AIDS Behav (2022).

DOI: https://doi.org/10.1007/s10461-022-03681-x

Keywords

Cross-sectional survey
HIV
Heterosexual
Patient engagement
Social determinants

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1007/s10461-022-03681-xLicence: CC BY

Howarth2022AssociationsWithSubOptimalClinicAttendanceAndReasonsForMissedAppointmentsAIDSBehavFinal published version, 664 KBLicence: CC BY

Cite this

Howarth, A. R., Apea, V., Michie, S., Morris, S., Sachikonye, M., Mercer, C. H., Evans, A., Delpech, V. C., Sabin, C., & Burns, F. M. (2022). Associations with sub-optimal clinic attendance and reasons for missed appointments among heterosexual women and men living with HIV in London. AIDS and Behavior, 26(11), 3620-3629. Advance online publication. https://doi.org/10.1007/s10461-022-03681-x

@article{de1e15ec7ccd4223b32ff460862977f7,

title = "Associations with sub-optimal clinic attendance and reasons for missed appointments among heterosexual women and men living with HIV in London",

abstract = "Poor engagement in HIV care is associated with poorer health outcomes and increased mortality. Our survey examined experiential and circumstantial factors associated with clinic attendance among women (n = 250) and men (n = 106) in London with heterosexually-acquired HIV. While no associations were found for women, among men, sub-optimal attendance was associated with insecure immigration status (25.6% vs. 1.8%), unstable housing (32.6% vs. 10.2%) and reported effect of HIV on daily activities (58.7% vs. 40.0%). Among women and men on ART, it was associated with missing doses of ART (OR = 2.96, 95% CI:1.74–5.02), less belief in the necessity of ART (OR = 0.56, 95% CI:0.35–0.90) and more concern about ART (OR = 3.63, 95% CI:1.45–9.09). Not wanting to think about being HIV positive was the top reason for ever missing clinic appointments. It is important to tackle stigma and the underlying social determinants of health to improve HIV prevention, and the health and well-being of people living with HIV.",

keywords = "Cross-sectional survey, HIV, Heterosexual, Patient engagement, Social determinants",

author = "Howarth, {A. R.} and V. Apea and S. Michie and S. Morris and M. Sachikonye and Mercer, {C. H.} and A. Evans and Delpech, {V. C.} and C. Sabin and Burns, {F. M.}",

note = "Funding Information: This study was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme (project number 11/2004/50). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. Open Access: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article{\textquoteright}s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article{\textquoteright}s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Publisher Copyright: {\textcopyright} The Author(s) 2022 Citation: Howarth, A.R., Apea, V., Michie, S. et al. Associations with sub-optimal clinic attendance and reasons for missed appointments among heterosexual women and men living with HIV in London. AIDS Behav (2022). DOI: https://doi.org/10.1007/s10461-022-03681-x",

year = "2022",

month = may,

day = "10",

doi = "10.1007/s10461-022-03681-x",

language = "English",

volume = "26",

pages = "3620--3629",

journal = "AIDS and Behavior",

issn = "1090-7165",

publisher = "Springer New York",

number = "11",

}

TY - JOUR

T1 - Associations with sub-optimal clinic attendance and reasons for missed appointments among heterosexual women and men living with HIV in London

AU - Howarth, A. R.

AU - Apea, V.

AU - Michie, S.

AU - Morris, S.

AU - Sachikonye, M.

AU - Mercer, C. H.

AU - Evans, A.

AU - Delpech, V. C.

AU - Sabin, C.

AU - Burns, F. M.

N1 - Funding Information: This study was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme (project number 11/2004/50). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. Open Access: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Publisher Copyright: © The Author(s) 2022 Citation: Howarth, A.R., Apea, V., Michie, S. et al. Associations with sub-optimal clinic attendance and reasons for missed appointments among heterosexual women and men living with HIV in London. AIDS Behav (2022). DOI: https://doi.org/10.1007/s10461-022-03681-x

PY - 2022/5/10

Y1 - 2022/5/10

N2 - Poor engagement in HIV care is associated with poorer health outcomes and increased mortality. Our survey examined experiential and circumstantial factors associated with clinic attendance among women (n = 250) and men (n = 106) in London with heterosexually-acquired HIV. While no associations were found for women, among men, sub-optimal attendance was associated with insecure immigration status (25.6% vs. 1.8%), unstable housing (32.6% vs. 10.2%) and reported effect of HIV on daily activities (58.7% vs. 40.0%). Among women and men on ART, it was associated with missing doses of ART (OR = 2.96, 95% CI:1.74–5.02), less belief in the necessity of ART (OR = 0.56, 95% CI:0.35–0.90) and more concern about ART (OR = 3.63, 95% CI:1.45–9.09). Not wanting to think about being HIV positive was the top reason for ever missing clinic appointments. It is important to tackle stigma and the underlying social determinants of health to improve HIV prevention, and the health and well-being of people living with HIV.

AB - Poor engagement in HIV care is associated with poorer health outcomes and increased mortality. Our survey examined experiential and circumstantial factors associated with clinic attendance among women (n = 250) and men (n = 106) in London with heterosexually-acquired HIV. While no associations were found for women, among men, sub-optimal attendance was associated with insecure immigration status (25.6% vs. 1.8%), unstable housing (32.6% vs. 10.2%) and reported effect of HIV on daily activities (58.7% vs. 40.0%). Among women and men on ART, it was associated with missing doses of ART (OR = 2.96, 95% CI:1.74–5.02), less belief in the necessity of ART (OR = 0.56, 95% CI:0.35–0.90) and more concern about ART (OR = 3.63, 95% CI:1.45–9.09). Not wanting to think about being HIV positive was the top reason for ever missing clinic appointments. It is important to tackle stigma and the underlying social determinants of health to improve HIV prevention, and the health and well-being of people living with HIV.

KW - Cross-sectional survey

KW - HIV

KW - Heterosexual

KW - Patient engagement

KW - Social determinants

UR - http://www.scopus.com/inward/record.url?scp=85129703293&partnerID=8YFLogxK

U2 - 10.1007/s10461-022-03681-x

DO - 10.1007/s10461-022-03681-x

M3 - Article

AN - SCOPUS:85129703293

SN - 1090-7165

VL - 26

SP - 3620

EP - 3629

JO - AIDS and Behavior

JF - AIDS and Behavior

IS - 11

ER -

Associations with sub-optimal clinic attendance and reasons for missed appointments among heterosexual women and men living with HIV in London

Abstract

Bibliographical note

Keywords

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this