Pub Date : 2018-12-01DOI: 10.52226/revista.v26i98.21
Gabriela Alejandra Blugerman, José Antonio Valiente, Carina Cesar, Cleyton Yamamoto, Omar Sued, Pedro Cahn
Background: Distance from patient's home to the hospital has been proposed as one of the limiting factors for patient's retention in care.
Methods: Retrospective cohort study of HIV+ patients 18 years or older who had their first clinical visit between 2011 and 2013 at a reference center in Buenos Aires, Argentina. Patients were considered to be retained in care if they had>=1 clinical visit, laboratory markers (VL and/or CD4 count) and/or ARVs pick-up during the year after their first clinical visit. Each patient address's latitude-longitude was obtained using Google Maps® web service. Home-hospital distance and travel time were obtained with Google Maps Distance Matrix API® service.
Results: Of 1020 patients who started follow-up, 15 died and 158 were transferred to another site. Of the remaining, 816 (96.3%) had identifiable address in their electronic medical record. Median age at the time of the first visit was 33 (IQR 27-41) years, 654 (77.9%) patients were male. Median home-hospital distance was 10.3 (IQR 4.4-34.7) km and median travel time was 58.5 (IQR 35-102.5) minutes. 730 patients (89.5%; CI 87.1-91.5%) remained in follow-up after 1 year of their first visit. We didńt find association between travel time and home-hospital distance with retention in this population.
Conclusions: In our study, distance between home and the care center was not associated with lower retention one year after first visit in adult HIV patients attending a public hospital.
背景:患者家到医院的距离已被认为是患者保留护理的限制因素之一。方法:对2011 - 2013年在阿根廷布宜诺斯艾利斯某参考中心首次就诊的18岁及以上HIV+患者进行回顾性队列研究。如果患者有> 1次临床就诊，实验室标志物(VL和/或CD4计数)和/或在第一次临床就诊后的一年内出现抗逆转录病毒药物回升，则认为患者继续接受治疗。使用Google Maps®web服务获得每个患者地址的经纬度。通过Google Maps distance Matrix API®服务获得家到医院的距离和出行时间。结果:1020例患者开始随访，15例死亡，158例转移至其他部位。其余的816人(96.3%)在他们的电子病历中有可识别的地址。首次就诊时的中位年龄为33岁(IQR 27-41岁)，男性654例(77.9%)。家-医院距离中位数为10.3 km (IQR 4.4-34.7)，出行时间中位数为58.5 min (IQR 35-102.5)。730例(89.5%);CI 87.1-91.5%)在首次访视1年后继续随访。我们didńt发现旅行时间和家医院距离与这一人群的滞留率之间存在关联。结论:在我们的研究中，家庭和护理中心的距离与在公立医院就诊的成年HIV患者首次就诊一年后的保留率降低无关。
{"title":"[Retention in care and distance between home and hospital in HIV patients of Buenos Aires City].","authors":"Gabriela Alejandra Blugerman, José Antonio Valiente, Carina Cesar, Cleyton Yamamoto, Omar Sued, Pedro Cahn","doi":"10.52226/revista.v26i98.21","DOIUrl":"https://doi.org/10.52226/revista.v26i98.21","url":null,"abstract":"<p><strong>Background: </strong>Distance from patient's home to the hospital has been proposed as one of the limiting factors for patient's retention in care.</p><p><strong>Methods: </strong>Retrospective cohort study of HIV+ patients 18 years or older who had their first clinical visit between 2011 and 2013 at a reference center in Buenos Aires, Argentina. Patients were considered to be retained in care if they had>=1 clinical visit, laboratory markers (VL and/or CD4 count) and/or ARVs pick-up during the year after their first clinical visit. Each patient address's latitude-longitude was obtained using Google Maps<sup>®</sup> web service. Home-hospital distance and travel time were obtained with Google Maps Distance Matrix API<sup>®</sup> service.</p><p><strong>Results: </strong>Of 1020 patients who started follow-up, 15 died and 158 were transferred to another site. Of the remaining, 816 (96.3%) had identifiable address in their electronic medical record. Median age at the time of the first visit was 33 (IQR 27-41) years, 654 (77.9%) patients were male. Median home-hospital distance was 10.3 (IQR 4.4-34.7) km and median travel time was 58.5 (IQR 35-102.5) minutes. 730 patients (89.5%; CI 87.1-91.5%) remained in follow-up after 1 year of their first visit. We didńt find association between travel time and home-hospital distance with retention in this population.</p><p><strong>Conclusions: </strong>In our study, distance between home and the care center was not associated with lower retention one year after first visit in adult HIV patients attending a public hospital.</p>","PeriodicalId":72064,"journal":{"name":"Actualizaciones en SIDA e infectologia","volume":"26 98","pages":"54-60"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886959/pdf/nihms-1868025.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9209529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Iván C Balán, Timothy Frasca, María A Pando, Marina Mabragaña, Rubén O Marone, Victoria Barreda, Curtis Dolezal, Cheng-Shiun Leu, Alex Carballo-Diéguez, María M Ávila
This article summarizes published findings from Project LINKS. A total of 500 men who have sex with men were recruited through Respondent Driven Sampling into this study on factors associated with HIV infection. Among participants, 24.5 % identified as gay, 36.2 % as bisexual, 21.9 % as heterosexual, and 17.4 % as "other"; 33 % reported having sex with men, women, and transgender women during the prior two months. Prevalence of HIV, Hepatitis B, and syphilis was 17.3 %, 22.9 %, and 20.5 %, respectively; rates were significantly higher among participants who only had male sex partners. Over two-thirds of participants reported unprotected anal or vaginal intercourse during the prior two months, and 52 %had never been tested for HIV. Twenty-five percent reported heavy drinking, and 34 % reported poly-drug use during the past two months. Eighteen percent of participants reported a sexual experience prior to the age of thirteen with a partner who was at least four years older. Acceptability of microbicides and HIV home testing was high.
{"title":"[Summary of the LINKS Study: Factors associated with HIV infection among men who have sex with men in Buenos Aires, Argentina].","authors":"Iván C Balán, Timothy Frasca, María A Pando, Marina Mabragaña, Rubén O Marone, Victoria Barreda, Curtis Dolezal, Cheng-Shiun Leu, Alex Carballo-Diéguez, María M Ávila","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article summarizes published findings from Project LINKS. A total of 500 men who have sex with men were recruited through Respondent Driven Sampling into this study on factors associated with HIV infection. Among participants, 24.5 % identified as gay, 36.2 % as bisexual, 21.9 % as heterosexual, and 17.4 % as \"other\"; 33 % reported having sex with men, women, and transgender women during the prior two months. Prevalence of HIV, Hepatitis B, and syphilis was 17.3 %, 22.9 %, and 20.5 %, respectively; rates were significantly higher among participants who only had male sex partners. Over two-thirds of participants reported unprotected anal or vaginal intercourse during the prior two months, and 52 %had never been tested for HIV. Twenty-five percent reported heavy drinking, and 34 % reported poly-drug use during the past two months. Eighteen percent of participants reported a sexual experience prior to the age of thirteen with a partner who was at least four years older. Acceptability of microbicides and HIV home testing was high.</p>","PeriodicalId":72064,"journal":{"name":"Actualizaciones en SIDA e infectologia","volume":"24 91","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6467296/pdf/nihms927030.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41221537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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