Factors associated with non-adherence to scheduled medical follow-up appointments among Cameroonian children requiring HIV care: a case-control analysis of the usual-care group in the MORE CARE trial

作     者：Jean Joel R Bigna Jean Jacques N Noubiap Claudia S Plottel Charles Kouanfack Sinata Koulla-Shiro 

作者机构：Faculty of Medicine and Biomedical SciencesUniversity of Yaoundé1P.O.Box 1364YaoundéCameroon Faculty of MedicineUniversity of Montpellier 1MontpellierFrance Preventing Mother to Child Transmission UnitGoulfey District HospitalGoulfeyCameroon Internal Medicine UnitEdéa Regional HospitalEdéaCameroon Department of MedicineNew York University Langone Medical CenterNew YorkUSA Accredited Treatment CentreYaoundé Central HospitalYaoundéCameroon Infectious Diseases UnitYaoundé Central HospitalYaoundéCameroon 

出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)

年 卷 期：2014年第3卷第1期

页      面：415-422,414页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学] 

主　　题：MORE CARE Lost to follow-up(LTFU) Appointment Adherence Children Cameroon HIV AIDS Preventing mother-to-child transmission(PMTCT) Missed scheduled medical appointment 

摘      要：Background:A better understanding of why HIV-exposed/infected children fail to attend their scheduled follow-up medical appointments for HIV-related care would allow for interventions to enhance the delivery of *** aim of this study was to determine characteristics of the caregiver-child dyad(CCD)associated with children’s non-adherence to scheduled follow-up medical appointments in HIV programs in ***:We conducted a case-control analysis of the usual-care group of CCDs from the MORE CARE trial,in which the effect of mobile phone reminders for HIV-exposed/infected children in attending follow-up appointments was assessed from January to March *** this study,the absence of a child at their appointment was considered a case and the presence of a child at their appointment was defined as a *** used three multivariate binary logistic regression *** best-fit model was the one which had the smallest chi-square value with the Hosmer-Lemeshow test(HLχ^(2)).Magnitudes of associations were expressed by odds ratio(OR),with a p-value0.05 considered as statistically ***:We included 30 cases and 31 *** best-fit model which considered the sex of the adults and children separately(HLχ^(2)=3.5)showed that missing scheduled medical appointments was associated with:lack of formal education of the caregiver(OR 29.1,95%CI 1.1-777.0;p=0.044),prolonged time to the next appointment/follow-up(OR[1 week increase]1.4,95%CI 1.03-2.0;p=0.032),and being a female child(OR 5.2,95%CI 1.2-23.1;p=0.032).One model(HLχ^(2)=10.5)revealed that woman-boy pairs adhered less to medical appointments compared to woman-girl pairs(OR 4.9,95%CI 1.05-22.9;p=0.044).Another model(HLχ^(2)=11.1)revealed that man-boy pairs were more likely to attend appointments compared to woman-girl pairs(OR 0.23,95%CI 0.06-0.93;p=0.039).There were no statistical associations for the ages of the children or the caregivers,the study sites,or the HIV status(confirmed vs.