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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

引用

Infectious Diseases of Poverty 2014年第1期3卷 415-422,414页

作者： Jean Joel R Bigna Jean Jacques N Noubiap Claudia S Plottel Charles Kouanfack Sinata Koulla-Shiro Faculty of Medicine and Biomedical Sciences University of Yaoundé1P.O.Box 1364YaoundéCameroon Faculty of Medicine University of Montpellier 1MontpellierFrance Preventing Mother to Child Transmission Unit Goulfey District HospitalGoulfeyCameroon Internal Medicine Unit Edéa Regional HospitalEdéaCameroon Department of Medicine New York University Langone Medical CenterNew YorkUSA Accredited Treatment Centre Yaoundé Central HospitalYaoundéCameroon Infectious Diseases Unit Yaoundé Central HospitalYaoundéCameroon

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-valuecaregiver(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.

关键词： more care Lost to follow-up(LTFU) Appointment Adherence Children Cameroon HIV AIDS Preventing mother-to-child transmission(PMTCT) Missed scheduled medical appointment

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