Predictive Factors for Loss to Postpartum Follow-Up Among Low Income HIV-Infected Women in Texas
- 1 May 2014
- journal article
- Published by Mary Ann Liebert Inc in AIDS Patient Care and STDs
- Vol. 28 (5), 248-253
- https://doi.org/10.1089/apc.2013.0321
Abstract
Guidelines for HIV primary care include visits every 3 months (up to 6 months in those with stable HIV). During pregnancy, women with HIV commonly attend once weekly to once monthly visits; however, after delivery, many are lost to follow-up. Our goal was to assess the frequency of loss to primary care follow-up postpartum and to identify predictors of loss to care. A retrospective chart review of HIV-infected women in a Houston prenatal program was done. Optimal care was defined as one visit to HIV primary care providers (PCPs) every 6 months within the first year after delivery, and loss to follow-up as no visits within the first postpartum year. Multivariate logistic regression analysis was used to identify factors associated with loss to follow-up. Charts (n=213) were analyzed for follow-up with PCPs. The loss to follow-up rate was 39% in the first postpartum year. Associated factors were younger age, black race, late entry to prenatal care, and no plans for contraception. Predictors of loss to primary care after pregnancy can be used to identify specific subpopulations of pregnant women at highest risk for falling out of care.Keywords
This publication has 13 references indexed in Scilit:
- Adherence to Antiretroviral Treatment Decreases During Postpartum Compared to Pregnancy: A Longitudinal Electronic Monitoring StudyAIDS Patient Care and STDs, 2013
- Measuring Retention in HIV CareJAIDS Journal of Acquired Immune Deficiency Syndromes, 2012
- Antiretroviral Adherence During Pregnancy and Postpartum in Latin AmericaAIDS Patient Care and STDs, 2012
- Correlates of Mother-to-Child Transmission of HIV in the United States and Puerto RicoPediatrics, 2012
- Patient counseling increases postpartum follow-up in women with gestational diabetes mellitusAmerican Journal of Obstetrics and Gynecology, 2011
- Follow-Up Care Among HIV-Infected Pregnant Women in MississippiJournal of Women's Health, 2010
- Loss to follow-up and mortality among pregnant women referred to a community clinic for antiretroviral treatmentAIDS, 2008
- Retention in Care: A Challenge to Survival with HIV InfectionClinical Infectious Diseases, 2007
- Pregnant Women With HIV Infection Can Expect Healthy SurvivalJAIDS Journal of Acquired Immune Deficiency Syndromes, 2006
- Primary Care Guidelines for the Management of Persons Infected with Human Immunodeficiency Virus: Recommendations of the HIV Medicine Association of the Infectious Diseases Society of AmericaClinical Infectious Diseases, 2004