Table 2.
Factors associated with missing an outpatient HIV clinic appointment in the first year of care among 543 patients who were living one year after establishing initial outpatient HIV care at the UAB 1917 HIV/AIDS Clinic, 2000–2005.
| Characteristic | No Missed Visita (N=218) |
Missed Visita (N=325) |
Unadjusted OR (95%CI) for Missed Visit |
Adjusted OR (95%CI) for Missed Visitb |
|---|---|---|---|---|
| Age (per 10 years) | 38.9 ± 9.6 | 36.9 ± 9.2 | 0.79 (0.66–0.95) | 0.81 (0.66– 0.99) |
| Sex | ||||
| Male | 180 (82.6) | 230 (70.8) | 1.0 | 1 |
| Female | 38 (17.4) | 95 (29.2) | 1.96 (1.28–2.99) | 1.11 (0.62– 1.98) |
| Race | ||||
| White | 134 (61.5) | 116 (35.7) | 1.0 | 1 |
| African American | 84 (38.5) | 209 (64.3) | 2.87 (2.02–4.10) | 2.74 (1.77– 4.23) |
| HIV risk factor | ||||
| Men who have sex with men (MSM) | 133 (61.3) | 144 (45.0) | 1.0 | 1.0 |
| Heterosexual | 72 (33.2) | 143 (44.7) | 1.83 (1.27–2.65) | 1.23 (0.73– 2.06) |
| Intravenous drug use (IVDU) | 12 ( 5.5) | 33 (10.3) | 2.54 (1.26–5.12) | 1.82 (0.78– 4.25) |
| Health insurance | ||||
| Private | 129 (59.2) | 144 (44.3) | 1.0 | 1 |
| Public | 18 ( 8.2) | 61 (18.8) | 3.04 (1.71–5.41) | 2.09 (1.10– 3.96) |
| Uninsured | 71 (32.6) | 120 (36.9) | 1.51 (1.04–2.21) | 1.23 (0.81– 1.86) |
| Affective mental health disorder | ||||
| No | 105 (48.2) | 175 (53.9) | 1.0 | 1 |
| Yes | 113 (51.8) | 150 (46.1) | 0.80 (0.57–1.12) | 0.91 (0.61– 1.35) |
| Substance abuse | ||||
| No | 174 (79.8) | 227 (69.9) | 1.0 | 1 |
| Yes | 44 (20.2) | 98 (30.1) | 1.71 (1.14–2.56) | 1.60 (0.93– 2.74) |
| Alcohol abuse | ||||
| No | 174 (79.8) | 263 (80.9) | 1.0 | 1 |
| Yes | 44 (20.2) | 62 (19.1) | 0.93 (0.61–1.43) | 0.82 (0.50– 1.34) |
| Baseline Viral Load (log10) | 4.4 ± 1.1 | 4.3 ± 1.1 | 0.95 (0.81–1.11) | 1.01 (0.84– 1.20) |
| Baseline CD4 count | ||||
| ≥ 350 cells/mm3 | 73 (34.0) | 132 (41.0) | 1.0 | 1.0 |
| 200 – 350 cells/mm3 | 36 (16.7) | 59 (18.3) | 0.68 (0.47–1.00) | 0.59 (0.37–0.92) |
| < 200 cells/mm3 | 106 (49.3) | 131 (40.7) | 0.91 (0.25–1.50) | 0.76 (0.44–1.31) |
Data are presented as mean ± standard deviation or N (%). Only missed visits that patients did not call ahead to notify the clinic that they would not attend their appointment were included in this measure (“no show” visits). Appointments cancelled by a patient in advance, those scheduled while a patient was hospitalized, and those cancelled by the clinic are not included in the missed visit measure.
Multivariable logistic regression model characteristics: Hosmer-Lemeshow goodness of fit p-value=0.19, C-statistic=0.71