Table 3.
Adjusted odds ratios and confidence intervals for select patient and HSR factors by visit adherence definitions. Independent factors included if significant in univariate analysis at p≤ 0.2
| Outcome | Largest Gap Greater than 60 Days |
No Visit in the Last Quarter |
Low Visit Constancy | |
|---|---|---|---|---|
| Gender | ||||
| Female | reference | |||
| Male | 1.18(0.75–1.87) | ---- | ---- | |
| Age | ||||
| ≥45 | reference | reference | reference | |
| 35–44 | 0.98(0.70–1.37) | 1.46(0.82–2.60) | 1.18 (0.66–2.09) | |
| 25–34 | 1.17(0.81–1.70) | 1.92(0.97–3.78) | 1.57 (0.91–2.70) | |
| 24 and under | 3.86(2.02–7.40)*** | 3.40(1.63–7.07)*** | 4.65(2.36–9.17)*** | |
| Education | ||||
| None/Some Primary | reference | reference | reference | |
| Completed primary and greater | 1.22(0.83–1.80) | 1.35(0.74–2.48) | 1.32(0.80–2.18) | |
| Marital Status | ||||
| Married/Cohabitating | reference | |||
| Single/Divorced/Widowed | ---- | 1.36(0.89–2.09) | ---- | |
| Time to clinic | ||||
| ≥60 minutes | reference | |||
| 0–60 minutes | 1.27(0.86–1.88) | ---- | ---- | |
| HCW explained things in a way understood | ||||
| Yes | reference | reference | reference | |
| No | 2.23(0.81–6.10) | 4.83(1.39–16.78)* | 4.10(1.54–10.89)** | |
| Time to ask questions | ||||
| No | reference | |||
| Yes | ---- | ---- | 1.74(0.50–1.10) | |
| Side effects explained | ||||
| Yes | reference | |||
| No | 2.21(1.49–3.28)*** | ---- | ---- | |
| Confident can take medications | ||||
| Very Confident/confident | reference | |||
| Mod-Not at all | ---- | ---- | 1.79(0.85–3.77) | |
| Understood importance of labs | ||||
| Yes | reference | |||
| No | ---- | ---- | 0.67(0.43–1.05) | |
| Respect rating | ||||
| Very good/good | reference | |||
| Moderately Good/poor | 1.89(0.94–3.84) | ---- | ---- | |
| Comfort rating | ||||
| Uncomfortable | reference | reference | reference | |
| Very Comfortable/Comfortable | 1.48(1.07–2.05) | 1.55(0.93–2.56) | 1.66(1.19–2.31)** | |
| Overall Healthcare Rating | ||||
| Very Good/Good | reference | |||
| Moderately Good/Fair/Poor | 1.22(0.73–2.02) | ---- | ---- | |
| Time on ARTs | ||||
| ≥9 months | reference | reference | reference | |
| 6–9 months | 1.47(0.74–2.93) | 1.83(0.70–4.77) | 2.73(1.44–5.18)** | |
| 3–6 months | 2.44(1.40–4.25)** | 3.09(1.72–5.57)*** | 5.26(3.17–8.74)*** | |
| 0–3 months | 1.49(1.09–2.03)* | 5.04(2.47–10.30)*** | 5.90(3.18–10.96)*** | |
| Site Size | ||||
| Small | reference | reference | reference | |
| Medium | 1.14(0.59–2.20) | 0.67(0.42–1.07) | 1.01(0.63–1.63) | |
| Large | 1.05(0.54–2.07) | 0.72(0.48–1.10) | 0.88(0.57–1.37) | |
| Patient to Staff FTE ratio | ||||
| <200:1 | reference | reference | reference | |
| ≥200:1 | 1.35(0.71–2.54) | 1.40(0.91–2.18) | 1.46(1.03–2.08)* | |
HCW: Health care worker; ART: antiretroviral therapy; FTE: full time equivalent
*
p-value < 0.05,
**
p-value < 0.01,
***
p-value<0.001