Table 1.
HIV Medical Care Providers’ Reasons for Delaying ART for Clinically Eligible Patients in Houston—Medical Monitoring Project Provider Survey, 2009.
| Themes | Subthemesa | n (%) | 95% CI | Rankb |
|---|---|---|---|---|
| Adherence concerns | 17 (42.5) | 28.5-57.8 | ||
| Chaotic/unstable lifestyle | 4 (10.0) | 3.9-23.1 | 4th | |
| Poor clinic visits/appointment adherence issues | 5 (12.5) | 5.5-26.1 | 3rd | |
| Substance use/mental health issues | 8 (20.0) | 10.5-34.8 | 1st | |
| Acceptance concerns | 12 (30.0) | 18.1-45.4 | ||
| Denial/fear/lack of knowledge | 4 (10.0) | 3.9-23.1 | 4th | |
| Patient refusal/not ready to start/commit | 8 (20.0) | 10.5-34.8 | 1st | |
| Structural concerns | 11 (27.5) | 16.1-42.8 | ||
| Lack of insurance/medical cost | 6 (15.0) | 7.1-29.1 | 2nd | |
| Inconsistent access to medications | 3 (7.5) | 2.5-19.9 | 5th | |
| Poor social support/unstable housing/transportation | 2 (5.0) | 1.4-16.5 | 6th |
Abbreviations: ART, antiretroviral therapy; 95% CI, 95% confidence interval; HMCP, HIV Medical Care Provider.
aProviders’ reasons for delaying ART are not independent of each other as some providers identified more than 1 theme or subthemes.
bHMCPs’ reasons (subthemes) with same rank order are ties.