1921
Volume 74, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

French Guiana is the region of France where the HIV epidemic is most prevalent. To determine the risk factors for being lost for follow-up, we followed a cohort of 1,213 patients between 1992 and 2002 and determined which variables were related to two definitions of being lost to follow-up: permanently disappearing from HIV clinics and coming back after more than 1 year of missed appointments. The incidence rate for permanent follow-up interruption was 17.2 per 100 person-years. The median time to lost to follow-up was 4.3 years (interquartile range = 1.4–8.4 years). Cox modeling showed that the younger age groups, foreigners, patients with initial CD4 counts at the time of HIV diagnosis less than 500/mm, and patients followed before the availability of highly active antiretroviral therapy (HAART) were significantly more likely to be permanently lost to follow-up, suggesting that some of the patients may have died. When looking at temporary loss to follow-up, younger age groups, untreated patients, patients consulting before the availability of HAART, and patients with CD4 counts more than 500/mm were more likely to not come back for a period of more than 1 year.

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2006-05-01
2017-09-21
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References

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  2. 2003. Programme Regional de Santé VIH-SIDA en Guyane: Direction de la Santé et du Développement Social. Cayenne, French Guiana.
  3. UNAIDS, Available online at http://www.unaids.org/EN/geographical+Area/By+Region/latin_america.asp. Accessed May 12, 2005.
  4. Institut National de la Statistique et des Études Économiques (INSEE), 2004. Available online at http://www.insee.fr/fr/insee_regions/guyane/home/home_page.asp. Accessed May 12, 2005.
  5. Giraud MGA, 1995. Analysis of Sexual Behaviour in the French Antilles and French Guiana. Agence Nationale du Recherches sur le Sida et les Hépatites, Paris, France.
  6. Couppié P, Clyti E, El Guedj M, Sobesky M, Pradinaud R, 2000. Social factors associated with bad follow-up with HIV+ patients in French Guiana. XIIIth International AIDS Conference, Barcelona, Spain, July 7–12, 2002.
  7. Stone VE, 2004. Optimizing the care of minority patients with HIV/AIDS. Clin Infect Dis 38 : 400–404.
  8. Catz SL, McClure JB, Jones GN, Brantley PJ, 1999. Predictors of outpatient medical appointment attendance among persons with HIV. AIDS Care 11 : 361–373.s
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  • Received : 12 May 2005
  • Accepted : 06 Jan 2006

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