RISK FACTORS FOR FOLLOW-UP INTERRUPTION OF HIV PATIENTS IN FRENCH GUIANA

MATHIEU NACHER Centre d’Information et de Soins de l’Immunodéficience Humaine (CISIH) de Guyane, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Hôpital de Jour Adultes, Centre Hospitalier Andrée Rosemon, Rue des Flamboyants, Cayenne, French Guiana; Service de Médecine, Centre Hospitalier Frank Joly, Saint Laurent du Maroni, French Guiana; Service de Médecine, Centre Médico Chirurgical de Kourou, Kourou, French Guiana; Département d’Information Médicale, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Service de Dermatologie, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana

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MYRIAM EL GUEDJ Centre d’Information et de Soins de l’Immunodéficience Humaine (CISIH) de Guyane, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Hôpital de Jour Adultes, Centre Hospitalier Andrée Rosemon, Rue des Flamboyants, Cayenne, French Guiana; Service de Médecine, Centre Hospitalier Frank Joly, Saint Laurent du Maroni, French Guiana; Service de Médecine, Centre Médico Chirurgical de Kourou, Kourou, French Guiana; Département d’Information Médicale, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Service de Dermatologie, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana

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TANIA VAZ Centre d’Information et de Soins de l’Immunodéficience Humaine (CISIH) de Guyane, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Hôpital de Jour Adultes, Centre Hospitalier Andrée Rosemon, Rue des Flamboyants, Cayenne, French Guiana; Service de Médecine, Centre Hospitalier Frank Joly, Saint Laurent du Maroni, French Guiana; Service de Médecine, Centre Médico Chirurgical de Kourou, Kourou, French Guiana; Département d’Information Médicale, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Service de Dermatologie, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana

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VALÉRY NASSER Centre d’Information et de Soins de l’Immunodéficience Humaine (CISIH) de Guyane, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Hôpital de Jour Adultes, Centre Hospitalier Andrée Rosemon, Rue des Flamboyants, Cayenne, French Guiana; Service de Médecine, Centre Hospitalier Frank Joly, Saint Laurent du Maroni, French Guiana; Service de Médecine, Centre Médico Chirurgical de Kourou, Kourou, French Guiana; Département d’Information Médicale, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Service de Dermatologie, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana

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ANDRY RANDRIANJOHANY Centre d’Information et de Soins de l’Immunodéficience Humaine (CISIH) de Guyane, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Hôpital de Jour Adultes, Centre Hospitalier Andrée Rosemon, Rue des Flamboyants, Cayenne, French Guiana; Service de Médecine, Centre Hospitalier Frank Joly, Saint Laurent du Maroni, French Guiana; Service de Médecine, Centre Médico Chirurgical de Kourou, Kourou, French Guiana; Département d’Information Médicale, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Service de Dermatologie, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana

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FERNAND ALVAREZ Centre d’Information et de Soins de l’Immunodéficience Humaine (CISIH) de Guyane, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Hôpital de Jour Adultes, Centre Hospitalier Andrée Rosemon, Rue des Flamboyants, Cayenne, French Guiana; Service de Médecine, Centre Hospitalier Frank Joly, Saint Laurent du Maroni, French Guiana; Service de Médecine, Centre Médico Chirurgical de Kourou, Kourou, French Guiana; Département d’Information Médicale, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Service de Dermatologie, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana

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MILKO SOBESKY Centre d’Information et de Soins de l’Immunodéficience Humaine (CISIH) de Guyane, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Hôpital de Jour Adultes, Centre Hospitalier Andrée Rosemon, Rue des Flamboyants, Cayenne, French Guiana; Service de Médecine, Centre Hospitalier Frank Joly, Saint Laurent du Maroni, French Guiana; Service de Médecine, Centre Médico Chirurgical de Kourou, Kourou, French Guiana; Département d’Information Médicale, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Service de Dermatologie, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana

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CHRISTIAN MAGNIEN Centre d’Information et de Soins de l’Immunodéficience Humaine (CISIH) de Guyane, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Hôpital de Jour Adultes, Centre Hospitalier Andrée Rosemon, Rue des Flamboyants, Cayenne, French Guiana; Service de Médecine, Centre Hospitalier Frank Joly, Saint Laurent du Maroni, French Guiana; Service de Médecine, Centre Médico Chirurgical de Kourou, Kourou, French Guiana; Département d’Information Médicale, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Service de Dermatologie, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana

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PIERRE COUPPIÉ Centre d’Information et de Soins de l’Immunodéficience Humaine (CISIH) de Guyane, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Hôpital de Jour Adultes, Centre Hospitalier Andrée Rosemon, Rue des Flamboyants, Cayenne, French Guiana; Service de Médecine, Centre Hospitalier Frank Joly, Saint Laurent du Maroni, French Guiana; Service de Médecine, Centre Médico Chirurgical de Kourou, Kourou, French Guiana; Département d’Information Médicale, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana; Service de Dermatologie, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana

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DOI:
https://doi.org/10.4269/ajtmh.2006.74.915
Volume/Issue:
Volume 74: Issue 5
Page(s):
915–917
Restricted access
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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/mm3, 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/mm3 were more likely to not come back for a period of more than 1 year.

Author Notes

Copyright:
Copyright 2006 The American Society of Tropical Medicine 2006
Received:
12 May 2005
|
Accepted:
06 Jan 2006
|
Published Online:
May 2006
Cover The American Journal of Tropical Medicine and Hygiene
The American Journal of Tropical Medicine and Hygiene
Print ISSN:
0002-9637
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