Faktor risiko loss to follow up terapi ARV pada pasien HIV

Listy Handayani; Riris Andono Ahmad; Yanri Wijayanti Subronto

doi:10.22146/bkm.12732

Faktor risiko loss to follow up terapi ARV pada pasien HIV

https://doi.org/10.22146/bkm.12732

Listy Handayani^(1*), Riris Andono Ahmad⁽²⁾, Yanri Wijayanti Subronto⁽³⁾

(1) Departmen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(2) Departmen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(3) Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran, Universitas Gadjah Mada
(*) Corresponding Author

Abstract

Risk factors for loss to follow up of antiretroviral therapy in HIV patients

Purpose

This study aimed to determine risk factors for loss to follow-up of antiretroviral therapy among HIV-infected patients in Dr. Sardjito Yogyakarta, 2011-2014.

Methods

A retrospective cohort study was conducted involving 499 HIV patients. Observations were conducted for four years using medical records. Data analysis was performed using Kaplan-Meier and Cox proportional hazards regression tests.

Results

There were 190 loss to follow-up patients. Risk factors for loss to follow-up of ARV therapy were: a student (AHR = 2.42; 95% CI = 1.20-4.89), the distance ≥ 10 km (AHR = 1.58; 95% CI = 1:09 to 2:31), using health insurance (AHR = 1.67; 95% CI = 1:11 to 2:51) and homosexual as a protective factor of loss to follow-up of antiretroviral therapy (HR = 0:49; 95% CI = 0.30-0.80).

Conclusion

Being a college student, the distance between home and ARV service ≥10 km and using health insurance were the risk factors for loss to follow-up of ARV treatment. Adherence counseling for students, cooperation with the drug taking supervisor and decentralization ARV service, as well as effective and efficient services for patients who use health insurance need to be strengthened.

Keywords

loss to follow-up; ARV; HIV

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