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Factors Associated with Improved HIV/AIDS Treatment Outcomes: Comparing two Major ART Service Delivery Models in Vietnam

AIDS and behavior, 2019-10, Vol.23 (10), p.2840-2848 [Peer Reviewed Journal]

Springer Science+Business Media, LLC, part of Springer Nature 2019 ;AIDS and Behavior is a copyright of Springer, (2019). All Rights Reserved. ;ISSN: 1090-7165 ;EISSN: 1573-3254 ;DOI: 10.1007/s10461-019-02571-z ;PMID: 31236748

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Title:
Factors Associated with Improved HIV/AIDS Treatment Outcomes: Comparing two Major ART Service Delivery Models in Vietnam
Author: Tran, Bach Xuan ; Nguyen, Quang Nhat ; Nguyen, Long Hoang ; Nguyen, Cuong Tat ; Do, Huyen Phuc ; Truong, Nu Thi ; Latkin, Carl A.
Subjects: Acquired immune deficiency syndrome ; Adult ; Aged ; AIDS ; Alcohol Drinking - epidemiology ; Alcohol use ; Alcohols ; Anti-HIV Agents - therapeutic use ; Antiretroviral drugs ; Antiretroviral therapy ; CD4 antigen ; CD4 Lymphocyte Count ; Cigarette smoking ; Clinical outcomes ; Counseling ; Cross-Sectional Studies ; Delivery of Health Care, Integrated - methods ; Female ; Growth hormone ; Health care ; Health Psychology ; Health services ; HIV ; HIV Infections - drug therapy ; HIV Infections - epidemiology ; HIV Infections - virology ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Longitudinal Studies ; Male ; Medical records ; Medicine ; Medicine & Public Health ; Middle Aged ; Patients ; Primary Health Care - organization & administration ; Public Health ; Retrospective Studies ; Smoking ; Smoking - epidemiology ; Sociodemographics ; Treatment Outcome ; Treatment outcomes ; Vietnam - epidemiology
Is Part Of: AIDS and behavior, 2019-10, Vol.23 (10), p.2840-2848
Description: A mixed design approach was performed to assess the CD4 count levels over time and their associated factors among 362 HIV patients on ART from clinics with HIV testing and counseling (ART-HTC) services and those with general healthcare (ART-GH) services. Longitudinal CD4 count data were retrospectively collected from medical records. Sociodemographic, clinical, alcohol use and smoking characteristics were obtained via face-to-face interviews. Multivariate mixed effect linear regression was utilized to determine the association. We found that HIV patients at ART-GH clinics were more likely to achieve higher CD4 counts over time compared to patients at ART-HTC clinics. Additionally, having an increase in CD4 counts was found to be associated with having longer duration of ART and higher baseline CD4 levels. Cigarette smoking and hazardous alcohol use, however, were not associated with CD4 count improvement. Our findings suggest that combining HTC and GH services might provide a synergistic benefit in ART treatment outcomes through an improved access to comprehensive HIV healthcare services for HIV patients on therapy.
Publisher: New York: Springer US
Language: English
Identifier: ISSN: 1090-7165
EISSN: 1573-3254
DOI: 10.1007/s10461-019-02571-z
PMID: 31236748
Source: ProQuest One Psychology
MEDLINE
ProQuest Central

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Factors Associated with Improved HIV/AIDS Treatment Outcomes: Comparing two Major ART Service Delivery Models in Vietnam

Springer Science+Business Media, LLC, part of Springer Nature 2019 ;AIDS and Behavior is a copyright of Springer, (2019). All Rights Reserved. ;ISSN: 1090-7165 ;EISSN: 1573-3254 ;DOI: 10.1007/s10461-019-02571-z ;PMID: 31236748

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