Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Mar;22(3):752-764.
doi: 10.1007/s10461-016-1644-y.

Predictors of Adult Retention in HIV Care: A Systematic Review

Shiraze M Bulsara  1   2 , Milton L Wainberg  3 , Toby R O Newton-John  4
Affiliations

Predictors of Adult Retention in HIV Care: A Systematic Review

Shiraze M Bulsara et al. AIDS Behav. 2018 Mar.

Abstract

A systematic literature review was conducted to identify predictors of poor adult retention in HIV medical care in developed and developing countries. An electronic search was conducted with MEDLINE (OVID), PubMED, EBSCO, SCOPUS, and Cochrane databases, as well as manual searches. Original, quantitative, adult studies in English, published between 1995 and 2015 were included. Only those with a focus on predictors of retention in care were reported on. Of the 345 articles identified, thirty were included following an independent assessment by two raters. In developed countries, the most frequently cited predictors of poor retention were active substance use and demographic factors. In developing countries, physical health factors were most frequently associated with poor retention in care. The results from this review suggests primary concerns for poor retention include substance use and physical health factors. Other psychosocial factors, such as psychiatric illness and social/welfare factors, were also found to be relevant.

Keywords: Adult; Developed countries; Developing countries; HIV; Predictors; Retention.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
PRISMA-P flowchart of article selection
See this image and copyright information in PMC

References

    1. World Health Organization. [Accessed 4 Aug 2016];Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: recommendations for a public health approach. 2016 http://apps.who.int/iris/bitstream/10665/208825/1/9789241549684_eng.pdf?.... - PubMed
    1. Centers for Disease Control and Prevention. Vital signs: HIV prevention through care and treatment—United States. [Accessed 12 Mar 2016];CDC. 2011 60(47):1618–1623. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6047a4.htm. - PubMed
    1. The Kirby Institute. HIV, viral hepatitis and sexually transmissible infections in Australia Annual Surveillance Report. Sydney: The Kirby Institute, UNSW Australia; 2015.
    1. National Institutes of Health. [Accessed 30 May 2016];Starting antiretroviral treatment early improves outcomes for HIV-infected individuals. https://www.nih.gov/news-events/news-releases/starting-antiretroviral-tr....
    1. Charania MR, Marshall KJ, Lyles CM, Crepaz N, Kay LS, Koenig LJ, et al. Identification of evidence-based interventions for promoting HIV medication adherence: findings from a systematic review of US-based studies, 1996–2011. AIDS Behav. 2014;18(4):646–60. - PMC - PubMed

Publication types

Substances