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HIV Survival Improves If Patients Stay in Care

vided the men into four groups based on the number of quarters in the first year after starting treatment that they visited their HIV physicians or health care provider. Sixty-four percent of them had at least one visit in all four quarters, 18 percent in three of four quarters, 11 percent in two of four quarters and 6 percent in only one quarter. The researchers then looked at how long the patients survived after that first year.

Sixteen percent of the patients died. Those who had poorer retention in care or visited the physicians less during the year after starting treatment had a greater risk of dying than those who saw the physicians at least once each quarter. Patients with visits in one quarter had nearly twice the risk of dying compared to patients with visits in all four quarters.

"The next step is to figure out how to get them to stay in care," said Giordano. He plans to look for ways to intervene in this process. He is now studying a group of people who are newly diagnosed with HIV in Houston to evaluate the effects of knowledge about the disease socioeconomics, and other factors on retention in care.


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