title: Initial linkage and subsequent retention in HIV care for a newly diagnosed HIV-infected cohort in Denver, Colorado.
abstract: This is a retrospective cohort study of 352 newly diagnosed HIV-infected individuals in Denver, from 2005 to 2007. Utilizing data from 3 health care systems, 2 clinical trials units, and statewide Colorado HIV laboratory reporting databases, we tracked initial linkage to HIV care, retention in care, loss to follow-up, and transitions between HIV care providers. After more than 2.6 years of follow-up, 256 (73%) individuals linked to HIV care within 180 days. Of the 301 individuals who eventually linked to care, 168 (56%) had at least one 180-day gap in care, while 49 (16%) had a 360-day gap. Transitions in care were common, with 131 (37%) individuals accessing care from 2 different providers and 15% having evidence of living outside of Colorado. In this newly diagnosed HIV-infected cohort, linkage to care was slow and long-term retention in care was poor. Transitions between HIV care providers were common and may impair engagement in care over time. Out-of-state migration was frequent and may cause an underestimation of engagement in care.
authors: Denver Public Health, Denver, CO, USA.
authors: Edward M
authors: EM
authors: Gardner
authors: Elaine
authors: E
authors: Daniloff
authors: Mark W
authors: MW
authors: Thrun
authors: Daniel H
authors: DH
authors: Reirden
authors: Arthur J
authors: AJ
authors: Davidson
authors: Steven C
authors: SC
authors: Johnson
authors: Ralph
authors: R
authors: Wilmoth
authors: Elizabeth
authors: E
authors: Connick
authors: William J
authors: WJ
authors: Burman
mesh_terms: D000328:Adult; D003120:Colorado; D003695:Delivery of Health Care; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D059012:Lost to Follow-Up; D008297:Male; D008403:Mass Screening; D011634:Public Health; D012189:Retrospective Studies
keywords: AIDS; HIV; engagement in care; linkage to care; retention in care