Distance to HIV care and treatment adherence: Adjusting for socio-demographic and geographical heterogeneity

O. Amram; J. Shoveller; R. Hogg; L. Wang; P. Sereda; R. Barrios; J. Montaner; V. Lima

doi:10.1016/j.sste.2018.08.001

Distance to HIV care and treatment adherence: Adjusting for socio-demographic and geographical heterogeneity

O. Amram, J. Shoveller, R. Hogg, L. Wang, P. Sereda, R. Barrios, J. Montaner, V. Lima

Research output: Contribution to journal › Article › peer-review

11 Citations (Scopus)

Abstract

Distance to health services plays an important role in determining access to care and an individual's health. This study aims to examine the relationship between distance to antiretroviral therapy (ART) prescribing physician and adherence to HIV treatment in British Columbia, Canada. Only participants who provided highly accurate locational data for both place of residence and their physician were used in the analysis. Using logistic regression, a multivariable confounder model was created to assess the association between distance and adherence. A geographically weighted logistic regression was also performed to adjust for spatial dependency. There were 1528 participants in the analysis, for a median distance of 17.85km. The final model showed further away from ART prescribing physician had a higher chance of incomplete adherence to ART (adjusted odds ratio 1.31; 95% Confidence Interval 1.04–1.65). Mobile services could potentially increase adherence rates for population residing further away from their ART prescribing physician.

Original language	English
Pages (from-to)	29-35
Number of pages	7
Journal	Spatial and Spatio-temporal Epidemiology
Volume	27
DOIs	https://doi.org/10.1016/j.sste.2018.08.001
Publication status	Published - Nov 2018
Externally published	Yes

Bibliographical note

Funding Information:
VDL is supported by a Scholar Award from the Michael Smith Foundation for Health Research (# 5199 ), a New Investigator Award from Canadian Institutes of Health Research (CIHR) (# 288880 ) and a grant from the CIHR ( MOP-125948 ). JSGM is supported by the British Columbia Ministry of Health and by the US National Institutes of Health ( R01DA036307 ). The funders had no role in the design, data collection, data analysis, data interpretation, or writing of the report. OA is supported by a Post-Doctoral Fellowship award from the Michael Smith Foundation for Health Research and the Canadian Institutes of Health Research. The funders had no role in the design, data collection, data analysis, data interpretation, or writing of the report.

Publisher Copyright:
© 2018 Elsevier Ltd

ASJC Scopus Subject Areas

Epidemiology
Geography, Planning and Development
Infectious Diseases
Health, Toxicology and Mutagenesis

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.sste.2018.08.001

Cite this

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abstract = "Distance to health services plays an important role in determining access to care and an individual's health. This study aims to examine the relationship between distance to antiretroviral therapy (ART) prescribing physician and adherence to HIV treatment in British Columbia, Canada. Only participants who provided highly accurate locational data for both place of residence and their physician were used in the analysis. Using logistic regression, a multivariable confounder model was created to assess the association between distance and adherence. A geographically weighted logistic regression was also performed to adjust for spatial dependency. There were 1528 participants in the analysis, for a median distance of 17.85km. The final model showed further away from ART prescribing physician had a higher chance of incomplete adherence to ART (adjusted odds ratio 1.31; 95% Confidence Interval 1.04–1.65). Mobile services could potentially increase adherence rates for population residing further away from their ART prescribing physician.",

author = "O. Amram and J. Shoveller and R. Hogg and L. Wang and P. Sereda and R. Barrios and J. Montaner and V. Lima",

note = "Funding Information: VDL is supported by a Scholar Award from the Michael Smith Foundation for Health Research (# 5199 ), a New Investigator Award from Canadian Institutes of Health Research (CIHR) (# 288880 ) and a grant from the CIHR ( MOP-125948 ). JSGM is supported by the British Columbia Ministry of Health and by the US National Institutes of Health ( R01DA036307 ). The funders had no role in the design, data collection, data analysis, data interpretation, or writing of the report. OA is supported by a Post-Doctoral Fellowship award from the Michael Smith Foundation for Health Research and the Canadian Institutes of Health Research. The funders had no role in the design, data collection, data analysis, data interpretation, or writing of the report. Publisher Copyright: {\textcopyright} 2018 Elsevier Ltd",

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AU - Amram, O.

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AU - Wang, L.

AU - Sereda, P.

AU - Barrios, R.

AU - Montaner, J.

AU - Lima, V.

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Distance to HIV care and treatment adherence: Adjusting for socio-demographic and geographical heterogeneity

Abstract

Bibliographical note

ASJC Scopus Subject Areas

UN SDGs

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