Journal Article

Factors associated with regular counselling attendance of HIV outpatients of a national referral hospital in Jakarta, Indonesia: a cross sectional study

Bautista, Philip, Kong, Yin Mei Fiona, Taxis, K., Sianturi, E. I., Herlina, Pane, M.

2018

Overview

Background Counselling has been shown to improve adherence to medication in people living with HIV (PLHIV). The aim of this study was to investigate factors associated with regular counselling attendance of patients taking antiretroviral therapy (ART). Methods We conducted a cross-sectional, paper-based survey among 880 PLHIV patients on ART attending outpatient clinics of a referral hospital in Jakarta. Patients on ART, above 18 years old, providing written consent were included. The primary outcome was regular counselling attendance (i.e., having attended at least 3 sessions in the previous 3 months) using records from counsellors. Factors associated with regular counselling attendance were assessed using logistic regression analysis. Results The majority of patients were male (71.1%) and had regular counselling (78.4%). Being 31 to 40 years old (odds ratio (OR) = 0.55, 95% confidence interval (CI) = 0.32–0.93, > 40 years (OR = 0.30, 95% CI = 0.16–0.55) vs < 30 years, hepatitis B/C co-infection (OR = 0.42, 95% CI = 0.24–0.75), living > 20 km from the hospital (OR = 0.55, 95% CI = 0.33–0.93), transmission male-to-male (OR = 0.13, 95% CI = 0.04–0.44), unemployment (OR = 1.88, 95% CI = 1.02–3.44), part-time employment (OR = 10.71, 95% CI = 4.09–28.02), household member with HIV (OR = 3.31, 95% CI = 1.70–6.44), and Christianity (OR = 1.82, 95% CI = 1.12–2.94) were associated with regular counselling attendance. Conclusion This study suggests that counselling services should be reviewed to ensure that they are near home and fit the needs of older patients or patients with co-morbidities and minorities. Tailoring counselling may improve attendance.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Acquired immune deficiency syndrome / Adherence / Adult / AIDS / Ambulatory Care - statistics & numerical data / Analysis / Anti-Retroviral Agents - therapeutic use / Antiretroviral agents / Antiretroviral drugs / Antiretroviral therapy / Biostatistics / Christianity / Confidence intervals / Counseling / Counseling - statistics & numerical data / Counselling / Cross-Sectional Studies / Disease transmission / Drug therapy / Employment / Environmental Health / Epidemiology / Female / Health aspects / Health Care Surveys / Health counseling / Health policies / Health Services Accessibility / Hepatitis / Hepatitis B / HIV / HIV Infections - drug therapy / HIV patients / Hospitals / Human immunodeficiency virus / Humans / Indonesia / Infections / Male / Medication Adherence - statistics & numerical data / Medicine / Medicine & Public Health / Minority & ethnic groups / NGOs / Nongovernmental organizations / Outpatients / Patients / PLHIV / Public Health / Questionnaires / Referral and Consultation / Regression analysis / Research Article / Socioeconomic Factors / Statistical analysis / Studies / Substance abuse treatment / Support groups / systems and management in low and middle-income countries / Vaccine