Determinantes da não retenção de usuários de um serviço de HIV e AIDS do Rio Grande do Sul: um estudo de caso-controle

Abstract

OBJECTIVE: To know the determinants of non-retention in health care of people living with HIV and / or AIDS (PLWHA) in a specialized service in Porto Alegre, Rio Grande do Sul. METHODS: Case-control study among PLWHA over 18 years of age retained and not retained in continued health care, in 2018. A total of 344 medical records, 86 cases and 258 matched controls per year of admission to the clinic were analyzed. Variables with p ≤ 0.20 in the bivaried analysis were taken for multivariate analysis, exposures with p ≤ 0.05 were considered associated with the outcome. Poisson regression was used, according to a hierarchical model of analysis. RESULTS: Being unemployed, having a history of homelessness and being an alcohol user were significantly associated with non-retention. Among the clinical factors, having other diseases remained associated with the outcome as a protective factor. CONCLUSION: The findings of this study showed the association of nonretention with factors of social vulnerability and explained that social inequalities implied in reducing the maintenance of these individuals in longitudinal care. Therefore, it is essential that the SDH be taken into account when dealing with the HIV epidemic.