Factors affecting adherence to treatment in children living with HIV (original) (raw)
2020, Indian Journal of Sexually Transmitted Diseases and AIDS
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hospital and those patients on a later admission. Multiple regression, using the probit and random-effects probit specifications, was used. The dependent variable equaled 1 if the patient left AMA on a given admission. Of the 4,766 admissions, 1,257 involved a patient leaving AMA, a rate of 26% (compared to a hospital-wide AMA rate of less than 2%). For the sample of patients who had previously been admitted to the hospital, admissions that involved a patient leaving the hospital on a "welfare Wednesday" were 25% more likely to have been AMA cases. For the sample of patients on their first-ever admission, no statistically significant welfare Wednesday effect was found. Older patients were relatively less likely to leave AMA. Patients with no fixed address were more likely to leave AMA, as were HIV-positive patients. The AMA rates were found to be very high among injection drug users. Patients who left the hospital on a welfare Wednesday were much more likely to have been AMA cases, but only if they had been previously admitted to the hospital. Patients appear to "learn" about the welfare system. Policies to assist the hospital in curbing the abuse of AMA use among injection drug users require future discussion and research.
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