Awachana JiamsakulStephen J. KerrSasisopin KiertiburanakulIskandar AzwaFujie ZhangRomanee ChaiwarithWingwai WongPenh Sun LyNagalingeswaran KumarasamyRossana DitangcoSanjay PujariEvy YunihastutiCuong Duy DoTuti Parwati MeratiKinh Van NguyenMan Po LeeJun Yong ChoiShinichi OkaPacharee KantipongBenedict L. H SimOon Tek NgJeremy RossMatthew LawHospital Sungai BulohBeijing Ditan HospitalVHS Medical Centre IndiaGokilaBach Mai HospitalUniversitas UdayanaUniversity of Indonesia, RSUPN Dr. Cipto MangunkusumoKirby InstituteNational Center for Global Health and MedicineThe HIV Netherlands Australia Thailand Research CollaborationYonsei University College of MedicineFaculty of Medicine, Ramathibodi Hospital, Mahidol UniversityUniversity of Malaya Medical CentreVeterans General Hospital-TaipeiTan Tock Seng HospitalChiang Mai UniversityUniversity of Health SciencesNational Hospital for Tropical DiseasesQueen Elizabeth HospitalFoundation for AIDS ResearchInstitute of Infectious DiseasesChiangrai Prachanukroh HospitalNational Center for HIV/AIDS2019-08-232019-08-232018-12-02AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. Vol.30, No.12 (2018), 1560-156613600451095401212-s2.0-85050363449https://repository.li.mahidol.ac.th/handle/123456789/46124© 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group. Missed clinic visits can lead to poorer treatment outcomes in HIV-infected patients. Suboptimal antiretroviral therapy (ART) adherence has been linked to subsequent missed visits. Knowing the determinants of missed visits in Asian patients will allow for appropriate counselling and intervention strategies to ensure continuous engagement in care. A missed visit was defined as having no assessments within six months. Repeated measures logistic regression was used to analyse factors associated with missed visits. A total of 7100 patients were included from 12 countries in Asia with 2676 (37.7%) having at least one missed visit. Patients with early suboptimal self-reported adherence <95% were more likely to have a missed visit compared to those with adherence ≥95% (OR = 2.55, 95% CI(1.81–3.61)). Other factors associated with having a missed visit were homosexual (OR = 1.45, 95%CI(1.27–1.66)) and other modes of HIV exposure (OR = 1.48, 95%CI(1.27–1.74)) compared to heterosexual exposure; using PI-based (OR = 1.33, 95%CI(1.15–1.53) and other ART combinations (OR = 1.79, 95%CI(1.39–2.32)) compared to NRTI+NNRTI combinations; and being hepatitis C co-infected (OR = 1.27, 95%CI(1.06–1.52)). Patients aged >30 years (31–40 years OR = 0.81, 95%CI(0.73–0.89); 41–50 years OR = 0.73, 95%CI(0.64–0.83); and >50 years OR = 0.77, 95%CI(0.64–0.93)); female sex (OR = 0.81, 95%CI(0.72–0.90)); and being from upper middle (OR = 0.78, 95%CI(0.70–0.80)) or high-income countries (OR = 0.42, 95%CI(0.35–0.51)), were less likely to have missed visits. Almost 40% of our patients had a missed clinic visit. Early ART adherence was an indicator of subsequent clinic visits. Intensive counselling and adherence support should be provided at ART initiation in order to optimise long-term clinic attendance and maximise treatment outcomes.Mahidol UniversityMedicinePsychologySocial SciencesArticleSCOPUS10.1080/09540121.2018.1499859