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Record W7132877298

Retention in Care for People Living with HIV in Ontario

2022· dissertation· W7132877298 on OpenAlexaboutno aff
Julia LK Calabria-Yaworski

Bibliographic record

VenueTSpace · 2022
Typedissertation
Language
FieldMedicine
TopicHIV/AIDS Research and Interventions
Canadian institutionsnot available
Fundersnot available
KeywordsHuman immunodeficiency virus (HIV)Health careFocus groupMental health careProportional hazards modelImmigrationPublic health
DOInot available

Abstract

fetched live from OpenAlex

Our objectives were to determine how frequently people living with HIV (PLHIV) in Ontario experience a non-retention episode, and associated individual, provider, and healthcare system factors. Using administrative, population-level data, we followed PLHIV from their first visit with an HIV-experienced provider until first non-retention episode (365 days without HIV care), death, or loss-to-follow-up. Kaplan-Meier curves, logrank tests, and Cox proportional hazards models were used to evaluate time-to-first non-retention episode. 15,242 PLHIV entered care between 2000 and 2018. The probability of non-retention at 3, 6 and 10 years was 21%, 41% and 58%, respectively. Non-retention was less likely for individuals who had previously accessed mental healthcare or public drug insurance, were an immigrant or refugee, or initiated care with an HIV-experienced or primary care provider. Many PLHIV in Ontario have not received care within recommended timeframes. Practice and policy improvements should focus on PLHIV with characteristics associated with non-retention.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.002
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.025
Threshold uncertainty score0.124

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0020.000
Scholarly communication0.0010.000
Open science0.0010.001
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.024
GPT teacher head0.359
Teacher spread0.336 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2022
Admission routes1
Has abstractyes

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