AIDS and Behavior

, Volume 22, Issue 3, pp 752–764 | Cite as

Predictors of Adult Retention in HIV Care: A Systematic Review

  • Shiraze M. Bulsara
  • Milton L. Wainberg
  • Toby R. O. Newton-John
Substantive Review


A systematic literature review was conducted to identify predictors of poor adult retention in HIV medical care in developed and developing countries. An electronic search was conducted with MEDLINE (OVID), PubMED, EBSCO, SCOPUS, and Cochrane databases, as well as manual searches. Original, quantitative, adult studies in English, published between 1995 and 2015 were included. Only those with a focus on predictors of retention in care were reported on. Of the 345 articles identified, thirty were included following an independent assessment by two raters. In developed countries, the most frequently cited predictors of poor retention were active substance use and demographic factors. In developing countries, physical health factors were most frequently associated with poor retention in care. The results from this review suggests primary concerns for poor retention include substance use and physical health factors. Other psychosocial factors, such as psychiatric illness and social/welfare factors, were also found to be relevant.


Retention HIV Predictors Adult Developing countries Developed countries 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Clinical Psychology, Graduate School of HealthUniversity of Technology Sydney (UTS)Ultimo, SydneyAustralia
  2. 2.The Albion CentreSurry Hills, SydneyAustralia
  3. 3.Department of PsychiatryColumbia UniversityNew YorkUSA

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