Date of Conferral



Doctor of Healthcare Administration (D.H.A.)


Public Health


Mary Garbowski


This quantitative correlational study examined the relationship between the independent variable of missed medical appointments and the dependent variables of race and gender for African American patients living with HIV/AIDS. Previous studies described the major issue that occurs with HIV patients is an increase of missed medical appointments, causing a panic for hospital administrators, who try to implement methods to reduce the rates of missed appointments. The study sample from the Center for AIDS Research (CFAR) Network of Integrated Clinical Systems (CNICS) database covered a total population of 14,521 African American males and females living with HIV in Alabama. Pearson’s method conducted a regression analysis to test the study hypotheses and address the research questions. The new cases of HIV diagnoses by race and ethnicity showed that African Americans are most effected by disease. The study’s findings provide health care professionals with ways to improve social care policies such as availability of transportation services and social healthcare services targeting long-term health conditions in African American HIV/AIDS patients. The results of the study indicated that race and gender played a significant role in the number of missed medical appointments for African Americans, causing a rise in the deaths of those with HIV/AIDS in Alabama. This study contributes to positive social change through an emphasis on improving the care provided to HIV patients and the challenges causing individuals in this population to miss their appointments.