The North-South Divide: Substance Use Risk, Care Engagement, and Viral Suppression Among Hospitalized Human Immunodeficiency Virus–Infected Patients in 11 US Cities. (16th June 2018)

• Record Type: Journal Article
• Authors: Philbin, Morgan M; Feaster, Daniel J; Gooden, Lauren; Duan, Rui; Das, Moupali; Jacobs, Petra; Lucas, Gregory M; Batey, D Scott; Nijhawan, Ank; Jacobson, Jeffrey M; Mandler, Raul; Daar, Eric; McMahon, Deborah K; Armstrong, Wendy S; del Rio, Carlos; Metsch, Lisa R
• Is Part Of: Clinical infectious diseases. Volume 68:Number 1(2019)
• Page Start: 146
• Page End: 149
• Publication Date: 2018-06-16
• Subjects: HIV care continuum -- substance use -- care engagement -- viral suppression -- geographic disparities; Communicable diseases -- Periodicals; 616.905
• DOI: 10.1093/cid/ciy506
• Languages: English
• ISSNs: 1058-4838

Abstract

Abstract: : Regional variability in human immunodeficiency virus (HIV) care engagement remains underexplored. Multiple logistic models compared HIV outcomes for participants from 5 Southern (n = 557) and 6 non-Southern (n = 670) sites. Southern participants were less likely to experience viral suppression (adjusted odds ratio [aOR], 0.52; 95% confidence interval [CI], .37–.72) and had a higher likelihood of a CD4+ count <200 cells/µL (aOR, 1.53; 95% CI, 1.17–2.00). HIV intervention and social safety net programs should be expanded. Clinical Trials Registration: NCT01612169.