Barriers to HIV Care by Viral Suppression Status Among US Adults With HIV: Findings From the Centers for Disease Control and Prevention Medical Monitoring Project. (19th September 2021)

• Record Type: Journal Article
• Authors: Dasgupta, Sharoda; Tie, Yunfeng; Beer, Linda; Fagan, Jennifer; Weiser, John
• Is Part Of: Journal of the Association of Nurses in AIDS Care. Volume 32:Number 5(2021)
• Page Start: 561
• Page End: 568
• Publication Date: 2021-09-19
• Subjects: barriers to care -- HIV care engagement -- viral suppression; AIDS (Disease) -- Nursing -- Periodicals; AIDS (Disease) -- Treatment -- Periodicals; AIDS (Disease) -- Periodicals; HIV infections -- Nursing -- Periodicals; HIV infections -- Treatment -- Periodicals; HIV infections -- Periodicals; 616.97920231
• DOI: 10.1097/JNC.0000000000000249
• Languages: English
• ISSNs: 1055-3290

Abstract

Abstract: Failure to maintain viral suppression may be attributed to suboptimal care engagement. Using data collected during 2015–2018, we describe nationally representative estimates of engagement in care among US adults with diagnosed HIV, overall and by viral suppression. Of those who felt they did not receive enough care, we described detailed information on barriers to care by viral suppression. We reported weighted percentages and evaluated differences between groups using Rao-Scott chi-square tests ( p < .05). Persons who were not virally suppressed were less likely to be retained in care (57.3 vs. 90.8%). Common barriers to care included life circumstances that impeded receipt of care (50.0%), financial barriers (34.5%), and not feeling sick enough to take medicine (32.0%). Barriers to care varied by viral suppression status, and people who were not virally suppressed were more likely to report more than one barrier to care. These findings demonstrate that barriers can be multifaceted; addressing barriers to care by expanding comprehensive care models in HIV care settings could improve clinical outcomes among people with HIV.