TY - JOUR
T1 - Differential Role of Psychosocial, Health Care System and Neighborhood Factors on the Retention in HIV Care of Women and Men in the Ryan White Program
AU - Trepka, Mary Jo
AU - Sheehan, Diana M.
AU - Dawit, Rahel
AU - Li, Tan
AU - Fennie, Kristopher P.
AU - Gebrezgi, Merhawi T.
AU - Brock, Petra
AU - Beach, Mary Catherine
AU - Ladner, Robert A.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work is supported by Award Numbers R01MD013563 and in part by R01MD012421, U54MD012398 and K01MD013770 from the National Institute on Minority Health and Health Disparities at the National Institutes of Health.
Funding Information:
We wish to gratefully acknowledge Carla Valle-Schwenk, Ryan White Program Administrator, and the entire Ryan White Part A Program in the Miami-Dade County Office of Management and Budget, for their active assistance, cooperation and facilitation in the implementation of this study. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work is supported by Award Numbers R01MD013563 and in part by R01MD012421, U54MD012398 and K01MD013770 from the National Institute on Minority Health and Health Disparities at the National Institutes of Health.
Publisher Copyright:
© The Author(s) 2020.
PY - 2020
Y1 - 2020
N2 - We investigated potential differential impact of barriers to HIV care retention among women relative to men. Client intake, health assessment, service, and laboratory information among clients receiving medical case management during 2017 in the Miami-Dade County Ryan White Program (RWP) were obtained and linked to American Community Survey data by ZIP code. Cross-classified multilevel logistic regression analysis was conducted. Among 1609 women and 5330 men, 84.6% and 83.7% were retained in care. While simultaneously controlling for all demographic characteristics, vulnerable/enabling factors, and neighborhood indices in the model, younger age, being US born, not working, and having a medical provider with low volume (<10) of clients remained associated with non-retention in care among women and men; while having ≥3 minors in the household and being perinatally infected were additionally associated with retention only for women. Both gender-specific and gender-non-specific barriers should be considered in efforts to achieve higher retention rates.
AB - We investigated potential differential impact of barriers to HIV care retention among women relative to men. Client intake, health assessment, service, and laboratory information among clients receiving medical case management during 2017 in the Miami-Dade County Ryan White Program (RWP) were obtained and linked to American Community Survey data by ZIP code. Cross-classified multilevel logistic regression analysis was conducted. Among 1609 women and 5330 men, 84.6% and 83.7% were retained in care. While simultaneously controlling for all demographic characteristics, vulnerable/enabling factors, and neighborhood indices in the model, younger age, being US born, not working, and having a medical provider with low volume (<10) of clients remained associated with non-retention in care among women and men; while having ≥3 minors in the household and being perinatally infected were additionally associated with retention only for women. Both gender-specific and gender-non-specific barriers should be considered in efforts to achieve higher retention rates.
KW - HIV
KW - care retention
KW - women
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U2 - 10.1177/2325958220950087
DO - 10.1177/2325958220950087
M3 - Article
C2 - 32815475
AN - SCOPUS:85089690391
VL - 19
JO - Journal of the International Association of Providers of AIDS Care
JF - Journal of the International Association of Providers of AIDS Care
SN - 2325-9574
ER -