The North-South divide: Substance use risk, care engagement, and viral suppression among hospitalized human immunodeficiency virus-infected patients in 11 US cities

Morgan M. Philbin, Daniel J. Feaster, Lauren Gooden, Rui Duan, Moupali Das, Petra Jacobs, Gregory M. Lucas, D. Scott Batey, Ank Nijhawan, Jeffrey M. Jacobson, Raul Mandler, Eric Daar, Deborah K. McMahon, Wendy S. Armstrong, Carlos Del Rio, Lisa R. Metsch

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)146-149
Number of pages4
JournalClinical Infectious Diseases
Volume68
Issue number1
DOIs
StatePublished - Jan 1 2019

Keywords

  • HIV care continuum
  • care engagement
  • geographic disparities
  • substance use
  • viral suppression

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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