The North-South Divide: Substance Use Risk, Care Engagement, and Viral Suppression Among Hospitalized Human Immunodeficiency Virus-Infected Patients in 11 US Cities

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 suppress...

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Bibliographic Details
Published in:Clinical infectious diseases 2019-01, Vol.68 (1), p.146-149
Main 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
Format: Article
Language:English
Subjects:
Brief Reports
CD4 Lymphocyte Count
Cities - epidemiology
Facilities and Services Utilization - statistics & numerical data
Female
HIV Infections - complications
HIV Infections - diagnosis
HIV Infections - drug therapy
HIV Infections - epidemiology
Hospitalization
Humans
Male
Middle Aged
Substance-Related Disorders - complications
Substance-Related Disorders - epidemiology
United States - epidemiology
Viral Load
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Summary: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
ISSN:1058-4838
1537-6591
DOI:10.1093/cid/ciy506