Time to first annual HIV care visit and associated factors for patients in care for HIV infection in 10 US cities

Sullivan, Patrick S.; Juhász, Márta; McNaghten, A. D.; Frankel, Martin R.; Bozzette, Sam; Shapiro, Martin F.

doi:10.1080/09540121.2011.555746

Cited by 13 publications

(12 citation statements)

References 11 publications

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“…A study done in the southeastern US showed that Latinos were more likely to enter into HIV care later in the course of infection (Dennis, Napravnik, Seña, & Eron, 2011). However, Sullivan et al’s (2011) 10 U.S. city study found no relationship between delayed care and race/ethnicity.…”

Section: A Health Disparities Framework For Hiv Infectionmentioning

confidence: 93%

A pandemic of the poor: Social disadvantage and the U.S. HIV epidemic.

Pellowski

Kalichman

Matthews

et al. 2013

American Psychologist

404

285

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The U.S. HIV epidemic has evolved over the past 30 years and is now concentrated in socially marginalized and disenfranchised communities. The health disparities in this epidemic are striking, with most HIV infections occurring in sexual minorities and communities of color. While widely recognized, the health disparities in HIV and AIDS are not often discussed. In this paper, we examine the factors underlying health disparities in the U.S. HIV epidemic. We first discuss the interlocking relationships between biological, social, and behavioral factors that drive HIV epidemics. Guided by a well-established conceptual model of health disparities, we then describe the social positions of those most affected by HIV and AIDS, particularly racial and gender groups. Structural and economic conditions including environmental resources, constraints, access to care, and psychosocial influences are examined in relation to HIV disease trajectories. Greater attention to contextual factors and co-morbidities is needed to reduce the health disparities in HIV infection.

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Section: A Health Disparities Framework For Hiv Infectionmentioning

confidence: 93%

A pandemic of the poor: Social disadvantage and the U.S. HIV epidemic.

Pellowski

Kalichman

Matthews

et al. 2013

American Psychologist

404

285

View full text Add to dashboard Cite

show abstract

“…Previous investigations have found missed clinic appointments in HIV care to be associated with several critical impacts, including incomplete or protracted timeto-viral suppression (Crawford et al, 2014;Mugavero, Amico, et al, 2012;Sethi, Celentano, Gange, Moore, & Gallant, 2003), premature mortality (Brennan, Maskew, Sanne, & Fox, 2010;Zhang et al, 2012), and clinical therapy failure (Sullivan et al, 2011). Where the end point was mortality, therapy interruption explained the observation, but because HIV clinic-visit consistency is a structural constituent of engagement in care, other mediators may explain the nonmortality outcomes.…”

Section: Introductionmentioning

confidence: 97%

Association between patient engagement in HIV care and antiretroviral therapy medication adherence: cross-sectional evidence from a regional HIV care center in Kenya

Mûnene¹,

Ekman

2014

AIDS Care

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Consistent individual effort in engagement in HIV medical services has been associated with positive health outcomes in people living with HIV (PLHIV). However, whether these benefits are facilitated by improved medication adherence has not been widely studied. This study aimed to investigate the marginal effect of engagement in HIV care on medication adherence at a public health facility in Kenya. Between February and April 2013, 392 patients on HIV care at Nyeri Provincial General Hospital participated in this study. Data were collected using a self-administered health survey questionnaire assessing health and sociodemographic statuses. A manual stepwise general linear model was specified to measure the effect of engagement in HIV and other associated predictors on medication adherence. Engagement in HIV care was significantly associated with log-transformed medication adherence in the sample (100·β = 9.2%, 95% CI 3.2-15.1) irrespective of gender and other selected predictors. Longer duration on antiretroviral therapy was also a significant predictor of better medication adherence (100·β = 3.2%, 95% CI 2.3-4.1). Despite inter-gender differences in adherence and engagement determinants, gender's independent effect on medication adherence and engagement in care were not statistically significant. Poor medication adherence was associated with lower patient engagement in HIV care services, suggesting that interventions which remove obstacles to regular observance of scheduled clinic appointments and eventual retention may have a beneficial impact on medication adherence and, accordingly, health outcomes in PLHIV.

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“…Living within these nonexpanding Southern states is especially problematic for PLWH, as they are more likely to be low income and childless and less likely to be privately insured; therefore, they would benefit from expanded Medicaid eligibility based on the ACA. 31 Numerous studies have demonstrated that inadequate health insurance coverage can worsen patient retention in HIV care, [32][33][34][35] and the expansion of safety net programs, such as Medicaid and the Ryan White HIV/AIDS Program, can improve patient clinical outcomes and participation in HIV care. [36][37][38][39] As a Southern state that has not expanded Medicaid, contains many uninsured residents, and possesses a large HIV disease burden, 30,40,41 North Carolina represents a relevant case study among the South to explore the barriers and facilitators to retaining and reengaging HIV clients in care.…”

Section: Introductionmentioning

confidence: 99%

Barriers and Facilitators to Retaining and Reengaging HIV Clients in Care

Berger

Sullivan

Parnell

et al. 2016

J Int Assoc Provid AIDS Care

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Retention in HIV care is critical to decrease disease-related mortality and morbidity and achieve national benchmarks. However, a myriad of barriers and facilitators impact retention in care; these can be understood within the social-ecological model. To elucidate the unique factors that impact consistent HIV care engagement, a qualitative case study was conducted in North Carolina to examine the barriers and facilitators to retain and reengage HIV clients in care. HIV professionals (n = 21) from a variety of health care settings across the state participated in interviews that were transcribed and analyzed for emergent themes. Respondents described barriers to care at all levels within the HIV prevention and care system including intrapersonal, interpersonal, institutional, community, and public policy. Participants also described recent statewide initiatives with the potential to improve care engagement. Results from this study may assist other states with similar challenges to identify needed programs and priorities to optimize client retention in HIV care.

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Time to first annual HIV care visit and associated factors for patients in care for HIV infection in 10 US cities

Cited by 13 publications

References 11 publications

A pandemic of the poor: Social disadvantage and the U.S. HIV epidemic.

A pandemic of the poor: Social disadvantage and the U.S. HIV epidemic.

Association between patient engagement in HIV care and antiretroviral therapy medication adherence: cross-sectional evidence from a regional HIV care center in Kenya

Barriers and Facilitators to Retaining and Reengaging HIV Clients in Care

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