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- Title
The North-South Divide: Substance Use Risk, Care Engagement, and Viral Suppression Among Hospitalized Human Immunodeficiency Virus–Infected Patients in 11 US Cities.
- 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; Rio, Carlos del; Metsch, Lisa R
- 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.
- Subjects
UNITED States; SUBSTANCE abuse risk factors; CONFIDENCE intervals; HIV infections; POPULATION geography; PATIENT participation; MULTIPLE regression analysis; CD4 lymphocyte count; ODDS ratio
- Publication
Clinical Infectious Diseases, 2019, Vol 68, Issue 1, p146
- ISSN
1058-4838
- Publication type
Article
- DOI
10.1093/cid/ciy506