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

Morgan M. Philbin | Zendy; Daniel J. Feaster | Zendy; Lauren Gooden | Zendy; Rui Duan | Zendy; Moupali Das | Zendy; Petra Jacobs | Zendy; Gregory M. Lucas | Zendy; D. Scott Batey | Zendy; Ank E. Nijhawan | Zendy; Jeffrey M. Jacobson | Zendy; Raúl N. Mandler | Zendy; Eric S. Daar | Zendy; Deborah McMahon | Zendy; Wendy S. Armstrong | Zendy; Carlos del Rı́o | Zendy; Lisa R. Metsch | Zendy

Open Access

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

Author(s) -

Morgan M. Philbin,

Daniel J. Feaster,

Lauren Gooden,

Rui Duan,

Moupali Das,

Petra Jacobs,

Gregory M. Lucas,

D. Scott Batey,

Ank E. Nijhawan,

Jeffrey M. Jacobson,

Raúl N. Mandler,

Eric S. Daar,

Deborah McMahon,

Wendy S. Armstrong,

Carlos del Rı́o,

Lisa R. Metsch

Publication year - 2018

Publication title -

clinical infectious diseases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.44

H-Index - 336

eISSN - 1537-6591

pISSN - 1058-4838

DOI - 10.1093/cid/ciy506

Subject(s) - medicine , odds ratio , confidence interval , human immunodeficiency virus (hiv) , logistic regression , odds , viral load , demography , intervention (counseling) , immunology , virology , psychiatry , sociology

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.

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