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, 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
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.
Source: PubMed