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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 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.

SUBMITTER: Philbin MM 

PROVIDER: S-EPMC6293003 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature

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

Philbin Morgan M MM   Feaster Daniel J DJ   Gooden Lauren L   Duan Rui R   Das Moupali M   Jacobs Petra P   Lucas Gregory M GM   Batey D Scott DS   Nijhawan Ank A   Jacobson Jeffrey M JM   Mandler Raul R   Daar Eric E   McMahon Deborah K DK   Armstrong Wendy S WS   Del Rio Carlos C   Metsch Lisa R LR  

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 20190101 1

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 pro  ...[more]

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