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 E Nijhawan, Jeffrey M. Jacobson, Raul Mandler, Eric Daar, Deborah K. McMahon, Wendy S. Armstrong, Carlos Del Rio, Lisa R. Metsch

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)146-149
Number of pages4
JournalClinical infectious diseases : an official publication of the Infectious Diseases Society of America
Volume68
Issue number1
DOIs
StatePublished - Jan 1 2019

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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