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Clin Infect Dis. 2019 Jan 1;68(1):146-149. doi: 10.1093/cid/ciy506.

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

Author information

1
Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, New York.
2
Department of Public Health Sciences, University of Miami Miller School of Medicine, Florida.
3
University of California, San Francisco.
4
National Institute on Drug Abuse, Bethesda.
5
Division of Infectious Diseases, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
6
Department of Social Work, College of Arts and Sciences, University of Alabama at Birmingham.
7
Division of Infectious Diseases, University of Texas Southwestern Medical Center, Dallas.
8
Departments of Medicine and Neuroscience, Center for Translational AIDS Research, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania.
9
Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, California.
10
Department of Medicine, University of Pittsburgh, Pennsylvania.
11
Department of Medicine, Emory University School of Medicine.
12
Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia.

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/┬ÁL (aOR, 1.53; 95% CI, 1.17-2.00). HIV intervention and social safety net programs should be expanded.

Clinical Trials Registration:

NCT01612169.

PMID:
29920584
PMCID:
PMC6293003
[Available on 2019-06-16]
DOI:
10.1093/cid/ciy506

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