Disparities in Viral Suppression and Medication Adherence among Women in the USA, 2011–2016.
We assessed disparities in viral suppression (VS) and antiretroviral therapy (ART) adherence among women of the HIV Outpatient Study to inform HIV treatment strategies. We used adjusted prevalence ratios (aPR) with 95% confidence intervals (CI) to assess VS by race/ethnicity and generalized estimati...
| Publicado en: | AIDS & Behavior Vol. 23; no. 11; pp. 3015 - 3024 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Nov2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139232626&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139232626 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Nov2019 vid: 23 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 139232626 139232626 143934333 139232626 10.1007/s10461-019-02494-9 139232626 ppf: 3015 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Disparities in Viral Suppression and Medication Adherence among Women in the USA, 2011–2016. aug: au: Geter, Angelica Sutton, Madeline Y. Armon, Carl Buchacz, Kate affil: Division of HIV/AIDS Prevention, DHAP/NCHHSTP/CDC, Centers for Disease Control and Prevention, 1600 Clifton Rd NE MS E-45, 30333, Atlanta, GA, USA sug: subj: Healthcare Disparities Evaluation Medication Compliance Evaluation Anti-Retroviral Agents Therapeutic Use Immunosuppression HIV-Positive Persons Women Psychosocial Factors Human United States Adult Middle Age Race Factors Ethnic Groups Structural Equation Modeling Prevalence Multivariate Analysis Black Persons Comparative Studies Descriptive Statistics Confidence Intervals Odds Ratio Adult: 19-44 years Middle Aged: 45-64 years ab: We assessed disparities in viral suppression (VS) and antiretroviral therapy (ART) adherence among women of the HIV Outpatient Study to inform HIV treatment strategies. We used adjusted prevalence ratios (aPR) with 95% confidence intervals (CI) to assess VS by race/ethnicity and generalized estimating equations to investigate factors associated with not achieving VS and ART non-adherence. Among 426 women (median age = 46 years), at baseline, VS was less prevalent among black women (63%) compared with Hispanic women/Latinas (73%) and white women (78%). In the multivariable analysis, factors significantly associated with not achieving VS included the following social and behavioral determinants of care: using public insurance (aPR = 1.69, CI 1.01–2.82, p = 0.044) compared to using private insurance, seeking care in a public clinic (aPR = 1.60, CI 1.03–2.50, p = 0.037) compared to seeking care in a private clinic, and ART non-adherence (aPR = 2.79, CI 1.81–4.29), p < 0.001). Although race was not a significant factor in not achieving VS, race was associated with ART non-adherence; black women were more likely to miss a dose of ART medication (aPR = 2.07, CI 1.19–3.60, p = 0.010) when compared to white women and Hispanic women/Latinas. Interventions and resources disseminated to address social barriers to care and improve VS and ART adherence among HIV-positive women, particularly black women, are warranted. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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