ArticleAIDS research and human retroviruses2014
The role of at-risk alcohol/drug use and treatment in appointment attendance and virologic suppression among HIV(+) African Americans.
Article in AIDS research and human retroviruses, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Effectiveness of a Combined Motivational Interviewing and Cognitive Behavioral Intervention to Reduce Substance Use and Improve HIV-Related Immune Functioning.AIDS and behavior · 2022Trial
- Development of Long and Short Forms of the Multilevel Resilience Resource Measure for African American/Black Adults Living with HIV.AIDS and behavior · 2022Article
- A Concept Mapping Study to Understand Multilevel Resilience Resources Among African American/Black Adults Living with HIV in the Southern United States.AIDS and behavior · 2021Article
- National Survey of US HIV Clinicians: Knowledge and Attitudes About the Affordable Care Act and Opinions of its Impact on Quality of Care and Barriers to Care.Open forum infectious diseases · 2020Article
- Prevalence of Alcohol Use and Factors Associated With Problem Drinking in Social Networks of People Living With HIV Infection in St. Petersburg, Russia.AIDS education and prevention : official publication of the International Society for AIDS Education · 2019Article
- Expanded HIV Clinic-Based Mental Health Care Services: Association With Viral Suppression.Open forum infectious diseases · 2019Article
- Patterns of Substance Use and Arrest Histories Among Hospitalized HIV Drug Users: A Latent Class Analysis.AIDS and behavior · 2018Article
- Sex Trade and Health Care Utilization Among People Living with HIV/AIDS.AIDS and behavior · 2018Article
- Review
- Evaluating the Population Impact on Racial/Ethnic Disparities in HIV in Adulthood of Intervening on Specific Targets: A Conceptual and Methodological Framework.American journal of epidemiology · 2018Article
- Mental health service utilization is associated with retention in care among persons living with HIV at a university-affiliated HIV clinic.AIDS research and therapy · 2018Article
- HIV Patients' Preference for Integrated Models of Addiction and HIV Treatment in Vietnam.Journal of substance abuse treatment · 2016Article
- Factors Associated with Low Socioeconomic Status Predict Poor Postoperative Follow-up after Meningioma Resection.Journal of neurological surgery. Part B, Skull base · 2016Article
- Selection Bias Due to Loss to Follow Up in Cohort Studies.Epidemiology (Cambridge, Mass.) · 2016Article
- Contingency management facilitates the use of postexposure prophylaxis among stimulant-using men who have sex with men.Open forum infectious diseases · 2015Article
- The interactive effects of social support and physical functioning on HIV medical outcomes among African Americans whom inject drugs.Journal of ethnicity in substance abuseArticle
- Population-Based Analysis of Synergistic Effects of Functional Disability and Comorbidities on Retention in HIV Care Among People With HIV.Journal of the International Association of Providers of AIDS CareArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
The causes of poor clinic attendance and incomplete virologic suppression among HIV(+) African Americans (AAs) are not well understood. We estimated the effect of at-risk alcohol/drug use and associated treatment on attending scheduled appointments and virologic suppression among 576 HIV(+) AA patients in the University of Alabama at Birmingham (UAB) 1917 Clinic Cohort who contributed 591 interviews to the analysis. At interview, 78% of patients were new to HIV care at UAB, 38% engaged in at-risk alcohol/drug use or received associated treatment in the prior year, while the median (quartiles) age and CD4 count were 36 (28; 46) years and 321 (142; 530) cells/μl, respectively. In the 2 years after an interview, half of the patients had attended at least 82% of appointments while half had achieved virologic suppression for at least 71% of RNA assessments. Compared to patients who did not use or receive treatment, the adjusted risk ratio (aRR) for attending appointments for patients who did use but did not receive treatment was 0.97 (95% confidence limits: 0.92, 1.03). The corresponding aRR for virologic suppression was 0.94 (0.86, 1.03). Compared to patients who did not receive treatment but did use, the aRR for attending appointments for patients who did receive treatment and did use was 0.86 (0.78, 0.95). The corresponding aRR for virologic suppression was 1.07 (0.92, 1.24). Use was negatively associated with attendance and virologic suppression among patients not in treatment. Among users, treatment was negatively associated with attendance yet positively associated with virologic suppression. However, aRR estimates were imprecise.
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