ArticleJournal of acquired immune deficiency syndromes (1999)2014
HIV viral suppression among persons with varying levels of engagement in HIV medical care, 19 US jurisdictions.
Article in Journal of acquired immune deficiency syndromes (1999), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Identifying Best Practices for Increasing Linkage to, Retention, and Re-engagement in HIV Medical Care: Findings from a Systematic Review, 1996-2014.AIDS and behavior · 2016Pooled it
- Incorporation of Social Determinants of Health in the Peer-Reviewed Literature: A Systematic Review of Articles Authored by the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention.Public health reports (Washington, D.C. : 1974)Pooled it
- Changes in Specific Substance Involvement Scores among SBIRT recipients in an HIV primary care setting.Addiction science & clinical practice · 2017Trial
- Gender Differences in HIV Care among Criminal Justice-Involved Persons: Baseline Data from the CARE+ Corrections Study.PloS one · 2017Trial
- Linking Infectious and Narcology Care (LINC) in Russia: design, intervention and implementation protocol.Addiction science & clinical practice · 2016Trial
- HIV care indicators during the COVID-19 pandemic in relation to pre-pandemic care patterns among people with HIV in North Carolina.AIDS care · 2026Article
- Age and Race Disparities in Viral Suppression and the Moderating Effect of Substance Use Among Men Who Have Sex with Men Living with HIV.The journal of behavioral health services & research · 2026Article
- Provider perspectives on healthcare provision via telemedicine to persons with HIV living in an urban community.Health policy and technology · 2024Article
- Prevention, treatment and cure of HIV infection.Nature reviews. Microbiology · 2023Review
- Describing Engagement in the HIV Care Cascade: A Methodological Study.HIV/AIDS (Auckland, N.Z.) · 2023Article
- Article
- Health Care-Specific Enacted HIV-Related Stigma's Association with Antiretroviral Therapy Adherence and Viral Suppression Among People Living with HIV in Florida.AIDS patient care and STDs · 2020Article
- Multilevel Barriers to Engagement in the HIV Care Continuum Among Residents of the State of Rhode Island Living with HIV.AIDS and behavior · 2020Observational
- Characterizing the Human Immunodeficiency Virus Care Continuum Among Transgender Women and Cisgender Women and Men in Clinical Care: A Retrospective Time-series Analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020Article
- Detecting Social and Behavioral Determinants of Health with Structured and Free-Text Clinical Data.Applied clinical informatics · 2020Article
- Trends and Disparities in Mortality and Progression to AIDS in the Highly Active Antiretroviral Therapy Era: Tennessee, 1996-2016.American journal of public health · 2019Article
- Using big data analytics to improve HIV medical care utilisation in South Carolina: A study protocol.BMJ open · 2019Article
- Compound Retention in Care and All-Cause Mortality Among Persons Living With Human Immunodeficiency Virus.Open forum infectious diseases · 2019Article
- Development of PositiveLinks: A Mobile Phone App to Promote Linkage and Retention in Care for People With HIV.JMIR formative research · 2019Article
- Level of Alcohol Use Associated with HIV Care Continuum Targets in a National U.S. Sample of Persons Living with HIV Receiving Healthcare.AIDS and behavior · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundOngoing HIV medical care is vital in achieving and maintaining viral suppression. We examined viral suppression applying retention in care definitions used by various federal agencies.
methodsUsing National HIV Surveillance System data from 19 US jurisdictions with complete CD4 and viral load reporting, we determined viral suppression among persons who met the National HIV/AIDS Strategy retention in care definition (≥2 visits ≥3 months apart; "retained in continuous care") and among those who had evidence of care but did not meet the definition ("engaged in care"). We also examined viral suppression among persons who met the Health and Human Services Core Indicator definition for retention.
resultsOf 338,959 persons living with diagnosed HIV infection in 19 areas in 2010, 63.7% received any care; of these, 19.7% were "engaged in care" and 80.3% were "retained in continuous care." Of those "engaged in care," 47.7% achieved viral suppression compared with 73.6% of persons "retained in continuous care." Significant differences were evident for all subpopulations within each care category; younger persons and blacks/African Americans had lower levels of viral suppression than their counterparts. Persons "engaged in care," regardless of sex, age, race/ethnicity, and transmission category, had significantly lower percentages of viral suppression than persons "retained in continuous care." Similar patterns of viral suppression were found for persons meeting the Health and Human Services definition compared with persons "retained in continuous care."
conclusionsHigher levels of engagement in care, including more frequent monitoring of CD4 and viral load, were associated with viral suppression.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.