ArticleAIDS patient care and STDs2014
Timing of antiretroviral therapy initiation in a nationally representative sample of HIV-infected adults receiving medical care in the United States.
Article in AIDS patient care and STDs, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Assessing the Benefits of Rapid Start Antiretroviral Therapy for Newly Diagnosed People with HIV in the United States.Advances in therapy · 2025Article
- Does HIV index testing bring patients into treatment at earlier stages of HIV disease? Results from a retrospective study in Ukraine.BMC infectious diseases · 2024Article
- "I Haven't Been Ill, I Know It's There": a Case Study Examination of the Social, Behavioral, Clinical, and Structural Factors that Contribute to Sustained Viremia Among Women Living with HIV.Journal of racial and ethnic health disparities · 2022Article
- Association between drug use and ART use among people living with HIV who inject drugs in Vietnam, Ukraine and Indonesia: results from HPTN 074.Journal of substance use · 2022Article
- Current and Past Immunodeficiency Are Associated With Higher Hospitalization Rates Among Persons on Virologically Suppressive Antiretroviral Therapy for up to 11 Years.The Journal of infectious diseases · 2021Article
- Starting or Switching to an Integrase Inhibitor-Based Regimen Affects PTSD Symptoms in Women with HIV.AIDS and behavior · 2021Article
- Conceptual framework for strengthening nurse-initiated management of antiretroviral therapy training and implementation in North West province.Health SA = SA Gesondheid · 2020Article
- Using the multiphase optimization strategy (MOST) to optimize an HIV care continuum intervention for vulnerable populations: a study protocol.BMC public health · 2017Article
- Risk factors for delayed antiretroviral therapy initiation among HIV-seropositive patients.PloS one · 2017Article
- The Perilous Road from HIV Diagnosis in the Hospital to Viral Suppression in the Outpatient Clinic.AIDS research and human retroviruses · 2016Article
- Timing of Linkage to Care After HIV Diagnosis and Time to Viral Suppression.Journal of acquired immune deficiency syndromes (1999) · 2016Article
- Half of 30-Day Hospital Readmissions Among HIV-Infected Patients Are Potentially Preventable.AIDS patient care and STDs · 2015Article
- A Minority of Patients Newly Diagnosed with AIDS Are Started on Antiretroviral Therapy at the Time of Diagnosis in a Large Public Hospital in the Southeastern United States.Journal of the International Association of Providers of AIDS CareArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Early antiretroviral therapy (ART) initiation reduces the risk of disease progression and HIV transmission, but data on time from HIV care entry to ART initiation are lacking. Using data from the Medical Monitoring Project (MMP), a population-based probability sample of HIV-infected adults receiving medical care in the United States, we assessed time from care entry to ART initiation among persons diagnosed May 2004-April 2009 and used multivariable Cox proportional-hazards models to identify factors associated with time to ART initiation. Among 1094 MMP participants, 83.9% reported initiating ART, with median time to ART initiation of 10 months. In multivariable models, blacks compared to whites [hazard ratio (HR) 0.82; 95% confidence interval (CI) 0.70-0.98], persons without continuous health insurance (HR 0.82; CI 0.70-0.97), heterosexual women and men who have sex with men compared to heterosexual men (HR 0.66; CI 0.51-0.85 and HR 0.71; CI 0.60-0.84, respectively), and persons without AIDS at care entry (HR 0.37; CI 0.31-0.43) had significantly longer times to ART initiation. Overall, time to ART initiation was suboptimal by current standards and significant disparities were noted among certain subgroups. Efforts to encourage prompt ART initiation should address delays among those without health insurance and among certain sociodemographic subgroups.
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