ArticleJournal of acquired immune deficiency syndromes (1999)2015
Individual and community factors associated with geographic clusters of poor HIV care retention and poor viral suppression.
Article in Journal of acquired immune deficiency syndromes (1999), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.
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Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic Review of Neighborhood Factors Impacting HIV Care Continuum Participation in the United States.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Pooled it
- Determinants of consistently high HIV prevalence in Indian Districts: A multi-level analysis.PloS one · 2019Trial
- Longitudinal Patterns and Predictors of Racial Disparities of HIV Retention in Care: A Statewide Cohort Analysis.AIDS and behavior · 2025Article
- A spatially dynamic agent-based model for assessing the effect of gentrification-induced migration and HIV transmission among heterosexual African American/Black women.Annals of epidemiology · 2025Article
- Impact of Travel Distance and Transportation Needs on Racial/Ethnic Differences in Achieving Sustained Viral Suppression in Miami-Dade County, 2017.Research square · 2025Article
- Drive time to care and retention in HIV care: Rural-urban differences among Medicaid enrollees in the United States South.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Neighborhoods, Networks, and HIV Care Among Men Who Have Sex With Men: Proposal for a Longitudinal Study.JMIR research protocols · 2024Article
- Access to Federally Qualified Health Centers and HIV Outcomes in the U.S. South.American journal of preventive medicine · 2024Article
- A Trauma-Informed, Geospatially Aware, Just-in-Time Adaptive mHealth Intervention to Support Effective Coping Skills Among People Living With HIV in New Orleans: Development and Protocol for a Pilot Randomized Controlled Trial.JMIR research protocols · 2023Article
- Effects of mode of transportation on PrEP persistence among urban men who have sex with men.AIDS care · 2023Article
- Integrating Natural Language Processing and Interpretive Thematic Analyses to Gain Human-Centered Design Insights on HIV Mobile Health: Proof-of-Concept Analysis.JMIR human factors · 2022Article
- Advancing behavioral interventions for African American/Black and Latino persons living with HIV using a new conceptual model that integrates critical race theory, harm reduction, and self-determination theory: a qualitative exploratory study.International journal for equity in health · 2022Article
- Multilevel Analysis of Individual and Neighborhood Characteristics Associated with Viral Suppression Among Adults with HIV in Rio de Janeiro, Brazil.AIDS and behavior · 2022Article
- Neighborhood Factors Associated with Racial/Ethnic Disparities in Achieving Sustained HIV Viral Suppression Among Miami-Dade County Ryan White Program Clients.AIDS patient care and STDs · 2021Article
- African American/Black and Latino Adults with Detectable HIV Viral Load Evidence Substantial Risk for Polysubstance Substance Use and Co-occurring Problems: A Latent Class Analysis.AIDS and behavior · 2021Article
- Development and Validation of a Multivariable Prediction Model for Missed HIV Health Care Provider Visits in a Large US Clinical Cohort.Open forum infectious diseases · 2021Article
- Measuring Unmet Needs among Persons Living with HIV at Different Stages of the Care Continuum.AIDS and behavior · 2021Article
- County-level predictors of retention in care status among people living with HIV in South Carolina from 2010 to 2016: a data-driven approach.AIDS (London, England) · 2021Article
- 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
- Using a Modeling-Based Approach to Assess and Optimize HIV Linkage to Care Services.AIDS and behavior · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundPrevious analyses identified specific geographic areas in Philadelphia (hotspots) associated with negative outcomes along the HIV care continuum. We examined individual and community factors associated with residing in these hotspots.
methodsRetrospective cohort of 1404 persons newly diagnosed with HIV in 2008-2009 followed for 24 months after linkage to care. Multivariable regression examined associations between individual (age, sex, race/ethnicity, HIV transmission risk, and insurance status) and community (economic deprivation, distance to care, access to public transit, and access to pharmacy services) factors and the outcomes: residence in a hotspot associated with poor retention-in-care and residence in a hotspot associated with poor viral suppression.
resultsIn total, 24.4% and 13.7% of persons resided in hotspots associated with poor retention and poor viral suppression, respectively. For persons residing in poor retention hotspots, 28.3% were retained in care compared with 40.4% of those residing outside hotspots (P < 0.05). Similarly, for persons residing in poor viral suppression hotspots, 51.4% achieved viral suppression compared with 75.3% of those outside hotspots (P < 0.0.05). Factors significantly associated with residence in poor retention hotspots included female sex, lower economic deprivation, greater access to public transit, shorter distance to medical care, and longer distance to pharmacies. Factors significantly associated with residence in poor viral suppression hotspots included female sex, higher economic deprivation, and shorter distance to pharmacies.
conclusionsIndividual and community-level associations with geographic hotspots may inform both content and delivery strategies for interventions designed to improve retention-in-care and viral suppression.
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