ArticleJournal of acquired immune deficiency syndromes (1999)2016
Understanding Local Spatial Variation Along the Care Continuum: The Potential Impact of Transportation Vulnerability on HIV Linkage to Care and Viral Suppression in High-Poverty Areas, Atlanta, Georgia.
Article in Journal of acquired immune deficiency syndromes (1999), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
55 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
- Factors associated with mobile app-based ordering of HIV self-test kits among men who have sex with men in Atlanta, Detroit and New York City: an exploratory secondary analysis of a randomized control trial.Journal of the International AIDS Society · 2023Trial
- Geospatial Accessibility Factors Influencing HIV Care Continuum Outcomes in South Carolina.AIDS and behavior · 2026Article
- Community Resilience Estimates and HIV Health Outcomes: Insights from the CNICS Cohort.AIDS and behavior · 2026Observational
- Temporal Changes in Racial Disparities of HIV Linkage to Care from 2013 to 2020: A Statewide Cohort Analysis.Journal of racial and ethnic health disparities · 2026Article
- Factors Associated With Loss to Follow-Up Among People Living With HIV in a National Tertiary Care Hospital: Protocol and Baseline Analysis of a Prospective Cohort Study.JMIR research protocols · 2026Article
- The Potential Impact of Federal Funding Cuts on Access to Pre-Exposure Prophylaxis in Atlanta, Georgia: Geographic Modeling Study.JMIR public health and surveillance · 2026Article
- Individual- and Neighborhood-Level Predictors of HIV Care Continuum Progression: Clark County, Nevada.Open forum infectious diseases · 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
- Enhanced Cohort Methods for HIV Research and Epidemiology (ENCORE): Protocol for a Nationwide Hybrid Cohort for Transgender Women in the United States.JMIR research protocols · 2024Article
- Travel Burden and Timely Linkage to Care Among People Newly Diagnosed with HIV Infection in South Carolina from 2005 to 2020.AIDS and behavior · 2024Article
- A Geospatial Analysis of Social and Structural Determinants of Health and High HIV Prevalence in Alabama, USA.Journal of community health · 2024Article
- I Can't Afford it Right Now, So it Doesn't Matter" Structural Drivers of Viral Suppression Among Men Who Have Sex With Men: A Longitudinal Qualitative Approach.Research square · 2024Article
- Perceived neighborhood disorder and achieving HIV viral suppression among adults living with HIV: A cross-sectional study.PLOS global public health · 2024Article
- Neighborhood characteristics and HIV treatment outcomes: A scoping review.PLOS global public health · 2024Article
- "If I have to drive 100 miles, I'll drive 100 miles to get it": a qualitative exploration of HIV care travel behavior.AIDS care · 2023Article
- Effects of mode of transportation on PrEP persistence among urban men who have sex with men.AIDS care · 2023Article
- Article
- Person-time spent with HIV viral load above 1500 copies/mL among Miami-Dade County Ryan White Program clients, 2017-2019: a retrospective analysis.Annals of epidemiology · 2023Article
- Pre-exposure prophylaxis in the era of emerging methods for men who have sex with men in the USA: the HIV Prevention Cycle of Care model.The lancet. HIV · 2023Review
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundEngagement in care is central to reducing mortality for HIV-infected persons and achieving the White House National AIDS Strategy of 80% viral suppression in the US by 2020. Where an HIV-infected person lives impacts his or her ability to achieve viral suppression. Reliable transportation access for healthcare may be a key determinant of this place-suppression relationship.
methodsZIP code tabulation areas (ZCTAs) were the units of analysis. We used geospatial and ecologic analyses to examine spatial distributions of neighborhood-level variables (eg, transportation accessibility) and associations with: (1) community linkage to care, and (2) community viral suppression. Among Atlanta ZCTAs with data for newly diagnosed HIV cases (2006-2010), we used Moran I to evaluate spatial clustering and linear regression models to evaluate associations between neighborhood variables and outcomes.
resultsIn 100 ZCTAs with 8413 newly diagnosed HIV-positive residents, a median of 60 HIV cases were diagnosed per ZCTA during the 5-year period. We found significant clustering of ZCTAs with low linkage to care and viral suppression (Moran I = 0.218, P < 0.05). In high-poverty ZCTAs, a 10% point increase in ZCTA-level household vehicle ownership was associated with a 4% point increase in linkage to care (P = 0.02, R = 0.16). In low-poverty ZCTAs, a 10% point increase in ZCTA-level household vehicle ownership was associated with a 30% point increase in ZCTA-level viral suppression (P = 0.01, R = 0.08).
conclusionsCorrelations between transportation variables and community-level care linkage and viral suppression vary by area poverty level and provide opportunities for interventions beyond individual-level factors.
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