ArticleAIDS care2017
Foreign-born status as a predictor of engagement in HIV care in a large US metropolitan health system.
Article in AIDS care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- High HIV/STI Test Acceptance Through a Behavioral Health Encounter in Latino Immigrants with Substance Use and Mental Health Problems.AIDS and behavior · 2019Trial
- Prevalence of Social Determinants of Health Risk Factors Among and Their Impact on Viral Suppression, Consistent Visits, and No-Show Rates Among Persons with HIV Who Identify as Hispanic.AIDS and behavior · 2025Article
- HIV Care Outcomes Among Non-US-Born Persons with Diagnosed HIV Infection, 2019.Journal of immigrant and minority health · 2024Article
- Racial Differences in Social Determinants of Health and Outcomes Among Hispanic/Latino Persons with HIV-United States, 2015-2020.Journal of racial and ethnic health disparities · 2024Article
- The impact of free antiretroviral therapy for pregnant non-citizens and their infants in Botswana.Journal of the International AIDS Society · 2023Article
- Comparison of HIV Viral Suppression Between a Sample of Foreign-Born and U.S.-Born Women of Color in the United States.Journal of immigrant and minority health · 2021Article
- Factors Associated with Viral Suppression Among Racial/Ethnic Minority Women in the Miami-Dade County Ryan White Program, 2017.AIDS research and human retroviruses · 2021Article
- The Role of Neighborhood Poverty in the Association between Foreign-Born status and HIV Care Continuum Outcomes in Alameda County, California.Journal of immigrant and minority health · 2020Article
- HIV Care Outcomes among Hispanics/Latinos with Diagnosed HIV in the United States by Place of Birth-2015-2018, Medical Monitoring Project.International journal of environmental research and public health · 2019Article
- HIV testing in a large community health center serving a multi-cultural patient population: A qualitative study of providers.AIDS care · 2019Article
- Harambee!: A pilot mixed methods study of integrated residential HIV testing among African-born individuals in the Seattle area.PloS one · 2019Article
- Intersectional Stigma and Multi-Level Barriers to HIV Testing Among Foreign-Born Black Men From the Caribbean.Frontiers in public health · 2019Review
- Beliefs About the End of AIDS, Concerns About PrEP Functionality, and Perceptions of HIV Risk as Drivers of PrEP Use in Urban Sexual Minority Men: The P18 Cohort Study.AIDS and behavior · 2018Article
- HIV Infection-Related Care Outcomes among U.S.-Born and Non-U.S.-Born Blacks with Diagnosed HIV in 40 U.S. Areas: The National HIV Surveillance System, 2016.International journal of environmental research and public health · 2018Article
- Role of Gay Neighborhood Status and Other Neighborhood Factors in Racial/Ethnic Disparities in Retention in Care and Viral Load Suppression Among Men Who Have Sex with Men, Florida, 2015.AIDS and behavior · 2018Article
- HIV outcomes among migrants from low-income and middle-income countries living in high-income countries: a review of recent evidence.Current opinion in infectious diseases · 2018Review
- Outcomes Along the HIV Care Continuum Among Undocumented Immigrants in Clinical Care.AIDS research and human retroviruses · 2017Article
- The Epidemiology of HIV Among People Born Outside the United States, 2010-2017.Public health reports (Washington, D.C. : 1974)Article
- 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
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Authors and funding
4 authors.
Funding
Abstract
We sought to determine the linkage to and retention in HIV care after HIV diagnosis in foreign-born compared with US-born individuals. From a clinical data registry, we identified 619 patients aged ≥18 years with a new HIV diagnosis between 2000 and 2012. Timely linkage to care was the proportion of patients with an ICD-9 code for HIV infection (V08 or 042) associated with a primary care or infectious disease physician within 90 days of the index positive HIV test. Retention in HIV care was the presence of an HIV primary care visit in each 6-month period of the 24-month measurement period from the index HIV test. We used Cox regression analysis with adjustment for hypothesized confounders (age, gender, race/ethnicity, substance abuse, year, and location of HIV diagnosis). Foreign-born individuals comprised 36% (225/619) of the cohort. Index CD4 count was 225/µl (IQR 67-439/µl) in foreign-born compared with 328/µl (IQR 121-527/µl) in US-born individuals (p < .001). The proportion linked to care was 87% (196/225) in foreign-born compared with 77% (302/394) in US-born individuals (p = .002). The adjusted hazard ratio of linkage to HIV care in foreign-born compared with US-born individuals was 1.28 (95% confidence interval [CI], 1.05-1.56). Once linked, there was no difference in retention in care or virologic suppression at 24 months. These results show that despite late presentation to HIV care, foreign-born persons can subsequently engage in HIV care as well as US-born persons. Interventions that promote HIV screening in foreign-born persons are a promising way to improve outcomes in these populations.
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