Evidence map›Paper›PMID 30568977›Full record

ArticleOpen forum infectious diseases2018

Year 2 of Affordable Care Act Qualified Health Plans (QHPs) in a Medicaid Nonexpansion State: QHPs Associated With Viral Suppression for Virginia AIDS Drug Assistance Program Clients.

Kathleen A McManus, Anne Rhodes, Lauren Yerkes, Carolyn L Engelhard, Karen S Ingersoll, Rebecca Dillingham

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 20 citations in OpenAlex.

  1. State AIDS Drug Assistance Programs' Contribution to the US Viral Suppression, 2015-2022.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Kathleen A McManusDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia.ORCID 0000-0001-5786-0018
Anne RhodesVirginia Department of Health, Richmond, Virginia.
Lauren YerkesVirginia Department of Health, Richmond, Virginia.
Carolyn L EngelhardDepartment of Public Health Sciences, University of Virginia, Charlottesville, Virginia.
Karen S IngersollDepartment of Psychiatry and Neurobehavioral Sciences, University of Virginia, Charlottesville, Virginia.
Rebecca DillinghamDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia.
University of Virginia · USVirginia Department of Health · US

Funding

Deconstructing HIV Disparities: Multistate Study of Data, Outcomes and MediatorsK08AI136644 · NIAID · UNIVERSITY OF VIRGINIA · PI MCMANUS, KATHLEEN ANN · 2018 to 2022
$1.0M
Affordable Care Act and Health Outcomes of People Living with HIV in VirginiaF32HS024196 · AHRQ · UNIVERSITY OF VIRGINIA · PI MCMANUS, KATHLEEN ANN · 2015 to 2016
$129k
AHRQ HHS F32 HS024196NIAID NIH HHS K08 AI136644
6 · The paper itself

Abstract

backgroundFor year 1 of the Affordable Care Act (ACA), Virginia AIDS Drug Assistance Program (ADAP) clients with Qualified Health Plans (QHPs) achieved a higher rate of viral suppression. This study characterizes the demographic and health care delivery factors associated with QHP enrollment in year 2 and assesses the relationship between 2015 QHP coverage and HIV viral suppression.

methodsThe cohort included Virginia ADAP clients who were eligible for ADAP-funded QHPs. Data were collected from 2014 to 2015. Multivariable binary logistic regression was conducted to assess the association of demographic and health care delivery factors with QHP enrollment and viral suppression.

resultsIn year 2, 63% of the cohort (n = 4631) enrolled in QHPs; 2015 ADAP-funded QHP enrollment was associated with 2014 ADAP-funded QHP (adjusted odds ratio [aOR], 111.11; 95% confidence interval [CI], 90.91-166.67), 2014 engagement in care (aOR, 2.16; 95% CI, 1.65-2.82), age (

conclusionsVirginia ADAP client 2015 QHP enrollment increased compared with year 1 and varied based on demographic and health care delivery factors. QHP coverage was again associated with viral suppression, an essential outcome for individuals and for public health.

Indexed as

AIDS Drug Assistancehealthhealth care reformHIVinsurancePatient Protection and Affordable Care ActProgram

Identifiers

PMID30568977
PMCPMC6293482
OpenAlexW2899094869

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.