ArticlePloS one2022
Individual, community, and structural factors associated with linkage to HIV care among people diagnosed with HIV in Tennessee.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- 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
- Social needs and hospital readmission in persons living with HIV.Scientific reports · 2025Article
- Projecting the Potential Clinical and Economic Impact of HIV Prevention Resource Reallocation in Tennessee.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024Article
- Multilevel Resilience and HIV Virologic Suppression Among African American/Black Adults in the Southeastern United States.Journal of racial and ethnic health disparities · 2024Article
- Projected Life Expectancy Gains From Improvements in HIV Care in Black and White Men Who Have Sex With Men.JAMA network open · 2023Article
- Effect of Social Determinants of Health on Uncontrolled Human Immunodeficiency Virus (HIV) Infection Among Persons With HIV in San Francisco, California.Open forum infectious diseases · 2022Article
- Medical-legal partnerships: An integrated approach to advance health equity and improve health outcomes for people living with HIV.Frontiers in reproductive health · 2022Article
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Authors and funding
10 authors.
Funding
Abstract
objectiveWe assessed trends and identified individual- and county-level factors associated with individual linkage to HIV care in Tennessee (TN).
methodsTN residents diagnosed with HIV from 2012-2016 were included in the analysis (n = 3,751). Individuals were assigned county-level factors based on county of residence at the time of diagnosis. Linkage was defined by the first CD4 or HIV RNA test date after HIV diagnosis. We used modified Poisson regression to estimate probability of 30-day linkage to care at the individual-level and the contribution of individual and county-level factors to this outcome.
resultsBoth MSM (aRR 1.23, 95%CI 0.98-1.55) and women who reported heterosexual sex risk factors (aRR 1.39, 95%CI 1.18-1.65) were more likely to link to care within 30-days than heterosexual males. Non-Hispanic Black individuals had poorer linkage than White individuals (aRR 0.77, 95%CI 0.71-0.83). County-level mentally unhealthy days were negatively associated with linkage (aRR 0.63, 95%CI: 0.40-0.99).
conclusionsRacial disparities in linkage to care persist at both individual and county levels, even when adjusting for county-level social determinants of health. These findings suggest a need for structural interventions to address both structural racism and mental health needs to improve linkage to care and minimize racial disparities in HIV outcomes.
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