ArticleDisaster medicine and public health preparedness2023
Assessing HIV Care Outcomes Among Persons Who Use Drugs in Puerto Rico Before and After Hurricane Maria.
Article in Disaster medicine and public health preparedness, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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Who cites it
3 citing papers in PubMed.
- Social and economic marginalization in the context of a public health emergency: HIV care disruptions experienced by black sexual minority men (BSMM).Journal of behavioral medicine · 2026Article
- Tropical Cyclone Exposure and Psychoactive Drug-Related Death Rates.JAMA network open · 2026Article
- Climate change and extreme weather events and linkages with HIV outcomes: recent advances and ways forward.Current opinion in infectious diseases · 2025Review
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
objectivesTo explore the health impacts of Hurricane Maria (HM) on HIV care outcomes among people living with HIV who use drugs.
methodsUsing data from an ongoing cohort study in San Juan, Puerto Rico (Proyecto PACTo), we measured differences in HIV care outcomes (viral load, viral suppression, and CD4 counts) before and after HM using assessments conducted at 6-month intervals. Generalized estimating equations were used to assess factors associated with HIV care outcomes.
resultsAll HIV care outcomes showed a deterioration from pre-HM values to post-HM values (mean viral load increased, CD4 counts decreased, and rate of viral suppression decreased) after controlling for pre-HM sociodemographic and health characteristics. In addition to HM, age (aIRR = 1·01), being homeless (aIRR = 0·78) and having health insurance (aIRR = 1·6) were independently associated with viral suppression.
participants219 participants completed follow-up visits between April 2017 and January 2018, before and after HM.
conclusionsPeople living with HIV who use drugs in Puerto Rico experienced poorer HIV outcomes following HM. Socio-environmental factors contributing to these outcomes is discussed in the context of disaster response, recovery, and program planning.
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