Evidence map›Paper›PMID 38101464›Full record

ArticleAmerican journal of preventive medicine2024

Access to Federally Qualified Health Centers and HIV Outcomes in the U.S. South.

Jessica S Kiernan, Bassam A Dahman, Alex H Krist, Gretchen N Neigh, April D Kimmel

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

5 authors at 1 institution in 1 country.

Jessica S KiernanDepartment of Health Behavior and Policy, School of Population Health, Virginia Commonwealth University, Richmond, Virginia. Electronic address: kiernanjs@vcu.edu.
Bassam A DahmanDepartment of Health Behavior and Policy, School of Population Health, Virginia Commonwealth University, Richmond, Virginia.
Alex H KristDepartment of Family Medicine, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
Gretchen N NeighDepartment of Anatomy and Neurobiology, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
April D KimmelDepartment of Health Behavior and Policy, School of Population Health, Virginia Commonwealth University, Richmond, Virginia.
Virginia Commonwealth University · US

Funding

Delivering High-Quality HIV Care in the South: System-Level Policy AlternativesR01MD011277 · NIMHD · VIRGINIA COMMONWEALTH UNIVERSITY · PI KIMMEL, APRIL D · 2016 to 2019
$1.5M
NIMHD NIH HHS R01 MD011277
6 · The paper itself

Abstract

introductionFederally Qualified Health Centers may increase access to HIV prevention, care, and treatment for at-risk populations.

methodsA pooled cross section of ZIP Code Tabulation Areas from cites in the U.S. South with high HIV diagnoses were used to examine Federally Qualified Health Center density and indicators of HIV epidemic control. The explanatory variable was Federally Qualified Health Center density-number of Federally Qualified Health Centers in a ZIP Code Tabulation Areas' Primary Care Service Area per low-income population-high versus medium/low (2019). Outcomes were 5-year (2015-2019 or 2014-2018) (1) number of new HIV diagnoses, (2) percentage late diagnosis, (3) percentage linked to care, and (4) percentage virally suppressed, which was assessed over 1 year (2018 or 2019). Multiple linear regression was used to examine the relationship, including ZIP Code Tabulation Area-level sociodemographic and city-level HIV funding variables, with state-fixed effects, and data analysis was completed in 2022-2023. Sensitivity analyses included (1) examining ZIP Code Tabulation Areas with fewer non-Federally Qualified Health Center primary care providers, (2) controlling for county-level primary care provider density, (3) excluding the highest HIV prevalence ZIP Code Tabulation Areas, and (4) excluding Florida ZIP Code Tabulation Areas.

resultsHigh-density ZIP Code Tabulation Areas had a lower percentage of late diagnosis and virally suppressed, a higher percentage linked to care, and no differences in new HIV diagnoses (p<0.05). In adjusted analysis, high density was associated with a greater number of new diagnoses (number or percentage=5.65; 95% CI=2.81, 8.49), lower percentage of late diagnosis (-3.71%; 95% CI= -5.99, -1.42), higher percentage linked to care (2.13%; 95% CI=0.20, 4.06), and higher percentage virally suppressed (1.87%; 95% CI=0.53, 2.74) than medium/low density.

conclusionsResults suggest that access to Federally Qualified Health Centers may benefit community-level HIV epidemic indicators.

Indexed as

Health Services AccessibilityHIV InfectionsCross-Sectional StudiesDelayed DiagnosisFemaleHumansMalePovertyPrimary Health CareSoutheastern United StatesUnited States

Identifiers

PMID38101464
PMCPMC11034789
OpenAlexW4389670278

What OpenQuestion holds

Textmetadata
LicenceTDM
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.