Evidence map›Paper›PMID 39745687›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2025

Factors Associated With Retention in HIV Care Within 12 Months Postpartum: A Retrospective Cohort Study.

Tran Dang, Jean Anderson, Anna M Powell

Abstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Tran DangDepartment of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD.
Jean Anderson

Funding

Vaginal Microbiome and Metabolites in Preterm BirthK23AI155296 · NIAID · JOHNS HOPKINS UNIVERSITY · PI POWELL, ANNA MAYA · 2021 to 2025
$991k
Division of Intramural Research, National Institute of Allergy and Infectious Diseases K23AI155296NIAID NIH HHS K23 AI155296
6 · The paper itself

Abstract

backgroundLoss to follow-up to HIV care after delivery puts birthing parents with HIV at higher risk of loss of viral suppression, disease progression, and HIV partner transmission. This study assessed factors associated with retention in postpartum HIV care.

methodsThis is a retrospective cohort study at a single academic medical center and included patients followed from January 2014 to December 2022. The primary outcome was retention in postpartum HIV care (any health care encounter discussing HIV medication adherence or viral load within 12 months postpartum). Data were analyzed using χ 2 and student t test for discrete and continuous variables. Univariate and multivariable log regressions were used to measure independent associations on care retention and health care utilization outcomes.

resultsOf the 111 patients with planned follow-up at our facility, 93 (83.8%) participants had ≥1 HIV care encounter within 12 months of delivery. Participants had a mean age of 31.2 (±5.84) years, were predominantly Black (79.3%), non-Hispanic (91%), and non-U.S. born (57.5%) with substantial exposure of prior IPV (29.6%). Participants retained in care were more likely to use ART during pregnancy (92/99% vs 16/94.2%, P = 0.01) and have viral suppression at delivery (n = 83/90% vs 12/67%, P = 0.02). Retention in care was negatively associated with substance use during pregnancy (aOR 0.29, 95% CI: 0.09 to 0.95) after adjustment for social health covariates.

conclusionsAlthough almost 84% of participants were retained in HIV care within 12 months of delivery, substance use during pregnancy was a significant risk factor for HIV care attrition postpartum.

Indexed as

HIV InfectionsPostpartum PeriodRetention in CareAdultAnti-HIV AgentsFemaleHumansMedication AdherencePregnancyRetrospective StudiesViral LoadYoung AdultAnti-HIV Agents

Identifiers

PMID39745687
PMCPMC12301958

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