Planning for Success Predicts Virus Suppressed: Results of a Non-Controlled, Observational Study of Factors Associated with Viral Suppression Among HIV-Positive Persons Following Jail Release
| Autor: | Koo Whang Chung, Marc Cunningham, Lauren C. Messina, Matthew S. Stein, Ann Avery, Anne C. Spaulding, Bryan I. Kim, Paul A. Teixeira, Thomas M. Lincoln, Timothy P. Flanigan, Divya Ahuja |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Social Psychology Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Logistic regression Risk Factors medicine Humans Transitional care Viral suppression Psychiatry Health Services Needs and Demand business.industry Prisoners Public health Public Health Environmental and Occupational Health Odds ratio Health Services Middle Aged Viral Load Patient Discharge United States CD4 Lymphocyte Count Health psychology Logistic Models Treatment Outcome Infectious Diseases Anti-Retroviral Agents Population Surveillance Prisons Family medicine Multivariate Analysis Female Observational study business Follow-Up Studies |
| Zdroj: | AIDS and Behavior. 17:203-211 |
| ISSN: | 1573-3254 1090-7165 |
| DOI: | 10.1007/s10461-012-0341-8 |
| Popis: | In the United States, jail frequently disrupts access to HIV care. EnhanceLink, a 10-site demonstration project promoting linkage to HIV primary care upon jail discharge, offered an opportunity to gauge how many releasees had favorable clinical outcomes. Individual level data were available on 1270 participants. Persons never discharged from the correctional environment were excluded. Multivariate logistic regression identified factors associated with viral suppression 6 months post discharge (6M-VL < 400). Among 1082 individuals eligible for follow-up evaluation, 25.7 % had 6M-VL < 400. 6M-VL < 400 was associated with case managers assessing whether help was needed for linkage to HIV-related medical services and clients keeping an appointment with a case manager. The adjusted odds ratio (aOR) of 6M-VL < 400 associated with attending a meeting with an HIV care provider within 30 days of release was 1.85. The results of this non-controlled, observational study support further development and rigorous evaluation of transitional care programs for HIV-positive jailed persons across the country. |
| Databáze: | OpenAIRE |
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