Barriers to HIV Care by Viral Suppression Status Among US Adults With HIV: Findings From the Centers for Disease Control and Prevention Medical Monitoring Project
| Autor: | Linda Beer, Yunfeng Tie, Sharoda Dasgupta, Jennifer L. Fagan, John Weiser |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Advanced and Specialized Nursing Receipt medicine.medical_specialty business.industry media_common.quotation_subject Human immunodeficiency virus (HIV) MEDLINE HIV Infections Viral Load medicine.disease_cause Disease control United States Article Care setting Feeling Family medicine medicine Life circumstances Humans Viral suppression Centers for Disease Control and Prevention U.S business media_common |
| Zdroj: | J Assoc Nurses AIDS Care |
| ISSN: | 1552-6917 1055-3290 |
| DOI: | 10.1097/jnc.0000000000000249 |
| Popis: | Failure to maintain viral suppression may be attributed to suboptimal care engagement. Using data collected during 2015-2018, we describe nationally representative estimates of engagement in care among US adults with diagnosed HIV, overall and by viral suppression. Of those who felt they did not receive enough care, we described detailed information on barriers to care by viral suppression. We reported weighted percentages and evaluated differences between groups using Rao-Scott chi-square tests (p < .05). Persons who were not virally suppressed were less likely to be retained in care (57.3 vs. 90.8%). Common barriers to care included life circumstances that impeded receipt of care (50.0%), financial barriers (34.5%), and not feeling sick enough to take medicine (32.0%). Barriers to care varied by viral suppression status, and people who were not virally suppressed were more likely to report more than one barrier to care. These findings demonstrate that barriers can be multifaceted; addressing barriers to care by expanding comprehensive care models in HIV care settings could improve clinical outcomes among people with HIV. |
| Databáze: | OpenAIRE |
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