TY - JOUR
T1 - The impact of neighborhood socioeconomic status on retention in care and viral suppression among people living with HIV
AU - López, Julia D.
AU - Qao, Qisha
AU - Presti, Rachel M.
AU - Hammer, Rachel A.
AU - Foraker, Randi E.
N1 - Funding Information:
The author(s) reported there is no funding associated with the work featured in this article. We would like to thank the patients and staff at the Washington University Infectious Diseases Clinic.
Publisher Copyright:
© 2022 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2022
Y1 - 2022
N2 - Our study combined publicly available neighborhood socioeconomic status (nSES) data from the U.S. Census and clinical data to investigate the relationships between nSES, retention in care (RIC) and viral suppression (VS). Data from 2275 patients were extracted from 2009 to 2015 from a midwestern infectious diseases clinic. RIC was defined as patients who kept ≥ 3 visits and VS as an average viral load <200 copies/mL during their index year of study. Logistic regression models provided estimates for neighborhood-level and patient-level variables. In multivariable models, patients living in zip codes with low disability rates (1.50, 1.30–1.70), who wereolder (1.02, 1.01–1.03), and receiving antiretroviral therapy (ART; 3.81, 3.56–4.05) were more likely to have RIC, while those who were unemployed (0.72, 0.45–0.98) and self-reported as BIPOC (0.79, 0.64–0.97) were less likely to have RIC. None of the nSES variables were significantly associated with VS in multivariable models, yet older age (1.05, 1.04–1.05) and self-reported as BIPOC (1.68, 1.36–2.09) were modestly associated with VS, and receiving ART (6.14, 5.86–6.42) was a strong predictor of VS. In multivariable models, nSES variables were independently predictive more than of patient-level variables, for RIC but not VS.
AB - Our study combined publicly available neighborhood socioeconomic status (nSES) data from the U.S. Census and clinical data to investigate the relationships between nSES, retention in care (RIC) and viral suppression (VS). Data from 2275 patients were extracted from 2009 to 2015 from a midwestern infectious diseases clinic. RIC was defined as patients who kept ≥ 3 visits and VS as an average viral load <200 copies/mL during their index year of study. Logistic regression models provided estimates for neighborhood-level and patient-level variables. In multivariable models, patients living in zip codes with low disability rates (1.50, 1.30–1.70), who wereolder (1.02, 1.01–1.03), and receiving antiretroviral therapy (ART; 3.81, 3.56–4.05) were more likely to have RIC, while those who were unemployed (0.72, 0.45–0.98) and self-reported as BIPOC (0.79, 0.64–0.97) were less likely to have RIC. None of the nSES variables were significantly associated with VS in multivariable models, yet older age (1.05, 1.04–1.05) and self-reported as BIPOC (1.68, 1.36–2.09) were modestly associated with VS, and receiving ART (6.14, 5.86–6.42) was a strong predictor of VS. In multivariable models, nSES variables were independently predictive more than of patient-level variables, for RIC but not VS.
KW - HIV/AIDS
KW - neighborhood factors
KW - retention in care
KW - socioeconomic status
KW - viral suppression
UR - http://www.scopus.com/inward/record.url?scp=85125253883&partnerID=8YFLogxK
U2 - 10.1080/09540121.2022.2040724
DO - 10.1080/09540121.2022.2040724
M3 - Article
C2 - 35164602
AN - SCOPUS:85125253883
SN - 0954-0121
VL - 34
SP - 1383
EP - 1389
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
IS - 11
ER -