HIV Treatment Cascade by Housing Status at Enrollment: Results from a Retention in Care Cohort.

HIV Treatment Cascade by Housing Status at Enrollment: Results from a Retention in Care Cohort.
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DOI:
10.1007/s10461-018-2295-y
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发表时间:
2019-03
期刊:
影响因子:
4.4
通讯作者:
AIDS United Retention in Care Intervention Team
AIDS United Retention in Care Intervention Team
中科院分区:
医学2区
文献类型:
--
作者:
Hawk M;Maulsby C;Enobun B;Kinsky S;AIDS United Retention in Care Intervention Team

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虽然住房不稳定与艾滋病毒健康结果不佳有关,但按住房状况评估艾滋病毒治疗级联的研究有限。使用多站点保留护理倡议的数据,我们构建了艾滋病毒治疗级联的参与者(n=463)的五个受赠网站。我们发现,与入组时稳定居住的受试者(54%)相比,入组时不稳定居住的受试者(49%)在随访时的病毒抑制方面没有显著差异。在6个月或12个月随访时有可用数据的参与者中,94%参与护理,90%保留,94%接受ART,71%抑制了病毒载量。注意到一些地点一级的差异;在其中两个研究中心,居住稳定的参与者更有可能继续接受护理和ART治疗。总体而言,研究结果表明,参与者成功地通过了HIV治疗级联,而不管登记时的住房状况如何,建议以证据为基础的支持和服务,以帮助艾滋病毒感染者/艾滋病可以帮助减轻因缺乏稳定住房而在参与护理方面遇到的障碍。
Though housing instability is linked to poor HIV health outcomes, studies that assess the HIV treatment cascade by housing status are limited. Using data from a multi-site Retention in Care initiative we constructed HIV treatment cascades for participants (n=463) of five grantee sites. We found no significant differences in viral suppression at follow-up among participants who were unstably housed at enrollment (49%) as compared to those who were stably housed at enrollment (54%). Among participants with available data at 6- or 12-month follow-up, 94% were engaged in care, 90% were retained in, 94% were on ART, and 71% had suppressed viral load. Some site-level differences were noted; at two of the sites participants who were stably housed were more likely to be retained in care and on ART. Overall, findings demonstrated that_participants moved successfully through the HIV treatment cascade regardless of housing status at enrollment, suggesting that evidence-based support and services to help people living with HIV/AIDS can help mitigate barriers to engagement in care associated with lack of stable housing.
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