Disparities in Engagement in Care and Viral Suppression Among Persons With HIV
Disparities in Engagement in Care and Viral Suppression Among Persons With HIV
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DOI：
10.1097/qai.0b013e3182894555
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发表时间：
2013-05-01
影响因子：
3.6
通讯作者：
Schwarcz, Sandra
中科院分区：
文献类型：
--
作者：
Muthulingam, Dharushana;Chin, Jennie;Schwarcz, Sandra
背景：参与艾滋病毒护理的各个方面可以改善健康结果并预防艾滋病毒传播。我们使用艾滋病毒监测数据来检查这些outcome.Methods：包括2009年至2010年期间被诊断为艾滋病毒的弗朗西斯科居民。我们测量的特点和比例的人在6个月内的诊断，保留在护理的第二次和第三次访问，和病毒抑制在12个月内diagnosis.Results：862人包括，750（87%）进入护理6个月内的诊断，其中，72%的第二次访问在随后的3-6个月;其中，80%在随后的3-6个月内进行了第三次就诊。在50%的总人群中实现了病毒抑制，在76%的保留3次访视的人群中实现了病毒抑制。缺乏健康保险和住房状况不明与未进入护理相关（P < 0.01）。保险状况不明的人不太可能被保留第二次访问;那些年龄小于30岁的人不太可能被保留第三次访问。病毒抑制失败的独立预测因素包括年龄
Background: Engagement across the spectrum of HIV care can improve health outcomes and prevent HIV transmission. We used HIV surveillance data to examine these outcomes.Methods: San Francisco residents who were diagnosed with HIV between 2009 and 2010 were included. We measured the characteristics and proportion of persons linked to care within 6 months of diagnosis, retained in care for second and third visits, and virally suppressed within 12 months of diagnosis.Results: Of 862 persons included, 750 (87%) entered care within 6 months of diagnosis; of these, 72% had a second visit in the following 3-6 months; and of these, 80% had a third visit in the following 3-6 months. Viral suppression was achieved in 50% of the total population and in 76% of those retained for 3 visits. Lack of health insurance and unknown housing status were associated with not entering care (P < 0.01). Persons with unknown insurance status were less likely to be retained for a second visit; those younger than 30 years were less likely to be retained for a third visit. Independent predictors of failed viral suppression included age