The North-South Divide: Substance Use Risk, Care Engagement, and Viral Suppression Among Hospitalized Human Immunodeficiency Virus-Infected Patients in 11 US Cities

Morgan M Philbin; Daniel J Feaster; Lauren Gooden; Rui Duan; Moupali Das; Petra Jacobs; Gregory M Lucas; D Scott Batey; Ank Nijhawan; Jeffrey M Jacobson; Raul Mandler; Eric Daar; Deborah K McMahon; Wendy S Armstrong; Carlos Del Rio; Lisa R Metsch

doi:10.1093/cid/ciy506

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The North-South Divide: Substance Use Risk, Care Engagement, and Viral Suppression Among Hospitalized Human Immunodeficiency Virus-Infected Patients in 11 US Cities

Journal article

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Peer reviewed

The North-South Divide: Substance Use Risk, Care Engagement, and Viral Suppression Among Hospitalized Human Immunodeficiency Virus-Infected Patients in 11 US Cities

Morgan M Philbin, Daniel J Feaster, Lauren Gooden, Rui Duan, Moupali Das, Petra Jacobs, Gregory M Lucas, D Scott Batey, Ank Nijhawan, Jeffrey M Jacobson, …

Clinical infectious diseases, Vol.68(1), pp.146-149

2019-01-01

DOI: https://doi.org/10.1093/cid/ciy506

PMCID: PMC6293003

PMID: 29920584

Abstract

United States - epidemiology

HIV Infections - epidemiology

Humans

Middle Aged

Male

CD4 Lymphocyte Count

Hospitalization

Substance-Related Disorders - complications

Viral Load

Cities - epidemiology

Substance-Related Disorders - epidemiology

HIV Infections - diagnosis

HIV Infections - complications

Female

HIV Infections - drug therapy

Facilities and Services Utilization - statistics & numerical data

Regional variability in human immunodeficiency virus (HIV) care engagement remains underexplored. Multiple logistic models compared HIV outcomes for participants from 5 Southern (n = 557) and 6 non-Southern (n = 670) sites. Southern participants were less likely to experience viral suppression (adjusted odds ratio [aOR], 0.52; 95% confidence interval [CI], .37-.72) and had a higher likelihood of a CD4+ count <200 cells/µL (aOR, 1.53; 95% CI, 1.17-2.00). HIV intervention and social safety net programs should be expanded. NCT01612169.

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.66 HIV; 1.66.11 HIV Prevalence & Prophylaxis
Web Of Science research areas: Immunology; Infectious Diseases; Microbiology
ESI research areas: Immunology

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Title: The North-South Divide: Substance Use Risk, Care Engagement, and Viral Suppression Among Hospitalized Human Immunodeficiency Virus-Infected Patients in 11 US Cities
Creators: Morgan M Philbin - Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, New York
Daniel J Feaster - Department of Public Health Sciences, University of Miami Miller School of Medicine, Florida
Lauren Gooden - Department of Public Health Sciences, University of Miami Miller School of Medicine, Florida
Rui Duan - Department of Public Health Sciences, University of Miami Miller School of Medicine, Florida
Moupali Das - University of California, San Francisco
Petra Jacobs - National Institute on Drug Abuse, Bethesda
Gregory M Lucas - Division of Infectious Diseases, School of Medicine, Johns Hopkins University, Baltimore, Maryland
D Scott Batey - Department of Social Work, College of Arts and Sciences, University of Alabama at Birmingham
Ank Nijhawan - Division of Infectious Diseases, University of Texas Southwestern Medical Center, Dallas
Jeffrey M Jacobson - Departments of Medicine and Neuroscience, Center for Translational AIDS Research, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania
Raul Mandler - National Institute on Drug Abuse, Bethesda
Eric Daar - Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, California
Deborah K McMahon - Department of Medicine, University of Pittsburgh, Pennsylvania
Wendy S Armstrong - Department of Medicine, Emory University School of Medicine
Carlos Del Rio - Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia
Lisa R Metsch - Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, New York
Publication Details: Clinical infectious diseases, Vol.68(1), pp.146-149
Publisher: United States
Grant note: K01 DA039804 / NIDA NIH HHS UG1 DA013034 / NIDA NIH HHS K24 DA035684 / NIDA NIH HHS UG1 DA013727 / NIDA NIH HHS UG1 DA013035 / NIDA NIH HHS U10 DA013045 / NIDA NIH HHS UG1 DA015831 / NIDA NIH HHS P30 AI073961 / NIAID NIH HHS U10 DA013034 / NIDA NIH HHS P30 AI050409 / NIAID NIH HHS UG1 DA013720 / NIDA NIH HHS UL1 TR000454 / NCATS NIH HHS UG1 DA013732 / NIDA NIH HHS U10 DA015831 / NIDA NIH HHS UG1 DA020024 / NIDA NIH HHS U10 DA013035 / NIDA NIH HHS U10 DA020024 / NIDA NIH HHS U10 DA020036 / NIDA NIH HHS U10 DA013043 / NIDA NIH HHS U10 DA013727 / NIDA NIH HHS U10 DA013732 / NIDA NIH HHS U10 DA015815 / NIDA NIH HHS UG1 DA015815 / NIDA NIH HHS U10 DA013720 / NIDA NIH HHS P30 AI094189 / NIAID NIH HHS
Academic Unit: Miller School of Medicine; UMMG Department of Public Health Sciences Research
Language: English
Resource Type: Journal article
PMID: 29920584
PMCID: PMC6293003
Record Identifier: 991031559159902976