Longitudinal Associations Between Neighborhood Factors and HIV Care Outcomes in the WIHS

Overview

Journal AIDS Behav

Specialty Infectious Diseases

Date 2020 Mar 15

PMID 32170507

Citations 14

Authors

Aruna Chandran

Andrew Edmonds

Lorie Benning

Eryka Wentz

Adebola Adedimeji

Tracey E Wilson

Amanda Blair-Spence

Kartika Palar

Mardge Cohen

Adaora Adimora

Affiliations

Soon will be listed here.

Abstract

Identifying structural determinants affecting HIV outcomes is important for informing interventions across heterogeneous geographies. Longitudinal hierarchical generalized mixed-effects models were used to quantify the associations between changes in certain structural-level factors on HIV care engagement, medication adherence, and viral suppression. Among women living with HIV in the WIHS, ten-unit increases in census-tract level proportions of unemployment, poverty, and lack of car ownership were inversely associated with viral suppression and medication adherence, while educational attainment and owner-occupied housing were positively associated with both outcomes. Notably, increased residential stability (aOR 5.68, 95% CI 2.93, 9.04) was positively associated with HIV care engagement, as were unemployment (aOR: 1.59, 95% CI 1.57, 1.60), lack of car ownership (aOR 1.14, 95% CI 1.13, 1.15), and female-headed households (aOR 1.23, 95% CI 1.22, 1.23). This underscores the importance of understanding neighborhood context, including factors that may not always be considered influential, in achieving optimal HIV-related outcomes.

Citing Articles

Perceived neighborhood disorder and achieving HIV viral suppression among adults living with HIV: A cross-sectional study.

Kimaru L, Hu C, Nagalingam S, Magrath P, Connick E, Ernst K PLOS Glob Public Health. 2024; 4(12):e0004060.

PMID: 39700192 PMC: 11658497. DOI: 10.1371/journal.pgph.0004060.

Neighborhood characteristics and HIV treatment outcomes: A scoping review.

Kimaru L, Habila M, Mantina N, Madhivanan P, Connick E, Ernst K PLOS Glob Public Health. 2024; 4(2):e0002870.

PMID: 38349915 PMC: 10863897. DOI: 10.1371/journal.pgph.0002870.

Estimation of place-based vulnerability scores for HIV viral non-suppression: an application leveraging data from a cohort of people with histories of using drugs.

Nguyen T, Roberts Lavigne L, Brantner C, Kirk G, Mehta S, Linton S BMC Med Res Methodol. 2024; 24(1):21.

PMID: 38273277 PMC: 10809603. DOI: 10.1186/s12874-023-02133-x.

Systematic Review of Neighborhood Factors Impacting HIV Care Continuum Participation in the United States.

Kerr J, Smith A, Nzama N, Bullock N, Chandler C, Osezua V J Urban Health. 2023; 101(1):31-63.

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Characterizing residential mobility among people with HIV in Tennessee and its impact on HIV care outcomes.

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