Racial and Ethnic Differences in Viral Suppression Among HIV-Positive Women in Care

Nwangwu‐Ike, Ndidi; Frazier, Emma L.; Crepaz, Nicole; Tie, Yunfeng; Sutton, Madeline Y.

doi:10.1097/qai.0000000000001779

Cited by 21 publications

(17 citation statements)

References 31 publications

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“…Sustained viral suppression is defined as maintaining a state of undetectable viral load (<40 copies/mL) over multiple doctor's visits, months, or years. Estimates of sustained viral suppression vary by study and range between 28% and 89% among adolescents worldwide, and tend to diminish over time (18,(20)(21)(22). Estimates comparing adolescents and young adults (13-24 and 24-44) with older adults (45 and older) suggest that while age-based disparities are reducing adolescents and young adults are persistently less likely to reach viral suppression (23).…”

Section: Introductionmentioning

confidence: 99%

Substance Use Predicts Sustained Viral Suppression in a Community Cohort of Sexual and Gender Minority Youth Living with HIV

et al. 2021

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Retention in care and sustained viral suppression are integral outcomes in the care continuum for people living with HIV (PLWH) and HIV prevention; however, less is known about how substance use predicts sustained viral suppression over time. This study seeks to examine the predictive effects of substance use on sustained viral suppression in a sample of cisgender sexual minority men and gender minority PLWH (n=163) drawn from a longitudinal sample in the Chicago area collected 2015-2019. Using data from 3 visits separated by 6 months, participants were coded persistently detectable, inconsistently virally suppressed, and consistently virally suppressed (<40 copies/mL at all visits). Multinomial logistic regressions were utilized. About 40% of participants had sustained viral suppression. In multinomial logistic regressions, CUDIT-R predicted persistent detectable status and stimulant use was associated with inconsistent viral suppression. Substance use may create challenges in achieving sustained viral suppression, which has important implications for care and prevention.

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Section: Introductionmentioning

confidence: 99%

Substance Use Predicts Sustained Viral Suppression in a Community Cohort of Sexual and Gender Minority Youth Living with HIV

et al. 2021

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“…Evidence demonstrates that disparities in the engagement in the HIV care continuum have persisted in the antiretroviral treatment (ART) era for African Americans due to multiple social and structural vulnerabilities [13][14][15][16][17]. African Americans suffer disproportionately from poverty, with the lack of economic opportunities and unequal insurance coverage manifesting in delayed entry to HIV care and poorer ART adherence [18][19]. Stigma and discrimination also negatively impact retention in care and viral suppression among African American PLWH [20][21].…”

Section: Introductionmentioning

confidence: 99%

Older African Americans and the HIV Care Continuum: A Systematic Review of the Literature, 2003–2018

2018

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Evidence suggests that racial disparities in the HIV care continuum persist in older age groups, particularly among African Americans. The objective of this systematic review was to identify factors that facilitate or hinder older African Americans' engagement in the HIV care continuum. For studies published between 2003 and 2018, we: (1) searched databases using keywords, (2) excluded non-peer-reviewed studies, (3) limited findings to older African Americans and the HIV care continuum, and (4) retrieved and summarized data focused on barriers and facilitators of the HIV care continuum. Among the 1023 studies extracted, 13 were included: diagnosis/testing (n=1), engagement in care (n=7), and antiretroviral adherence (n=5). Barriers included lack of HIV risk awareness, routine testing, and healthcare access, stigma, and multimorbidities. Social support, health/medication literacy, and increased self-efficacy facilitated engagement. A targeted focus on older African Americans is needed to achieve national goals of improving HIV care and treatment outcomes.

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“…Black MSM, however, made up 25% of all new HIV infections and have a 41% lifetime probability of acquiring HIV; Hispanic MSM made up 20% of all new HIV infections and have a 22% lifetime probability of acquiring HIV [3,4]. Also, research has found that Black and Brown priority populations are less likely than their white counterparts to be virally suppressed-affecting both ongoing transmission and HIV-related health outcomes [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Understanding Technology Fit Among People with HIV Based on Intersections of Race, Sex, and Sexual Behavior: An Equitable Approach to Analyzing Differences Across Multiple Social Identities

et al. 2021

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HIV disproportionately impacts individuals based on intersecting categories (e.g. gender, race/ethnicity, behavior), with groups most at-risk deemed priority populations. Using weighted effects coding to account for differential group sizes, this study used multilevel mixed logistic models to investigate differences in eHealth use and willingness to use eHealth for HIVrelated information among priority populations. Compared to the sample average, Black men who had sex with women were less likely to use all technologies except cellphones with text-messaging and less likely to be willing to use computers and tablets. White and Hispanic men who had sex with men were more likely to use all technologies. No significant differences existed for use or willingness to use cellphones with text-messaging. Future research should consider approaches used here to account for equity and multiple intersecting social identities; practitioners may use these findings or similar local data to ensure fit between eHealth programs and priority populations.

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Racial and Ethnic Differences in Viral Suppression Among HIV-Positive Women in Care

Abstract: Viral suppression was suboptimal for all women, but more for black and Hispanic women. Differences between black, Hispanic, and white women may be partially due to antiretroviral therapy adherence, HIV disease stage, and social determinants of health factors.

Cited by 21 publications

References 31 publications

Substance Use Predicts Sustained Viral Suppression in a Community Cohort of Sexual and Gender Minority Youth Living with HIV

Substance Use Predicts Sustained Viral Suppression in a Community Cohort of Sexual and Gender Minority Youth Living with HIV

Older African Americans and the HIV Care Continuum: A Systematic Review of the Literature, 2003–2018

Understanding Technology Fit Among People with HIV Based on Intersections of Race, Sex, and Sexual Behavior: An Equitable Approach to Analyzing Differences Across Multiple Social Identities

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