Factors Associated with Viral Suppression Among Racial/Ethnic Minority Women in the Miami-Dade County Ryan White Program, 2017

Caleb-Adepoju, Sikeade O.; Dawit, Rahel; Gbadamosi, Semiu O; Sheehan, Diana M.; Fennie, Kristopher; Ladner, Robert A.; Brock, Petra; Trepka, Mary Jo

doi:10.1089/aid.2021.0039

Cited by 3 publications

(5 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This construct focuses on the range of economic and social resources of a neighborhood’s residents. Among the 23 studies that discussed neighborhood level SES, two studies discussed its outcomes on ART initiation [ 67 , 79 ], two studies discussed ART adherence [ 81 , 86 ], 15 studies discussed HIV viral suppression[ 70 , 72 , 77 , 78 , 80 – 82 , 88 , 91 , 93 – 95 , 99 , 100 ], and 6 studies combined neighborhood SES factors into a composite measure, making it difficult to assess the impact of each factor individually [ 68 , 74 , 75 , 85 , 87 , 101 ].…”

Section: Resultsmentioning

confidence: 99%

“…Out of the fifteen studies assessing HIV viral suppression, seven found no association with neighborhood level income [ 70 , 72 , 78 ], affluence [ 80 ], residential stability [ 80 , 81 ], health care access [ 70 , 80 ], and food accessibility [ 88 , 99 ]. Six studies found inverse associations with HIV viral suppression and neighborhood level income [ 95 ], education [ 81 , 82 , 100 ], lack of car ownership [ 77 , 81 , 100 ], residential instability [ 91 ], percent of female-headed households [ 81 ], and food inaccessibility [ 80 ]. A positive association with HIV viral suppression was observed among men who have sex with men (MSM) living in areas that were more concentrated with MSM-headed households [ 70 ], neighborhoods with low poverty, low unemployment, high insurance coverage, and high education attainment [ 93 ].…”

Section: Resultsmentioning

confidence: 99%

“…Six studies found no association between the percentage of households or residents living below the poverty line and ART initiation [ 67 , 96 ] or HIV viral suppression [ 82 , 84 , 89 , 96 , 99 ]. However, 12 studies found an association between the percentage of households or residents living below the poverty line and ART initiation [ 79 , 83 ], ART adherence [ 90 , 98 ] and HIV viral suppression [ 69 , 73 , 77 , 81 , 83 , 87 , 91 , 100 ]. ART initiation among PLWH decreased as the percentage of households or residents living below the poverty line increased [ 83 ].…”

Section: Resultsmentioning

confidence: 99%

“…ART adherence similarly decreased among PLWH as the percentage of households or residents living below the poverty line increased [ 90 , 98 ]. HIV viral suppression was also inversely associated with the percentage of households or residents living below the poverty line [ 69 , 73 , 77 , 81 , 83 , 87 , 91 , 100 ] with the addition of gender and racial/ethnic differences [ 73 ].…”

Section: Resultsmentioning

confidence: 99%

“…This construct focuses on safety, and physical and social order. Among the 11 studies that assessed components of neighborhood disorder, one study assessed the effects of neighborhood disorder on ART initiation [ 98 ], 2 studies assessed the effects of disorder on ART adherence [ 71 , 95 ], and three studies assessed the effects of disorder on HIV viral suppression [ 70 , 76 , 80 , 82 , 88 , 91 , 92 , 95 , 99 ]. Shacham et al found that greater levels of perceived fear were associated with a lower likelihood of having a current combination antiretroviral therapy (cART) prescription [ 71 ] while Wright et al found higher crime was associated with lower adherence [ 95 ].…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Neighborhood characteristics and HIV treatment outcomes: A scoping review

Kimaru,

Habila,

Mantina

et al. 2024

PLOS Glob Public Health

View full text Add to dashboard Cite

Recognizing challenges faced by people living with HIV is vital for improving their HIV treatment outcomes. While individual-level interventions play a crucial role, community factors can shape the impact of individual interventions on treatment outcomes. Understanding neighborhood characteristics’ association with HIV treatment outcomes is crucial for optimizing effectiveness. This review aims to summarize the research scope on the association between neighborhood characteristics and HIV treatment outcomes. The databases PubMed, CINAHL (EBSCOhost), Embase (Elsevier), and PsychINFO (EBSCOhost) were searched from the start of each database to Nov 21, 2022. Screening was performed by three independent reviewers. Full-text publications of all study design meeting inclusion criteria were included in the review. There were no language or geographical limitations. Conference proceedings, abstract only, and opinion reports were excluded from the review. The search yielded 7,822 publications, 35 of which met the criteria for inclusion in the review. Studies assessed the relationship between neighborhood-level disadvantage (n = 24), composition and interaction (n = 17), social-economic status (n = 18), deprivation (n = 16), disorder (n = 8), and rural-urban status (n = 7) and HIV treatment outcomes. The relationship between all neighborhood characteristics and HIV treatment outcomes was not consistent across studies. Only 7 studies found deprivation had a negative association with HIV treatment outcomes; 6 found that areas with specific racial/ethnic densities were associated with poor HIV treatment outcomes, and 5 showed that disorder was associated with poor HIV treatment outcomes. Three studies showed that rural residence was associated with improved HIV treatment outcomes. There were inconsistent findings regarding the association between neighborhood characteristics and HIV treatment outcomes. While the impact of neighborhood characteristics on disease outcomes is highly recognized, there is a paucity of standardized definitions and metrics for community characteristics to support a robust assessment of this hypothesis. Comparative studies that define and assess how specific neighborhood indicators independently or jointly affect HIV treatment outcomes are highly needed.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Neighborhood characteristics and HIV treatment outcomes: A scoping review

Kimaru,

Habila,

Mantina

et al. 2024

PLOS Glob Public Health

View full text Add to dashboard Cite

show abstract

Patient–Provider Relationships and Antiretroviral Therapy Adherence and Durable Viral Suppression Among Women with HIV, Miami-Dade County, Florida, 2021–2022

Trepka

Ward-Peterson

Fennie

et al. 2023

AIDS Patient Care and STDs

View full text Add to dashboard Cite

Spatial and temporal analysis of HIV clinical outcomes in Florida reveals counties with persistent racial and ethnic disparities during 2012-2019

Rich,

Liu,

Fisk-Hoffman

et al. 2024

BMC Public Health

View full text Add to dashboard Cite

Background Racial/ethnic disparities in the HIV care continuum have been well documented in the US, with especially striking inequalities in viral suppression rates between White and Black persons with HIV (PWH). The South is considered an epicenter of the HIV epidemic in the US, with the largest population of PWH living in Florida. It is unclear whether any disparities in viral suppression or immune reconstitution—a clinical outcome highly correlated with overall prognosis—have changed over time or are homogenous geographically. In this analysis, we 1) investigate longitudinal trends in viral suppression and immune reconstitution among PWH in Florida, 2) examine the impact of socio-ecological factors on the association between race/ethnicity and clinical outcomes, 3) explore spatial and temporal variations in disparities in clinical outcomes. Methods Data were obtained from the Florida Department of Health for 42,369 PWH enrolled in the Ryan White program during 2008-2020. We linked the data to county-level socio-ecological variables available from County Health Rankings. GEE models were fit to assess the effect of race/ethnicity on immune reconstitution and viral suppression longitudinally. Poisson Bayesian hierarchical models were fit to analyze geographic variations in racial/ethnic disparities while adjusting for socio-ecological factors. Results Proportions of PWH who experienced viral suppression and immune reconstitution rose by 60% and 45%, respectively, from 2008-2020. Odds of immune reconstitution and viral suppression were significantly higher among White [odds ratio =2.34, 95% credible interval=2.14-2.56; 1.95 (1.85-2.05)], and Hispanic [1.70 (1.54-1.87); 2.18(2.07-2.31)] PWH, compared with Black PWH. These findings remained unchanged after accounting for socio-ecological factors. Rural and urban counties in north-central Florida saw the largest racial/ethnic disparities. Conclusions There is persistent, spatially heterogeneous, racial/ethnic disparity in HIV clinical outcomes in Florida. This disparity could not be explained by socio-ecological factors, suggesting that further research on modifiable factors that can improve HIV outcomes among Black and Hispanic PWH in Florida is needed.

show abstract

Factors Associated with Viral Suppression Among Racial/Ethnic Minority Women in the Miami-Dade County Ryan White Program, 2017

Cited by 3 publications

References 27 publications

Neighborhood characteristics and HIV treatment outcomes: A scoping review

Neighborhood characteristics and HIV treatment outcomes: A scoping review

Patient–Provider Relationships and Antiretroviral Therapy Adherence and Durable Viral Suppression Among Women with HIV, Miami-Dade County, Florida, 2021–2022

Spatial and temporal analysis of HIV clinical outcomes in Florida reveals counties with persistent racial and ethnic disparities during 2012-2019

Contact Info

Product

Resources

About