High Psychosocial Burden Relates to Poorer Antiretroviral Treatment Adherence Among Black/African American People with HIV

Ham, Lillian; Montoya, Jessica L.; Serrano, Vanessa; Yeager, Samantha; Paltin, Dafna; Pasipanodya, Elizabeth; Marquine, María J.; Hoenigl, Martin; Ramers, Christian B.; Kua, John; Moore, David J.

doi:10.1089/apc.2022.0180

Cited by 5 publications

(2 citation statements)

References 75 publications

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“…This pattern of results is similar to the general population of people living with HIV, with a higher prevalence of people living with HIV who are Black (Bowleg et al 2022). However, systemic racism affecting Black people living with HIV and IDD cannot be overstated (Dale et al 2019;Bowleg et al 2022) and therefore requires an intersectional lens when developing prevention programmes or further epidemiological studies (Ham et al 2023). Our findings require public health practitioners and healthcare organisations to partner with affected communities to best identify opportunities to reduce inequities in diagnosis and care.…”

Section: Discussionsupporting

confidence: 71%

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Human immunodeficiency virus diagnosis and care among adults with intellectual and developmental disabilities who are publicly insured

James,

Argenyi,

Gravino

et al. 2023

J intellect Disabil Res

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BackgroundThis study aimed to assess the prevalence of human immunodeficiency virus (HIV) testing, HIV diagnosis and receipt of HIV care among adults with intellectual and developmental disabilities (IDDs) who are publicly insured in the USA.DesignThis study is a cross‐sectional analysis of Medicare–Medicaid linked data of adults with IDD who were publicly insured in 2012 (n = 878 186).MethodsWe estimated adjusted prevalence ratios of HIV testing, diagnosis and receipt of antiretroviral therapy (ART). We also identified the relationship between predisposing (age, gender, race and ethnicity), enabling (Medicare, Medicaid or both; rural status; geographical location; and county income) and need‐related characteristics (IDD diagnosis and other co‐occurring conditions) associated with these outcomes.ResultsOnly 0.12% of adults with IDD who had no known HIV diagnosis had received an HIV test in the past year. The prevalence of HIV diagnosis among adults with IDD was 0.38%, although differences by type of IDD diagnosis were observed. Prevalence of HIV diagnosis differed by type of IDD. Among adults with IDD who were living with HIV, approximately 71% had received ART during 2012. The adjusted analyses indicate significant racial disparities, with Black adults with IDD making up the majority (59.11%) of the HIV‐positive IDD adult population.ConclusionsAdults with IDD are a unique priority population at risk for HIV‐related disparities, and the level of risk is differential among subtypes of IDD. People with IDD, like other people with disabilities, should be considered in prevention programming and treatment guidelines to address disparities across the HIV care continuum.

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Section: Discussionsupporting

confidence: 71%

“…2022) and therefore requires an intersectional lens when developing prevention programmes or further epidemiological studies (Ham et al . 2023). Our findings require public health practitioners and healthcare organisations to partner with affected communities to best identify opportunities to reduce inequities in diagnosis and care.…”

Section: Discussionmentioning

confidence: 99%