دورية أكاديمية
Variation in local Ryan White HIV/AIDS program service use and impacts on viral suppression: informing quality improvement efforts.
| العنوان: | Variation in local Ryan White HIV/AIDS program service use and impacts on viral suppression: informing quality improvement efforts. |
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| المؤلفون: | Wheatley MM; Division of Health Policy and Management, University of Minnesota, Minneapolis, MN, USA., Peterson AD; Hennepin County Public Health, Minneapolis, MN, USA., Wolfson J; Division of Biostatistics, University of Minnesota, Minneapolis, MN, USA., Hanft J; Hennepin County Public Health, Minneapolis, MN, USA., Rowles D; Minnesota Department of Human Services, St. Paul, MN, USA., Blissett T; Minnesota Department of Human Services, St. Paul, MN, USA., Enns EA; Division of Health Policy and Management, University of Minnesota, Minneapolis, MN, USA. |
| المصدر: | AIDS care [AIDS Care] 2023 Oct; Vol. 35 (10), pp. 1526-1533. Date of Electronic Publication: 2022 Sep 26. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 8915313 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-0451 (Electronic) Linking ISSN: 09540121 NLM ISO Abbreviation: AIDS Care Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Abingdon, Oxfordshire, U.K. : Carfax Pub. Co., c1989- |
| مواضيع طبية MeSH: | HIV Infections*/drug therapy , Financial Management*, Humans ; Quality Improvement ; White ; Sustained Virologic Response |
| مستخلص: | The U.S. Ryan White HIV/AIDS Program (RWHAP) funds comprehensive services for people living with HIV to support viral suppression (VS). We analyzed five years of RWHAP data from the Minneapolis-St. Paul region to (1) assess variation and (2) evaluate the causal effect of each RWHAP service on sustained VS by race/ethnicity. Sixteen medical and support services were included. Descriptive analyses assessed service use and trends over time. Causal analyses used generalized estimating equations and propensity scores to adjust for the probability of service use. Receipt of AIDS Drug Assistance Program and financial aid consistently showed higher probabilities of sustained VS, while food aid and transportation aid had positive impacts on VS at higher levels of service encounters; however, the impact of services could vary by race/ethnicity. For example, financial aid increased the probability of sustained VS by at least 3 percentage points for white, Hispanic and Black/African American clients, but only 1.6 points for Black/African-born clients. This study found that services addressing socioeconomic needs typically had positive impacts on viral suppression, yet service use and impact of services often varied by race/ethnicity. This highlights a need to ensure these services are designed and delivered in ways that equitably serve all clients. |
| فهرسة مساهمة: | Keywords: Ryan White HIV/AIDS Program; Viral suppression; disparities; engagement in care; support services |
| تواريخ الأحداث: | Date Created: 20220926 Date Completed: 20230807 Latest Revision: 20230811 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1080/09540121.2022.2126960 |
| PMID: | 36161988 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1360-0451 |
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| DOI: | 10.1080/09540121.2022.2126960 |