دورية أكاديمية
أعرض في EDS

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

التفاصيل البيبلوغرافية
العنوان: Characterizing residential mobility among people with HIV in Tennessee and its impact on HIV care outcomes.
المؤلفون: Ahonkhai AA; Vanderbilt Institute for Global Health, Nashville, TN.; Division of Infectious Diseases, Massachusetts General Hospital, Boston, MA.; Division of Infectious Diseases, Department of Medicine., Bian A; Department of Biostatistics, Vanderbilt University Medical Center., Robbins NN; Department of Anthropology, Vanderbilt University., Maurer LA; Tennessee Department of Health., Clouse K; Division of Infectious Diseases, Department of Medicine.; Vanderbilt University School of Nursing., Pierce LJ; Division of Infectious Diseases, Department of Medicine., Perkins JM; Department of Human & Organizational Development, Peabody College, Vanderbilt University, Nashville, TN, USA., Wernke SA; Department of Anthropology, Vanderbilt University., Shepherd BE; Department of Biostatistics, Vanderbilt University Medical Center., Brantley M; Tennessee Department of Health.
المصدر: AIDS (London, England) [AIDS] 2024 Mar 01; Vol. 38 (3), pp. 397-405. Date of Electronic Publication: 2023 Nov 01.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: England NLM ID: 8710219 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-5571 (Electronic) Linking ISSN: 02699370 NLM ISO Abbreviation: AIDS Subsets: MEDLINE
أسماء مطبوعة: Publication: 1998- : London, England : Lippincott Williams & Wilkins
Original Publication: London : Gower Academic Journals, c1987-
مواضيع طبية MeSH: HIV Infections*/complications , HIV Infections*/epidemiology, Humans ; Middle Aged ; Tennessee/epidemiology ; Retrospective Studies ; Population Dynamics ; RNA
مستخلص: Objective: Our objective was to assess the prevalence and patterns of mobility among people with HIV (PWH) in Tennessee and its impact on HIV care outcomes.
Design: Retrospective cohort study.
Methods: We combined residential address and HIV surveillance data from PWH in Tennessee from 2016 to 2018. Using Poisson regression, we estimated associations between in-state mobility (change in address or total miles moved) in 1 year and outcomes in the subsequent year; retention: having two CD4 + /HIV RNA values (labs) in a calendar year at least 3 months apart, loss to follow-up (LTFU): having labs at baseline but not the subsequent year, and viral suppression: HIV RNA less than 200 copies/ml. We applied a kernel density estimator to origin-destination address lines to visualize mobility patterns across demographic subgroups.
Results: Among 17 428 PWH [median age 45 years (interquartile range; IQR 34-53)], 6564 (38%) had at least one move. Median miles moved was 8.9 (IQR 2.6-143.4)). We observed in-state movement between major cities (Chattanooga, Knoxville, Memphis and Nashville) and out-of-state movement to and from Georgia and Florida. Having at least one in-state move was associated with a decreased likelihood of retention [adjusted relative risk (aRR) = 0.91; 95% confidence interval (CI) 0.88-0.95], and an increased risk of LTFU (aRR = 1.17; 95% CI 1.04-1.31, two to three moves vs. none). Greater distance moved in-state was associated with decreased retention and increased LTFU (aRR = 0.53; 95% CI 0.49-0.58, aRR = 2.52; 95% CI 2.25-2.83, respectively for 1000 vs. 0 miles). There was no association between mobility and viral suppression.
Conclusion: Mobility is common among PWH in Tennessee and is associated with initial poor engagement in HIV care.
(Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
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معلومات مُعتمدة: P30 AI110527 United States AI NIAID NIH HHS
المشرفين على المادة: 63231-63-0 (RNA)
تواريخ الأحداث: Date Created: 20231102 Date Completed: 20240202 Latest Revision: 20240705
رمز التحديث: 20240706
مُعرف محوري في PubMed: PMC10872643
DOI: 10.1097/QAD.0000000000003778
PMID: 37916463
قاعدة البيانات: MEDLINE
الوصف
تدمد:1473-5571
DOI:10.1097/QAD.0000000000003778