Health insurance and AIDS Drug Assistance Program (ADAP) increases retention in care among women living with HIV in the United States.
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Author
Kay, Emma SophiaEdmonds, Andrew
Ludema, Christina
Adimora, Adaora
Alcaide, Maria L
Chandran, Aruna
Cohen, Mardge H
Johnson, Mallory O
Kassaye, Seble
Kempf, Mirjam-Colette
Moran, Caitlin A
Sosanya, Oluwakemi
Wilson, Tracey E
Keyword
AIDS Drug Assistance ProgramWomen living with HIV
Women’s Interagency HIV study
retention in care
Journal title
AIDS careDate Published
2020-11-25Publication Volume
33Publication Issue
8Publication Begin page
1044Publication End page
1051
Metadata
Show full item recordAbstract
Our objective was to examine the association between healthcare payer type and missed HIV care visits among 1,366 US women living with HIV (WLWH) enrolled in the prospective Women's Interagency HIV Study (WIHS). We collected secondary patient-level data (October 1, 2017-September 30, 2018) from WLWH at nine WIHS sites. We used bivariate and multivariable binary logistic regression to examine the relationship between healthcare payer type (cross-classification of patients' ADAP and health insurance enrollment) and missed visits-based retention in care, defined as no-show appointments for which patients did not reschedule. Our sample included all WLWH who self-reported having received HIV care at least once during the two consecutive biannual WIHS visits a year prior to October 1, 2017-September 30, 2018. In the bivariate model, compared to uninsured WLWH without ADAP, WLWH with private insurance + ADAP were more likely to be retained in care, as were WLWH with Medicaid only and private insurance only. In the adjusted model, WLWH with private insurance only were more likely to be retained in care compared to uninsured WLWH without ADAP. Private health insurance and ADAP are associated with increased odds of retention in care among WLWH.Citation
Kay ES, Edmonds A, Ludema C, Adimora A, Alcaide ML, Chandran A, Cohen MH, Johnson MO, Kassaye S, Kempf MC, Moran CA, Sosanya O, Wilson TE. Health insurance and AIDS Drug Assistance Program (ADAP) increases retention in care among women living with HIV in the United States. AIDS Care. 2021 Aug;33(8):1044-1051. doi: 10.1080/09540121.2020.1849529. Epub 2020 Nov 25. PMID: 33233937; PMCID: PMC8144231.DOI
10.1080/09540121.2020.1849529ae974a485f413a2113503eed53cd6c53
10.1080/09540121.2020.1849529
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- Creative Commons
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International
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