Longitudinal Associations Between Neighborhood Factors and HIV Care Outcomes in the WIHS.
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Author
Chandran, ArunaEdmonds, Andrew
Benning, Lorie
Wentz, Eryka
Adedimeji, Adebola
Wilson, Tracey E
Blair-Spence, Amanda
Palar, Kartika
Cohen, Mardge
Adimora, Adaora
Journal title
AIDS and behaviorDate Published
2020-10Publication Volume
24Publication Issue
10Publication Begin page
2811Publication End page
2818
Metadata
Show full item recordAbstract
Identifying structural determinants affecting HIV outcomes is important for informing interventions across heterogeneous geographies. Longitudinal hierarchical generalized mixed-effects models were used to quantify the associations between changes in certain structural-level factors on HIV care engagement, medication adherence, and viral suppression. Among women living with HIV in the WIHS, ten-unit increases in census-tract level proportions of unemployment, poverty, and lack of car ownership were inversely associated with viral suppression and medication adherence, while educational attainment and owner-occupied housing were positively associated with both outcomes. Notably, increased residential stability (aOR 5.68, 95% CI 2.93, 9.04) was positively associated with HIV care engagement, as were unemployment (aOR: 1.59, 95% CI 1.57, 1.60), lack of car ownership (aOR 1.14, 95% CI 1.13, 1.15), and female-headed households (aOR 1.23, 95% CI 1.22, 1.23). This underscores the importance of understanding neighborhood context, including factors that may not always be considered influential, in achieving optimal HIV-related outcomes.Citation
Chandran A, Edmonds A, Benning L, Wentz E, Adedimeji A, Wilson TE, Blair-Spence A, Palar K, Cohen M, Adimora A. Longitudinal Associations Between Neighborhood Factors and HIV Care Outcomes in the WIHS. AIDS Behav. 2020 Oct;24(10):2811-2818. doi: 10.1007/s10461-020-02830-4. PMID: 32170507; PMCID: PMC7483905.DOI
10.1007/s10461-020-02830-4ae974a485f413a2113503eed53cd6c53
10.1007/s10461-020-02830-4
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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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