Sex differences in psychosocial and demographic factors associated with sustained HIV viral suppression in the Miami-Dade County Ryan White Program, 2017.
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| Title: | Sex differences in psychosocial and demographic factors associated with sustained HIV viral suppression in the Miami-Dade County Ryan White Program, 2017. |
|---|---|
| Authors: | Ward, Melissa K., Fernandez, Sofia B., Sheehan, Diana M., Li, Tan, Dawit, Rahel, Fennie, Kristopher, Beach, Mary Catherine, Brock, Petra, Ladner, Robert, Trepka, Mary Jo |
| Source: | AIDS Care. Oct2023, Vol. 35 Issue 10, p1437-1442. 6p. 1 Diagram, 1 Chart. |
| Subjects: | AIDS diagnosis, HIV infections, Research, Viral load, Multiple regression analysis, Food security, Race, Sex distribution, Treatment effectiveness, Mental depression, Medical case management, Anxiety |
| Geographic Terms: | Florida |
| Abstract: | This exploratory study examined sex differences in psychosocial and demographic factors associated with sustained HIV viral suppression (SVS). The study population included 6,489 Miami-Dade Ryan White Program (RWP) clients receiving services during 2017; administrative data was analyzed. SVS was defined as having all viral load tests during 2017 below 200 copies/ml. Multilevel logistic regression models accounted for clustering by medical case management site. Models were stratified by sex. Overall, a higher proportion of females did not achieve SVS (23.5%) than males (18.1%). For females (n = 1,503), having acquired HIV perinatally and not having a partner oradult household member were associated with not achieving SVS. For males (n = 4,986), lacking access to food, Black or Haitian race/ethnicity, problematic substance use, and unknown physician were associated with not achieving SVS. For both sexes, younger age, lower household income, ever having an AIDS diagnosis, feeling depressed or anxious, and experiencing homelessness were associated with not achieving SVS. Elements of the transition from adolescent to adult HIV care that may differentially impact female clients and factors associated with disclosure should be explored further. Male clients may require additional support for food security. Improving culturally specific care for Haitian and non-Hispanic Black male clients should also be explored. [ABSTRACT FROM AUTHOR] |
| Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 169833581 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Sex differences in psychosocial and demographic factors associated with sustained HIV viral suppression in the Miami-Dade County Ryan White Program, 2017. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Ward%2C+Melissa+K%2E%22">Ward, Melissa K.</searchLink><br /><searchLink fieldCode="AR" term="%22Fernandez%2C+Sofia+B%2E%22">Fernandez, Sofia B.</searchLink><br /><searchLink fieldCode="AR" term="%22Sheehan%2C+Diana+M%2E%22">Sheehan, Diana M.</searchLink><br /><searchLink fieldCode="AR" term="%22Li%2C+Tan%22">Li, Tan</searchLink><br /><searchLink fieldCode="AR" term="%22Dawit%2C+Rahel%22">Dawit, Rahel</searchLink><br /><searchLink fieldCode="AR" term="%22Fennie%2C+Kristopher%22">Fennie, Kristopher</searchLink><br /><searchLink fieldCode="AR" term="%22Beach%2C+Mary+Catherine%22">Beach, Mary Catherine</searchLink><br /><searchLink fieldCode="AR" term="%22Brock%2C+Petra%22">Brock, Petra</searchLink><br /><searchLink fieldCode="AR" term="%22Ladner%2C+Robert%22">Ladner, Robert</searchLink><br /><searchLink fieldCode="AR" term="%22Trepka%2C+Mary+Jo%22">Trepka, Mary Jo</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Oct2023, Vol. 35 Issue 10, p1437-1442. 6p. 1 Diagram, 1 Chart. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22AIDS+diagnosis%22">AIDS diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Viral+load%22">Viral load</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Food+security%22">Food security</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+case+management%22">Medical case management</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Florida%22">Florida</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: This exploratory study examined sex differences in psychosocial and demographic factors associated with sustained HIV viral suppression (SVS). The study population included 6,489 Miami-Dade Ryan White Program (RWP) clients receiving services during 2017; administrative data was analyzed. SVS was defined as having all viral load tests during 2017 below 200 copies/ml. Multilevel logistic regression models accounted for clustering by medical case management site. Models were stratified by sex. Overall, a higher proportion of females did not achieve SVS (23.5%) than males (18.1%). For females (n = 1,503), having acquired HIV perinatally and not having a partner oradult household member were associated with not achieving SVS. For males (n = 4,986), lacking access to food, Black or Haitian race/ethnicity, problematic substance use, and unknown physician were associated with not achieving SVS. For both sexes, younger age, lower household income, ever having an AIDS diagnosis, feeling depressed or anxious, and experiencing homelessness were associated with not achieving SVS. Elements of the transition from adolescent to adult HIV care that may differentially impact female clients and factors associated with disclosure should be explored further. Male clients may require additional support for food security. Improving culturally specific care for Haitian and non-Hispanic Black male clients should also be explored. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=169833581 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/09540121.2022.2080800 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 6 StartPage: 1437 Subjects: – SubjectFull: AIDS diagnosis Type: general – SubjectFull: HIV infections Type: general – SubjectFull: Research Type: general – SubjectFull: Viral load Type: general – SubjectFull: Multiple regression analysis Type: general – SubjectFull: Food security Type: general – SubjectFull: Race Type: general – SubjectFull: Sex distribution Type: general – SubjectFull: Treatment effectiveness Type: general – SubjectFull: Mental depression Type: general – SubjectFull: Medical case management Type: general – SubjectFull: Anxiety Type: general – SubjectFull: Florida Type: general Titles: – TitleFull: Sex differences in psychosocial and demographic factors associated with sustained HIV viral suppression in the Miami-Dade County Ryan White Program, 2017. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Ward, Melissa K. – PersonEntity: Name: NameFull: Fernandez, Sofia B. – PersonEntity: Name: NameFull: Sheehan, Diana M. – PersonEntity: Name: NameFull: Li, Tan – PersonEntity: Name: NameFull: Dawit, Rahel – PersonEntity: Name: NameFull: Fennie, Kristopher – PersonEntity: Name: NameFull: Beach, Mary Catherine – PersonEntity: Name: NameFull: Brock, Petra – PersonEntity: Name: NameFull: Ladner, Robert – PersonEntity: Name: NameFull: Trepka, Mary Jo IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 09540121 Numbering: – Type: volume Value: 35 – Type: issue Value: 10 Titles: – TitleFull: AIDS Care Type: main |
| ResultId | 1 |
