Disparities in achieving and sustaining viral suppression among a large cohort of HIV-infected persons in care - Washington, DC

One goal of the HIV care continuum is achieving viral suppression (VS), yet disparities in suppression exist among subpopulations of HIV-infected persons. We sought to identify disparities in both the ability to achieve and sustain VS among an urban cohort of HIV-infected persons in care. Data from...

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Bibliographic Details
Published in:AIDS care 2016-11, Vol.28 (11), p.1355-1364
Main Authors: Castel, Amanda D., Kalmin, Mariah M., Hart, Rachel L. D., Young, Heather A., Hays, Harlen, Benator, Debra, Kumar, Princy, Elion, Richard, Parenti, David, Ruiz, Maria Elena, Wood, Angela, D'Angelo, Lawrence, Rakhmanina, Natella, Rana, Sohail, Bryant, Maya, Hebou, Annick, Fernández, Ricardo, Abbott, Stephen, Peterson, James, Wood, Kathy, Subramanian, Thilakavathy, Binkley, Jeffrey, Happ, Lindsey Powers, Kharfen, Michael, Masur, Henry, Greenberg, Alan E.
Format: Article
Language:English
Subjects:
Adult
Age Factors
AIDS/HIV
Antiretroviral drugs
care continuum
CD4 antigen
CD4 Lymphocyte Count
Clinical outcomes
cohort
Cohort analysis
Cohort Studies
Continental Population Groups
Depression
Disease transmission
disparities
District of Columbia
Enrollments
Female
Females
Fetal exposure
Hazard identification
Hazards
Health disparities
Health risks
Health Status Disparities
HIV
HIV Infections - immunology
HIV Infections - transmission
HIV Infections - virology
Human immunodeficiency virus
Humans
Immune response
In care
Infections
Infectious Disease Transmission, Vertical
Kaplan-Meier Estimate
Lentivirus
Male
Mental depression
Mental disorders
Mental health
Middle Aged
Patients
Perinatal
Race
Regression analysis
Retroviridae
Risk groups
Sex Factors
Statistical models
Subpopulations
Suppressed
Suppression
Survival analysis
Sustained Virologic Response
Urban Population
Viral Load
Viral suppression
Young Adult
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Summary:One goal of the HIV care continuum is achieving viral suppression (VS), yet disparities in suppression exist among subpopulations of HIV-infected persons. We sought to identify disparities in both the ability to achieve and sustain VS among an urban cohort of HIV-infected persons in care. Data from HIV-infected persons enrolled at the 13 DC Cohort study clinical sites between January 2011 and June 2014 were analyzed. Univariate and multivariate logistic regression were conducted to identify factors associated with achieving VS (viral load 
ISSN:0954-0121
1360-0451
DOI:10.1080/09540121.2016.1189496