Details:

Alternative Title:
AIDS Care
Publisher's site:
http://dx.doi.org/10.1080/09540121.2021.1946001
Personal Author:
Dasgupta, Sharoda ; Tie, Yunfeng ; Beer, Linda ; Weiser, John
Dasgupta, Sharoda ; Tie, Yunfeng ; Beer, Linda ; Weiser, John Less -
Description:
Ancillary care services are essential for supporting care engagement and viral suppression among persons with HIV. Estimating unmet needs for ancillary care services may help address care barriers and improve clinical outcomes, but recent, nationally representative estimates are lacking. Using CDC Medical Monitoring Project data from 2015-2018, we report representative estimates of unmet needs for ancillary care services and associations with HIV clinical outcomes among U.S. adults with HIV. Data were collected through interview and medical record abstraction. We described weighted percentages for all characteristics and associations with HIV clinical outcomes using prevalence ratios with predicted marginal means, adjusting for potential confounding. Substantial unmet needs were reported; unmet needs were higher among persons with social determinants of poor health, persons who engaged in drug use or binge drinking, and those who experienced depression or anxiety. Having unmet needs for care was associated with adverseHIV clinical outcomes, with a dose response effect between number of unmet needs and outcomes. Expanding ancillary care access based on a comprehensive care model, strengthening partnerships between providers to connect patients to essential services, and tailoring services based on need may help reduce disparities in unmet needs and improve outcomes.
Subject:
[+]
Adult Health Services Needs And Demand HIV Infections Humans Prevalence
Source:
AIDS Care. 34(5):606-614
Pubmed ID:
34180733
Pubmed Central ID:
PMC8712612
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Name as Subject:
Ryan White HIV/AIDS Program
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:bfa1b7f8591ef8975b4d577301b9e1f1f4b57a023020bf5e4c68d2a839e1b840
Download URL:
https://stacks.cdc.gov/view/cdc/112966/cdc_112966_DS1.pdf
File Type:

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