Location of HIV Diagnosis Impacts Linkage to Medical Care

Details

• Alternative Title:
  J Acquir Immune Defic Syndr
• Personal Author:
  Yehia, Baligh R. ; Ketner, Elizabeth ; Momplaisir, Florence ; Stephens, Alisa ; Dowshen, Nadia ; Eberhart, Michael G. ; Brady, Kathleen A.
• Description:
  : We evaluated 1359 adults newly diagnosed with HIV in Philadelphia in 2010-2011 to determine if diagnosis site (medical clinic, inpatient setting, counseling and testing center (CTC), and correctional facility) impacted time to linkage to care (difference between date of diagnosis and first CD4/viral load). A total of 1093 patients (80%) linked to care: 86% diagnosed in medical clinics, 75% in inpatient settings, 62% in CTCs, and 44% in correctional facilities. Adjusting for other factors, diagnosis in inpatient settings, CTCs, and correctional facilities resulted in a 33% (adjusted hazard ratio = 0.77; 95% confidence interval: 0.64 to 0.92), 46% (0.56; 0.42-0.72), and 75% (0.25; 0.18-0.35) decrease in the probability of linkage compared with medical clinics, respectively.
• Subjects:
  Adolescent Adult Aged Female Health Facilities Health Services Research HIV Infections Humans Male Middle Aged Patient Compliance Philadelphia Young Adult

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• Keywords:
  Diagnosis HIV Linkage To Care Testing
• Source:
  J Acquir Immune Defic Syndr. 68(3):304-309
• Pubmed ID:
  25469529
• Pubmed Central ID:
  PMC4326546
• Document Type:
  Journal Article
• Funding:
  K23 MH102128/MH/NIMH NIH HHSUnited States/ ; P30 AI045008/AI/NIAID NIH HHSUnited States/ ; U62/003959/PHS HHSUnited States/ ; PS13-130202/PS/NCHHSTP CDC HHSUnited States/ ; K23-MH097647-01A/MH/NIMH NIH HHSUnited States/ ; K23 MH097647/MH/NIMH NIH HHSUnited States/
• Volume:
  68
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:e2b2975a590035164e06d6d7e12b1333cbfe5977aff38b5e2c69017564ddb978
• Download URL:
  https://stacks.cdc.gov/view/cdc/30289/cdc_30289_DS1.pdf
• File Type:
  [PDF - 170.30 KB ]