Assessing the Impact of Social Determinants of Health on HIV Care Engagement in the Southern United States: A Cross-Sectional Study-Reference-Cited by-同舟云学术

Assessing the Impact of Social Determinants of Health on HIV Care Engagement in the Southern United States: A Cross-Sectional Study

Published:2024-01 Issue: Volume:23 Page:
ISSN:2325-9582
Container-title:Journal of the International Association of Providers of AIDS Care (JIAPAC)
language:en
Short-container-title:J Int Assoc Provid AIDS Care

Author:

Sohail Maira¹²^ORCID,Cleveland John D.²,McCollum C. Greer²,Burgan Kaylee W.²,Hearld Larry R.²,Carodine Alyssa²,Johnson Kendra³,Fort Melvin⁴,Thompson Jennifer⁵^ORCID,Mugavero Michael J.¹²

Affiliation:

1. Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA

2. Center for AIDS Research, University of Alabama at Birmingham, Birmingham, AL, USA

3. University of Mississippi Medical Center, Adult Special Care Clinic, Jackson, MS, USA

4. Care Resource, Linkage Department, Miami, FL, USA

5. Five Horizons Health Services, Department of Social Services, Montgomery, AL, USA

Abstract

Recent studies have shown social determinants of health (SDOH) to impact HIV care engagement. This cross-sectional study (Oct 20-Apr 21) assessed the impact of a range of SDOH on HIV care engagement using data from HIV Care Connect, a consortium of three HIV care facility-led programs (Alabama, Florida, Mississippi). The exposures were captured using the PRAPARE (Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences) scale. The outcome was captured using the Index of Engagement in HIV Care scale. Participants (n = 132) were predominantly non-White (87%) and male (52%) with a median age of 41 years. Multivariable logistic regression adjusted for various sociodemographics showed lower HIV care engagement to be associated with being uninsured/publicly insured, having 1-3 unmet needs, socially integrating ≤five times/week, and having stable housing. Factors such as unmet needs, un-/underinsurance, and social integration may be addressed by healthcare and community organizations.

Funder

Merck Company Foundation

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/23259582241251728

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