Do Symptoms of Depression Interact with Substance Use to Affect HIV Continuum of Care Outcomes?

Abstract Background HIV continuum of care has been used as a strategy to reduce HIV transmission rates, with timely engagement in HIV testing being the first and most critical step. This study examines interprofessional-collaboration (IPC) after controlling for agency/ provider demographics, provider training and self-efficacy as a significant predictor of how frequently HIV service providers link their clients to HIV testing. Methods Multilevel binary logistic regression analysis was conducted to examine the effects of IPC on links to HIV testing while controlling for demographic and agency information, provider training, and standardized measures of providers’ feelings, attitudes, and opinions about IPC. Cross-sectional data from 142 providers in 13 agencies offering treatment and prevention services for HIV and substance-use disorders were collected via a survey. Results Those who scored higher on the IPC scale reported significantly higher rates of linkages to HIV testing. Compared to the null model (i.e., no predictor model), the final multilevel binary logistic regression model showed a significantly improved likelihood of linkage to HIV testing by 11.4%, p. < .05. The final model correctly classified 90.2% of links to HIV testing. Providers in agencies with smaller budgets and in agencies offering substance use disorder services were more likely to link clients to HIV testing. Younger providers who received HIV training were also more likely to link clients to HIV testing. Conclusions Findings suggest IPC training as a potential strategy to improve linkages to HIV testing for clients at risk for HIV infection. Future research is recommended to identify specific areas of IPC that might have differential effects on links to HIV testing.

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Trends in HIV Continuum of Care Outcomes over Ten Years of Follow-Up at a Large HIV Primary Medical Home in the Southeastern United States

AIDS Research and Human Retroviruses ◽

10.1089/aid.2017.0016 ◽

2017 ◽

Vol 33 (10) ◽

pp. 1027-1034 ◽

Cited By ~ 5

Author(s):

Michael K. Ghiam ◽

Peter F. Rebeiro ◽

Megan Turner ◽

William B. Rogers ◽

Sally S. Bebawy ◽

...

Keyword(s):

United States ◽

Medical Home ◽

Southeastern United States ◽

Continuum Of Care ◽

Care Outcomes ◽

Hiv Continuum Of Care

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The relationship between adverse neighborhood socioeconomic context and HIV continuum of care outcomes in a diverse HIV clinic cohort in the Southern United States

AIDS Care ◽

10.1080/09540121.2018.1465526 ◽

2018 ◽

Vol 30 (11) ◽

pp. 1426-1434 ◽

Cited By ~ 5

Author(s):

Peter F. Rebeiro ◽

Chanelle J. Howe ◽

William B. Rogers ◽

Sally S. Bebawy ◽

Megan Turner ◽

...

Keyword(s):

United States ◽

Continuum Of Care ◽

Southern United States ◽

Socioeconomic Context ◽

Care Outcomes ◽

Hiv Continuum Of Care ◽

The Relationship

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Syndemic Vulnerability, Sexual and Injection Risk Behaviors, and HIV Continuum of Care Outcomes in HIV-Positive Injection Drug Users

AIDS and Behavior ◽

10.1007/s10461-014-0890-0 ◽

2014 ◽

Vol 19 (4) ◽

pp. 684-693 ◽

Cited By ~ 36

Author(s):

Yuko Mizuno ◽

David W. Purcell ◽

Amy R. Knowlton ◽

James D. Wilkinson ◽

Marc N. Gourevitch ◽

...

Keyword(s):

Risk Behaviors ◽

Injection Drug Users ◽

Drug Users ◽

Continuum Of Care ◽

Injection Drug ◽

Hiv Positive ◽

Care Outcomes ◽

Hiv Continuum Of Care ◽

Injection Risk

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HIV Continuum of Care Among People Who Inject Drugs in Iran

10.21203/rs.3.rs-1057317/v1 ◽

2021 ◽

Author(s):

Nima Ghalekhani ◽

Ali Mirzazadeh ◽

Fatemeh Tavakoli ◽

Ghazal Mousavian ◽

Mehrdad Khezri ◽

...

Keyword(s):

People Who Inject Drugs ◽

Care Service ◽

Continuum Of Care ◽

Hiv Treatment ◽

Hiv Care ◽

Art Programs ◽

Treatment Services ◽

Care Outcomes ◽

Linkage To Hiv Care ◽

Hiv Continuum Of Care

Abstract Background:People who inject drugs (PWID) are at higher risk for HIV and may have lower access to care and treatment services when infected. We aimed to assess the HIV continuum of care among PWID in Iran. Methods:We collected data from 2,663 PWIDwho self-reported injection drug use at least once during the past 12 months. They were recruited via respondent-driven sampling to a national bio-behavioral surveillance survey from 11 cities of Iran between June 2019 and March 2020. For participants who were tested positive for HIV in the survey, we asked questions to calculate the proportionwho were 1) aware of their HIV status, 2) linkage to HIV care, 3) initiated an HIV treatment anti-retroviral therapy (ART), 4) retention on ART and 5) virally suppressed (< 1000 copies/mL).Results:Out of 95 PWID were tested positive for HIV, 100% (95% Confidence Intervals (CI): 96,100%) reported that they were aware of their HIV positive status, 57% (95% CI: 46, 66%) were linked to an HIV care service and initiated ART, 49% (95% CI: 39, 59%) retained on ART and only 15% (95% CI: 8, 23%) had viral load less than 1000 cp/ml.Conclusion:Our results indicated that about half of the PWID diagnosed with HIVever started ART, and less than one in six were virally suppressed.Strategies to improve linkage to ART programs, and to improve ART retention and adherence may improve HIV care outcomes among PWID in Iran.

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Conceptualizing the Effects of Continuous Traumatic Violence on HIV Continuum of Care Outcomes for Young Black Men Who Have Sex with Men in the United States

AIDS and Behavior ◽

10.1007/s10461-020-03040-8 ◽

2020 ◽

Author(s):

Katherine G. Quinn ◽

Antoinette Spector ◽

Lois Takahashi ◽

Dexter R. Voisin

Keyword(s):

United States ◽

Black Men ◽

The United States ◽

Continuum Of Care ◽

Care Outcomes ◽

Sex With Men ◽

Hiv Continuum Of Care ◽

Traumatic Violence

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The Association Between Marijuana Use and HIV Continuum of Care Outcomes: a Systematic Review

Current HIV/AIDS Reports ◽

10.1007/s11904-019-00422-z ◽

2019 ◽

Vol 16 (1) ◽

pp. 17-28 ◽

Cited By ~ 6

Author(s):

LaTrice Montgomery ◽

Kara Bagot ◽

Jennifer L. Brown ◽

Angela M. Haeny

Keyword(s):

Systematic Review ◽

Marijuana Use ◽

Continuum Of Care ◽

Care Outcomes ◽

Hiv Continuum Of Care

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Impact of COVID-19 pandemic on HIV viremia: a single-center cohort study in northern Italy

AIDS Research and Therapy ◽

10.1186/s12981-021-00355-x ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Ilaria Izzo ◽

Canio Carriero ◽

Giulia Gardini ◽

Benedetta Fumarola ◽

Erika Chiari ◽

...

Keyword(s):

Time Window ◽

Time Windows ◽

Continuum Of Care ◽

Northern Italy ◽

Hiv Diagnosis ◽

Hiv Patients ◽

Before And After ◽

Missed Visits ◽

Hiv Continuum Of Care ◽

The Impact

Abstract Background Brescia Province, northern Italy, was one of the worst epicenters of the COVID-19 pandemic. The division of infectious diseases of ASST (Azienda Socio Sanitaria Territoriale) Spedali Civili Hospital of Brescia had to face a great number of inpatients with severe COVID-19 infection and to ensure the continuum of care for almost 4000 outpatients with HIV infection actively followed by us. In a recent manuscript we described the impact of the pandemic on continuum of care in our HIV cohort expressed as number of missed visits, number of new HIV diagnosis, drop in ART (antiretroviral therapy) dispensation and number of hospitalized HIV patients due to SARS-CoV-2 infection. In this short communication, we completed the previous article with data of HIV plasmatic viremia of the same cohort before and during pandemic. Methods We considered all HIV-patients in stable ART for at least 6 months and with at least 1 available HIV viremia in the time window March 01–November 30, 2019, and another group of HIV patients with the same two requisites but in different time windows of the COVID-19 period (March 01–May 31, 2020, and June 01–November 30, 2020). For patients with positive viremia (PV) during COVID-19 period, we reported also the values of viral load (VL) just before and after PV. Results: the percentage of patients with PV during COVID-19 period was lower than the previous year (2.8% vs 7%). Only 1% of our outpatients surely suffered from pandemic in term of loss of previous viral suppression. Conclusions Our efforts to limit the impact of pandemic on our HIV outpatients were effective to ensure HIV continuum of care.

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