Barriers to HIV Care by Viral Suppression Status Among US Adults With HIV: Findings From the Centers for Disease Control and Prevention Medical Monitoring Project

2020 ◽  
Vol 32 (5) ◽  
pp. e60-e61
Author(s):  
Hanna B. Demeke ◽  
Qingwei Luo ◽  
Ruth E. Luna-Gierke ◽  
Mabel Padilla ◽  
Gladys Girona-Lozada ◽  
...  

Relocation from one’s birthplace may affect human immunodeficiency virus (HIV) outcomes, but national estimates of HIV outcomes among Hispanics/Latinos by place of birth are limited. We analyzed Medical Monitoring Project data collected in 2015–2018 from 2564 HIV-positive Hispanic/Latino adults and compared clinical outcomes between mainland US-born (referent group), Puerto Rican (PR-born), and those born outside the United States (non-US-born). We reported weighted percentages of characteristics and used logistic regression with predicted marginal means to examine differences between groups (p < 0.05). PR-born Hispanics/Latinos were more likely to be prescribed antiretroviral therapy (ART) (94%) and retained in care (94%) than mainland-US-born (79% and 77%, respectively) and non-US-born (91% and 87%, respectively) Hispanics/Latinos. PR-born Hispanics/Latinos were more likely to have sustained viral suppression (75%) than mainland-US-born Hispanics/Latinos (57%). Non-US-born Hispanics/Latinos were more likely to be prescribed ART (91% vs. 79%), retained in care (87% vs. 77%), and have sustained viral suppression (74% vs. 57%) than mainland-US-born Hispanics/Latinos. Greater Ryan White HIV/AIDS-funded facility usage among PR-born, better mental health among non-US-born, and less drug use among PR-born and non-US-born Hispanics/Latinos may have contributed to better HIV outcomes. Expanding programs with comprehensive HIV/AIDS services, including for mental health and substance use, may reduce HIV outcome disparities among Hispanics/Latinos.


2019 ◽  
Vol 28 (3) ◽  
pp. 1363-1370 ◽  
Author(s):  
Jessica Brown ◽  
Katy O'Brien ◽  
Kelly Knollman-Porter ◽  
Tracey Wallace

Purpose The Centers for Disease Control and Prevention (CDC) recently released guidelines for rehabilitation professionals regarding the care of children with mild traumatic brain injury (mTBI). Given that mTBI impacts millions of children each year and can be particularly detrimental to children in middle and high school age groups, access to universal recommendations for management of postinjury symptoms is ideal. Method This viewpoint article examines the CDC guidelines and applies these recommendations directly to speech-language pathology practices. In particular, education, assessment, treatment, team management, and ongoing monitoring are discussed. In addition, suggested timelines regarding implementation of services by speech-language pathologists (SLPs) are provided. Specific focus is placed on adolescents (i.e., middle and high school–age children). Results SLPs are critical members of the rehabilitation team working with children with mTBI and should be involved in education, symptom monitoring, and assessment early in the recovery process. SLPs can also provide unique insight into the cognitive and linguistic challenges of these students and can serve to bridge the gap among rehabilitation and school-based professionals, the adolescent with brain injury, and their parents. Conclusion The guidelines provided by the CDC, along with evidence from the field of speech pathology, can guide SLPs to advocate for involvement in the care of adolescents with mTBI. More research is needed to enhance the evidence base for direct assessment and treatment with this population; however, SLPs can use their extensive knowledge and experience working with individuals with traumatic brain injury as a starting point for post-mTBI care.


2016 ◽  
Vol 19 (1) ◽  
pp. 4-11
Author(s):  
Olivia Avriyanti Hanafiah ◽  
Gema Nazri Yanti ◽  
Chintya Faradilla ◽  
Dewi Wulandari

Prosedur kontrol infeksi yang umum dilakukan adalah dengan menerapkan standard precautions berdasarkan peraturan yang dikeluarkan oleh Centers for Disease Control and Prevention (CDC). Tujuan penelitian ini adalah untuk mengetahui tingkat pengetahuan mahasiswa kepaniteraan klinik tentang standard precautions operator sebelum dan setelah perawatan gigi. Penelitian ini merupakan penelitian survei deskriptif yang dilakukan dengan cara membagikan kuesioner pada mahasiswa kepaniteraan klinik yang terdiri atas 26 pertanyaan untuk sebelum dan 32 pertanyaan untuk setelah tindakan perawatan gigi. Data diolah secara manual dan dianalisis dengan analisis univariat. Hasil penelitian pengetahuan responden tentang standard precautions sebelum tindakan perawatan yang berpengetahuan kurang 69,8%, 29,3% cukup, 1% responden yang berpengetahuan baik. Setelah perawatan gigi didapat 54,5% responden memiliki pengetahuan cukup, 37,5% berpengetahuan baik, dan hanya 8% responden berpengetahuan kurang. Sebagai kesimpulan,  pengetahuan mahasiswa kepaniteraan klinik tentang standard precautions operator sebelum dan setelah perawatan gigi masih kurang.


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