scholarly journals African American Clergy Perspectives About the HIV Care Continuum: Results From a Qualitative Study in Jackson, Mississippi

2018 ◽  
Vol 28 (2) ◽  
pp. 85 ◽  
Author(s):  
Amy Nunn ◽  
Sharon Parker ◽  
Katryna McCoy ◽  
Mauda Monger ◽  
Melverta Bender ◽  
...  
Keyword(s):  
African American ◽  
African Americans ◽  
Hiv Infection ◽  
Racial Disparities ◽  
Hiv Care ◽  
Hiv Care Continuum ◽  
Care Continuum ◽  
Adherence To Medication ◽  
African American Clergy ◽  
American Clergy

<p>Mississippi has some of the most pro­nounced racial disparities in HIV infection in the country; African Americans com­prised 37% of the Mississippi population but represented 80% of new HIV cases in 2015. Improving outcomes along the HIV care continuum, including linking and retaining more individuals and enhancing adherence to medication, may reduce the disparities faced by African Americans in Mississippi. Little is understood about clergy’s views about the HIV care continuum. We assessed knowledge of African American pastors and ministers in Jackson, Mississippi about HIV and the HIV care continuum. We also assessed their willingness to promote HIV screening and biomedical prevention technologies as well as efforts to enhance linkage and retention in care with their congregations. Four focus groups were conducted with 19 African American clergy. Clergy noted pervasive stigma associated with HIV and believed they had a moral imperative to promote HIV awareness and testing; they provided recommendations on how to normalize conversations related to HIV testing and treatment. Overall, clergy were willing to promote and help assist with linking and retaining HIV positive individu­als in care but knew little about how HIV treatment can enhance prevention or new biomedical technologies such as pre-expo­sure prophylaxis (PrEP). Clergy underscored the importance of building coalitions to promote a collective local response to the epidemic. The results of this study highlight important public health opportunities to engage African American clergy in the HIV care continuum in order to reduce racial disparities in HIV infection. <em></em></p><p><em>Ethn Dis.</em>2018; 28(2): 85-92; doi:10.18865/ed.28.2.85.</p>

scholarly journals African American Church Engagement in the HIV Care Continuum

2018 ◽  
Vol 29 (3) ◽  
pp. 406-416
Author(s):  
Jennifer M. Stewart ◽  
Hyejeong Hong ◽  
Terrinieka W. Powell
Keyword(s):  
African American ◽  
Hiv Care ◽  
Hiv Care Continuum ◽  
Care Continuum ◽  
African American Church

Barriers and Facilitators to Engaging African American Men Who Have Sex With Men in the HIV Care Continuum

2019 ◽  
Vol 30 (3) ◽  
pp. 352-361 ◽  
Author(s):  
John B. Jemmott ◽  
Jingwen Zhang ◽  
Mikia Croom ◽  
Larry D. Icard ◽  
Scott E. Rutledge ◽  
...  
Keyword(s):  
African American ◽  
African American Men ◽  
Barriers And Facilitators ◽  
Hiv Care ◽  
Hiv Care Continuum ◽  
Care Continuum ◽  
Sex With Men

scholarly journals Exploring the Impact of Alcohol and Other Drug Use on HIV Care Among African American Older Adults Living with HIV/AIDS

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 870-870
Author(s):  
Lesley Harris ◽  
Sydney Silverstein ◽  
Timothy Crawford ◽  
Jelani Kerr ◽  
Diana Ball
Keyword(s):  
African Americans ◽  
Self Care ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Hiv Care Continuum ◽  
Care Continuum ◽  
Problematic Use ◽  
Older African Americans ◽  
Living With Hiv ◽  
The Impact

Abstract For people living with HIV, there are multiple barriers to engagement with care. This study qualitatively examines the role of use of alcohol and other drugs (AOD) on the health and management of Human Immunodeficiency Virus (HIV) disease among older African Americans (≥50 years). It draws on interviews conducted with twenty-seven older African Americans living with HIV in the Louisville, Kentucky area. Interviews were transcribed verbatim and then analyzed using constructivist grounded theory analytic techniques. Participants’ understandings of their AOD use fell on a continuum of problematic use to use for self-care. Regardless of where participants fell on this continuum, they faced a) environmental impacts of AOD use and b) current or historic discrimination from the health care system. The analysis focused on gaining a deeper understanding of the intersection of AOD use and engagement in the HIV care continuum. This revealed six major phases, which occurred at various stages of the continuum: (1) Linking AOD use as the cause of HIV diagnosis (2) Having AOD use facilitate denial of HIV, (3) Experiencing problematic use, (4) “Testing the Waters,” (5) Relying on AIDS Service Organizations (ASO) and medical providers and (6) Maintaining health and/or using AOD for self-care. We discuss the ways that stigma along the lines of race, gender, and age intersect with co-occurring conditions such as substance use disorders in complex and multifaceted ways. Recommendations include assessing a patients’ AOD use in relationship to the HIV care continuum to assess patients’ experiences and barriers within systems of care.

Virologic Suppression in U.S. Navy Personnel Living with HIV Infection and Serving in Operational Assignments

2019 ◽  
Author(s):  
Sarah E Woodson ◽  
Laura C Barba ◽  
Charmagne Beckett
Keyword(s):  
United States ◽  
Hiv Infection ◽  
Medical Treatment ◽  
Viral Suppression ◽  
Hiv Care ◽  
Service Members ◽  
Hiv Care Continuum ◽  
Health Records ◽  
Care Continuum ◽  
Living With Hiv

Abstract Introduction Current United States Navy policy supports the continuation of duty for active duty (AD) service members living with HIV infection. The creation of this policy is instrumental to prevent exclusion and to promote career expansion and promotional opportunities for AD service members infected with HIV. The established instruction parallels the HIV care continuum, a widely accepted public health model. No studies have been done to determine whether allowing service members to fill operational and Outside the Continental United States (OCONUS) assignments disrupts this continuum of care. This retrospective study aims to evaluate how an operational or OCONUS assignment impacts the ability of an HIV AD service members to receive the standard of care HIV medical treatment and maintain viral suppression. Materials/Methods A retrospective chart review was performed on the health records of 20 United States AD Navy service members with HIV who were placed in OCONUS or large ship assignments per current U.S. Navy policy. Health records were reviewed during the service member’s assignment. Viral loads were documented immediately prior and at 6 months after starting their new assignment. Changes to anti-retroviral medications and the medical treatment facility, including the specialty of the treating provider were recorded. Results The results demonstrate no significant change in the service member’s viral load during the first 6 months in an operational or OCONUS assignment. Members still had access to care including medications and specialty providers based on the locality. Conclusion All service members within this review were able to maintain viral suppression despite the location of their assignments. This limited study suggests that care is accessible and the standard HIV care continuum is maintained while deployed or stationed overseas.

The HIV care continuum in publicly funded clinics

2002 ◽  
Vol 117 (3) ◽  
pp. 231-232 ◽  
Author(s):  
T.Anne Richards ◽  
Karen Vernon ◽  
Herminia Palacio ◽  
James G Kahn ◽  
Stephen F Morin
Keyword(s):  
Hiv Care ◽  
Hiv Care Continuum ◽  
Publicly Funded ◽  
Care Continuum

scholarly journals Timing of HIV diagnosis relative to pregnancy and postpartum HIV care continuum outcomes among Latin American women, 2000 to 2017

2021 ◽  
Vol 24 (5) ◽  
Author(s):  
Nathaniel T Yohannes ◽  
Cathy A Jenkins ◽  
Kate Clouse ◽  
Claudia P Cortés ◽  
Fernando Mejía Cordero ◽  
...  
Keyword(s):  
Latin American ◽  
Hiv Care ◽  
Hiv Care Continuum ◽  
Hiv Diagnosis ◽  
Care Continuum ◽  
American Women ◽  
Pregnancy And Postpartum

Machine Learning and Clinical Informatics for Improving HIV Care Continuum Outcomes

2021 ◽  
Vol 18 (3) ◽  
pp. 229-236
Author(s):  
Jessica P. Ridgway ◽  
Alice Lee ◽  
Samantha Devlin ◽  
Jared Kerman ◽  
Anoop Mayampurath
Keyword(s):  
Machine Learning ◽  
Clinical Informatics ◽  
Hiv Care ◽  
Hiv Care Continuum ◽  
Care Continuum

scholarly journals 1311. Ryan White HIV Care Continuum Model Doubled the Rate of Community HIV Viral Suppression for Newly Diagnosed Patients: A 10-Year Review

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S473-S473
Author(s):  
Christina Rizk ◽  
Alice Zhao ◽  
Janet Miceli ◽  
Portia Shea ◽  
Merceditas Villanueva ◽  
...  
Keyword(s):  
Viral Suppression ◽  
Linkage To Care ◽  
Hiv Care ◽  
Hiv Care Continuum ◽  
Newly Diagnosed ◽  
New Haven ◽  
Care Continuum ◽  
Art Initiation ◽  
Ryan White ◽  
Hiv Viral Suppression

Abstract Background It is estimated that 1,295 per 100,000 are people living with HIV (PLWH) in New Haven, which is the second highest rate of HIV prevalence in Connecticut. Since 2009, New Haven has established the Ryan White (RW) HIV Care Continuum. The main goals of HIV care are early linkage to care, ART initiation, and HIV viral suppression. This study is designed to understand the trends and outcomes in newly diagnosed PLWH in New Haven County. Methods This study is a retrospective medical record review of all newly diagnosed RW eligible PLWH from January 1, 2009 to December 31, 2018. The data were collected in REDCap database and included demographics, HIV risk factor, presence of mental health and/or substance abuse disorder, date of diagnosis, date of initial visit, and ART initiation. Health outcomes such as AIDS at diagnosis and rate of viral suppression were evaluated. The data were then analyzed to show the trends over 10 years. Results From January 1, 2009 to December 31, 2018 there were 420 newly diagnosed RW PLWH. Sixty-seven percent of those were male, 56% were non-white, 47% self-identified as Men who have Sex with Men (MSM), and 41% were heterosexual. Twenty-nine percent had AIDS-defining condition at the time of the diagnosis. Thirty-four percent of the 420 patients had a mental health and/or substance use disorder; 53% of those were MSM and 51% were non-white. Over the 10-year period, it was noted that the duration between date of HIV diagnosis and linkage to care as well as ART initiation decreased. This decline was associated with a substantial increase in viral suppression. The average time between the dates of HIV diagnosis and initial visit decreased from 269 days in 2009 to 13 days in 2018. Moreover, the average time between the dates of diagnosis and ART initiation dropped from 308 days in 2009 to 15 days in 2018. The 1-year HIV viral suppression rate subsequently doubled from 44% in 2009 to 87% in 2018 (P < 0.01). Conclusion The Ryan White HIV Care Continuum Model with emphasis on early linkage to care and ART initiation can have a significant impact on HIV viral suppression at a community level for newly diagnosed patients. Another important observation in this study was the alarming high rate of AIDS at diagnosis, which highlights the need for universal HIV testing, and early diagnosis. Disclosures All authors: No reported disclosures.

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