Travel Burden and Timely Linkage to Care Among People Newly Diagnosed with HIV Infection in South Carolina from 2005 to 2020.

Shi, Fanghui; Zhang, Jiajia; Hung, Peiyin; Sun, Xiaowen; Yang, Xueying; Olatosi, Bankole; Weissman, Sharon; Li, Xiaoming

Shi, Fanghui; Zhang, Jiajia; Hung, Peiyin; Sun, Xiaowen; Yang, Xueying; Olatosi, Bankole; Weissman, Sharon; Li, Xiaoming.

Afiliación

Shi F; Arnold School of Public Health, South Carolina SmartState Center for Healthcare Quality, University of South Carolina, 915 Greene Street, Columbia, SC, 29208, USA. FSHI@email.sc.edu.
Zhang J; Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, 29208, USA. FSHI@email.sc.edu.
Hung P; Arnold School of Public Health, South Carolina SmartState Center for Healthcare Quality, University of South Carolina, 915 Greene Street, Columbia, SC, 29208, USA.
Sun X; Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, 29208, USA.
Yang X; Arnold School of Public Health, South Carolina SmartState Center for Healthcare Quality, University of South Carolina, 915 Greene Street, Columbia, SC, 29208, USA.
Olatosi B; Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC, 29208, USA.
Weissman S; Arnold School of Public Health, South Carolina SmartState Center for Healthcare Quality, University of South Carolina, 915 Greene Street, Columbia, SC, 29208, USA.
Li X; Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, 29208, USA.

AIDS Behav ; 28(8): 2590-2597, 2024 Aug.

Article en En | MEDLINE | ID: mdl-38884666

ABSTRACT

ABSTRACT

This retrospective study explored the association between travel burden and timely linkage to care (LTC) among people with HIV (PWH) in South Carolina. HIV care data were derived from statewide all-payer electronic health records, and timely LTC was defined as having at least one viral load or CD4 count record within 90 days after HIV diagnosis before the year 2015 and 30 days after 2015. Travel burden was measured by average driving time (in minutes) to any healthcare facility visited within six months before and one month after the initial HIV diagnosis. Multivariable logistic regression models with the least absolute shrinkage and selection operator were employed. From 2005 to 2020, 81.2% (3,547 out of 4,366) of PWH had timely LTC. Persons who had longer driving time (adjusted Odds Ratio (aOR) 0.37, 95% CI 0.14-0.99), were male versus female (aOR 0.73, 95% CI 0.58-0.91), had more comorbidities (aOR 0.73, 95% CI 0.57-0.94), and lived in counties with a higher percentage of unemployed labor force (aOR 0.21, 95% CI 0.06-0.71) were less likely to have timely LTC. However, compared to those aged between 18 and 24 years old, those aged between 45 and 59 (aOR1.47, 95% CI 1.14-1.90) or older than 60 (aOR1.71, 95% CI 1.14-2.56) were more likely to have timely LTC. Concentrated and sustained interventions targeting underserved communities and the associated travel burden among newly diagnosed PWH who are younger, male, and have more comorbidities are needed to improve LTC and reduce health disparities.

Asunto(s)

Infecciones por VIH; Viaje; Humanos; Masculino; Femenino; South Carolina/epidemiología; Infecciones por VIH/epidemiología; Infecciones por VIH/diagnóstico; Adulto; Estudios Retrospectivos; Persona de Mediana Edad; Recuento de Linfocito CD4; Adulto Joven; Carga Viral; Adolescente; Accesibilidad a los Servicios de Salud

Palabras clave

Electronic health records; HIV; Linkage to care; Travel burden

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Viaje / Infecciones por VIH Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

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