The North-South divide: Substance use risk, care engagement, and viral suppression among hospitalized human immunodeficiency virus-infected patients in 11 US cities

Academic Article


  • Regional variability in human immunodeficiency virus (HIV) care engagement remains underexplored. Multiple logistic models compared HIV outcomes for participants from 5 Southern (n = 557) and 6 non-Southern (n = 670) sites. Southern participants were less likely to experience viral suppression (adjusted odds ratio [aOR], 0.52; 95% confidence interval [CI],.37-.72) and had a higher likelihood of a CD4+ count <200 cells/μL (aOR, 1.53; 95% CI, 1.17-2.00). HIV intervention and social safety net programs should be expanded. Clinical Trials Registration NCT01612169.
  • Authors

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    Digital Object Identifier (doi)

    Author List

  • Philbin MM; Feaster DJ; Gooden L; Duan R; Das M; Jacobs P; Lucas GM; Batey DS; Nijhawan A; Jacobson JM
  • Start Page

  • 146
  • End Page

  • 149
  • Volume

  • 68
  • Issue

  • 1