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Differences in Selected HIV Care Continuum Outcomes Among People Residing in Rural, Urban, and Metropolitan Areas – 28 United States Jurisdictions

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TypeOfResource
Text
TitleInfo
Title
Differences in Selected HIV Care Continuum Outcomes Among People Residing in Rural, Urban, and Metropolitan Areas – 28 United States Jurisdictions
Name (authority = orcid); (authorityURI = http://id.loc.gov/vocabulary/identifiers/orcid.html); (type = personal); (valueURI = http://orcid.org/0000-0002-6647-0908)
NamePart (type = family)
Nelson
NamePart (type = given)
John
Affiliation
François-Xavier Bagnoud Center (FXB Center), Rutgers University
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Kinder
NamePart (type = given)
Anna
Affiliation
AIDS Education and Training Center Program Rural Health Committee; Casper Natrona County Health Department
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Johnson
NamePart (type = given)
Anna Satcher
Affiliation
Centers for Disease Control and Prevention; National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention; Division of HIV/AIDS Prevention
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Hall
NamePart (type = given)
H. Irene
Affiliation
Centers for Disease Control and Prevention; National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention; Division of HIV/AIDS Prevention
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Hu
NamePart (type = given)
Xiaohong
Affiliation
Centers for Disease Control and Prevention; National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention; Division of HIV/AIDS Prevention
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Sweet
NamePart (type = given)
Donna
Affiliation
AIDS Education and Training Center Program Rural Health Committee; University of Kansas School of Medicine
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Guido
NamePart (type = given)
Alyssa
Affiliation
University of Arizona College of Medicine
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Katner
NamePart (type = given)
Harold
Affiliation
AIDS Education and Training Center Program Rural Health Committee; Mercer University School of Medicine
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Janelle
NamePart (type = given)
Jennifer
Affiliation
AIDS Education and Training Center Program Rural Health Committee; Department of Medicine, University of Florida
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Gonzalez
NamePart (type = given)
Maribel
Affiliation
AIDS Education and Training Center Program Rural Health Committee; Florida Department of Health
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Paz
NamePart (type = given)
Natalia Martínez
Affiliation
AIDS Education and Training Center Program Rural Health Committee; University of Washington
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Ledonne
NamePart (type = given)
Charlotte
Affiliation
AIDS Education and Training Center Program Rural Health Committee; San Luis Valley Area Health Education Center
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Henry
NamePart (type = given)
Jason
Affiliation
AIDS Education and Training Center Program Rural Health Committee; Northeast/Caribbean AIDS Education and Training Center
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Bramel
NamePart (type = given)
Theresa
Affiliation
AIDS Education and Training Center Program Rural Health Committee; Alaska Native Tribal Health Consortium
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Harris
NamePart (type = given)
Jeanne
Affiliation
AIDS Education and Training Center Program Rural Health Committee; University of Kentucky College of Medicine
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (authority = RutgersOrg-Department); (type = corporate)
NamePart
François-Xavier Bagnoud Center (FXB Center)
Name (authority = RutgersOrg-School); (type = corporate)
NamePart
School of Nursing (Newark and New Brunswick)
Genre (authority = RULIB-FS)
Article, Refereed
Genre (authority = NISO JAV)
Accepted Manuscript (AM)
OriginInfo
DateIssued (encoding = w3cdtf); (keyDate = yes)
2018
CopyrightDate (encoding = w3cdtf)
2016
Abstract (type = Abstract)
Purpose. The HIV care continuum is used to monitor success in HIV diagnosis and treatment among persons living with HIV in the United States. Significant differences exist along the HIV care continuum between subpopulations of people living with HIV; however, differences that may exist between residents of rural and non-rural areas have not been reported.

Methods. We analyzed the Centers for Disease Control and Prevention’s National HIV Surveillance System data on adults and adolescents (≥13 years) with HIV diagnosed in 28 jurisdictions with complete reporting of HIV-related lab results. Lab data were used to assess linkage to care (≥1 CD4 or viral load test ≤3 months of diagnosis), retention in care (≥2 CD4 and/or viral load tests ≥3 months apart) and viral suppression (viral load <200 copies/mL) among persons living with HIV. Residence at diagnosis was grouped into rural (<50,000 population), urban (50,000-499,999 population), and metropolitan (≥500,000 population) categories for statistical comparison. Prevalence ratios and 95% confidence intervals were calculated to assess significant differences in linkage, retention, and viral suppression.

Findings. Although greater linkage to care was found for rural residents (84.3%) compared to urban residents (83.3%) and metropolitan residents (81.9%), significantly lower levels of retention in care and viral suppression were found for residents of rural (46.2% and 50.0%, respectively) and urban (50.2% and 47.2%) areas compared to residents of metropolitan areas (54.5% and 50.8%).

Conclusions. Interventions are needed to increase retention in care and viral suppression among people with HIV in non-metropolitan areas of the United States.
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
PhysicalDescription
InternetMediaType
application/pdf
Extent
18 p.
Subject (authority = local)
Topic
Care continuum
Subject (authority = local)
Topic
HIV
Subject (authority = local)
Topic
Metropolitan
Subject (authority = local)
Topic
Rural
Extension
DescriptiveEvent
Type
Citation
DateTime (encoding = w3cdtf)
2018
AssociatedObject
Type
Journal
Relationship
Has part
Name
The Journal of Rural Health
Reference (type = url)
https://doi.org/10.1111/jrh.12208
Detail
63-70
Identifier (type = volume and issue)
34(1)
Extension
DescriptiveEvent
Type
Grant award
AssociatedEntity
Role
Funder
Name
HRSA HIV/AIDS Bureau
AssociatedEntity
Role
Originator
Name
AETC NCRC
Note (type = peerReview)
Peer reviewed.
RelatedItem (type = host)
TitleInfo
Title
Nelson, John
Identifier (type = local)
rucore30239300001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3HM5CF7
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Rights

Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
RightsEvent
Type
Permission or license
AssociatedObject
Type
License
Name
Multiple author license v. 1
Detail
I hereby grant to Rutgers, The State University of New Jersey (Rutgers) the non-exclusive right to retain, reproduce, and distribute the deposited work (Work) in whole or in part, in and from its electronic format, without fee. This agreement does not represent a transfer of copyright to Rutgers. Rutgers may make and keep more than one copy of the Work for purposes of security, backup, preservation, and access and may migrate the Work to any medium or format for the purpose of preservation and access in the future. Rutgers will not make any alteration, other than as allowed by this agreement, to the Work. I represent and warrant to Rutgers that the Work is my original work. I also represent that the Work does not, to the best of my knowledge, infringe or violate any rights of others. I further represent and warrant that I have obtained all necessary rights to permit Rutgers to reproduce and distribute the Work and that any third-party owned content is clearly identified and acknowledged within the Work. By granting this license, I acknowledge that I have read and agreed to the terms of this agreement and all related RUcore and Rutgers policies.
RightsEvent
Detail
Access to this PDF has been restricted at the publisher's request. It will be publicly available after January 03, 2019.
Type
Embargo
DateTime (encoding = w3cdtf); (point = end); (qualifier = exact)
2019-01-03
RightsDeclaration (AUTHORITY = FS); (ID = rulibRdec0004); (TYPE = [FS] statement #1)
Copyright for scholarly resources published in RUcore is retained by the copyright holder. By virtue of its appearance in this open access medium, you are free to use this resource, with proper attribution, in educational and other non-commercial settings. Other uses, such as reproduction or republication, may require the permission of the copyright holder.
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Technical

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ContentModel
Document
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Microsoft Office Word
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16.0000
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2017-10-19T19:00:00
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2017-10-19T19:00:00
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Document
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Microsoft Office Word
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16.0000
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2017-10-19T19:05:00
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