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Partnership status and retention in care among cisgender heterosexual newly diagnosed people with HIV: a cohort study. AIDS Care 2023 Sep;35(9):1428-1436

Date

03/30/2022

Pubmed ID

35348413

Pubmed Central ID

PMC9519801

DOI

10.1080/09540121.2022.2050178

Scopus ID

2-s2.0-85127686722 (requires institutional sign-in at Scopus site)

Abstract

This study examined the role of partnership status (married, unmarried-partnered, and unpartnered) on retention in care among newly diagnosed (2013-2017), cisgender heterosexual people with HIV in Birmingham, Alabama (n = 152). This study evaluated all scheduled HIV primary care provider visits for two years following diagnosis date. A kept-visit measure was calculated such that, if an individual attended ≥1 visit in each of the four 6-month intervals, they were considered to have high visit constancy. A missed-visit measure was categorized as ≥1 no-show vs. 0 no-show for first and second year after diagnosis. Odds ratios (OR) and 95% confidence intervals (CI) were calculated using logistic regression models. Models were adjusted for confounding sociodemographic and clinical characteristics. The study population was 76% Black, 57% male, median age of 37 years. Overall, 65% had high visit consistency and 34.5% had ≥1 no-show in both years. Compared to unpartnered, married individuals had higher visit constancy [AOR (95% CI): 2.88 (1.02, 8.16)]; no differences were observed among unmarried-partnered individuals. No differences in having ≥1 no-show among partnership status groups were observed for either year. These findings suggest potential success of interventions involving a social confidant in optimizing retention in care among newly diagnosed, heterosexual PWH.

Author List

Sohail M, Long DM, Mugavero MJ, Batey DS, Ojesina AI, Levitan EB

Author

Akinyemi Ojesina MD, PhD Assistant Professor in the Obstetrics and Gynecology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Cohort Studies
Female
HIV Infections
Heterosexuality
Humans
Male
Sexual Partners