TY - JOUR
T1 - Place-based predictors of HIV viral suppression and durable suppression among heterosexuals in New York city
AU - Jefferson, Kevin A.
AU - Kersanske, Laura S.
AU - Wolfe, Mary E.
AU - Braunstein, Sarah L.
AU - Haardörfer, Regine
AU - Des Jarlais, Don C.
AU - Campbell, Aimee N.C.
AU - Cooper, Hannah L.F.
N1 - Funding Information:
This work was supported by R01 DA035707 (Campbell, Des Jarlais) and by the Emory Center for AIDS Research (P30 AI050409; Curran.) The authors declare that they have no conflict of interest.
Publisher Copyright:
© 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2019/7/3
Y1 - 2019/7/3
N2 - Scant research has explored place-based correlates of achieving and maintaining HIV viral load suppression among heterosexuals living with HIV. We conducted multilevel analyses to examine associations between United Hospital Fund (UHF)-level characteristics and individual-level viral suppression and durable viral suppression among individuals with newly diagnosed HIV in New York City (NYC) who have heterosexual HIV transmission risk. Individual-level independent and dependent variables came from NYC’s HIV surveillance registry for individuals diagnosed with HIV in 2009–2013 (N = 3,159; 57% virally suppressed; 36% durably virally suppressed). UHF-level covariates included measures of food distress, demographic composition, neighborhood disadvantage and affluence, healthcare access, alcohol outlet density, residential vacancy, and police stop and frisk rates. We found that living in neighborhoods where a larger percent of residents were food distressed was associated with not maintaining viral suppression. If future research should confirm this is a causal association, community-level interventions targeting food distress may improve the health of people living with HIV and reduce the risk of forward transmission.
AB - Scant research has explored place-based correlates of achieving and maintaining HIV viral load suppression among heterosexuals living with HIV. We conducted multilevel analyses to examine associations between United Hospital Fund (UHF)-level characteristics and individual-level viral suppression and durable viral suppression among individuals with newly diagnosed HIV in New York City (NYC) who have heterosexual HIV transmission risk. Individual-level independent and dependent variables came from NYC’s HIV surveillance registry for individuals diagnosed with HIV in 2009–2013 (N = 3,159; 57% virally suppressed; 36% durably virally suppressed). UHF-level covariates included measures of food distress, demographic composition, neighborhood disadvantage and affluence, healthcare access, alcohol outlet density, residential vacancy, and police stop and frisk rates. We found that living in neighborhoods where a larger percent of residents were food distressed was associated with not maintaining viral suppression. If future research should confirm this is a causal association, community-level interventions targeting food distress may improve the health of people living with HIV and reduce the risk of forward transmission.
KW - Food distress
KW - HIV viral suppression
KW - New York city
KW - heterosexuals
KW - place-based predictors
UR - http://www.scopus.com/inward/record.url?scp=85057626590&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85057626590&partnerID=8YFLogxK
U2 - 10.1080/09540121.2018.1545989
DO - 10.1080/09540121.2018.1545989
M3 - Article
C2 - 30477307
AN - SCOPUS:85057626590
SN - 0954-0121
VL - 31
SP - 864
EP - 874
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
IS - 7
ER -