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Use of recommended preventive healthcare services and variations in HIV care among women with HIV in the United States, 2013–2014: Opportunities for expanded partnerships in support of ending the HIV epidemic

Journal of Acquired Immune Deficiency Syndromes Oct 22, 2019

Short WR, et al. - Given the recommendations for preventive health services and routine HIV care for HIV-positive women, researchers sought to determine the uptake of recommendations. They assessed correlations between preventive health screenings, routine HIV care [based on viral load (VL) and CD4 measures as proxies], and sociodemographic factors. From the 2013–2014 data cycles of the Medical Monitoring Project, they analyzed data of 2,766 women; of these, 47.7% were 50 years and older, 61.7% non-Hispanic black, 37.2% had > high school education, 63.3% had been living with HIV for ≥ 10 years, 68.4% were living ≤ the federal poverty level, 67.3% had public health insurance, 93.8% were prescribed antiretroviral therapy, and 66.1% had sustained/durable suppression (12 months). observations indicated suboptimal receipt of recommended preventive care. Multivariable analyses revealed that durable suppression was less likely among women with no VLs in the past 6 months, and women who did not have ≥ 3 CD4 or VL tests (past 12 months) are less likely to be living above the poverty level and more likely to have public insurance compared with private health insurance.
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