Literature DB >> 29985648

The Ryan White HIV/AIDS Program: Supplementary Service Provision Post-Affordable Care Act.

Emma Sophia Kay1, D Scott Batey2, Michael J Mugavero3.   

Abstract

The Ryan White HIV/AIDS program (RWHAP) provides essential primary and supplementary health services to people living with HIV (PLWH). We examined the relationship between supplementary RWHAP services (Part B) and two outcomes: viral suppression (VS) and two separate measures of retention in care (RiC) based on kept- and missed-visits. We used purposive sampling to identify adult patients who received primary medical care at an academically-affiliated HIV/AIDS clinic in the southeastern United States (N = 1159) and who attended at least one scheduled HIV primary care appointment at the study site during 2015. Unadjusted and adjusted logistic regression models were fit, in which RWHAP supplementary services were the primary independent variables of interest. Age, race, gender, education level, and income were control variables. Among 1159 PLWH, 45.3% received RWHAP supplementary services in addition to public insurance, private insurance, or primary RWHAP. Among participants, 91.4% were virally suppressed, 87.4% were retained in care using the Institute of Medicine (IOM) kept-visits measure, and 60% were retained in care using the missed-visits measure. In multivariable models, patients with RWHAP supplementary services had significantly higher odds of (1) VS [adjusted odds ratio (AOR) = 1.91], (2) RiC using the IOM kept-visits measure (AOR = 2.56), and (3) RiC using the missed-visits measure (AOR = 1.58). Receipt of supplementary RWHAP services is associated with increased odds of VS and two measures of RiC when adjusting for key sociodemographic variables. Policymakers should consider the vital role of RWHAP as continued funding is uncertain.

Entities:  

Keywords:  HIV/AIDS; Ryan White HIV/AIDS program; retention in care; viral suppression

Mesh:

Year:  2018        PMID: 29985648     DOI: 10.1089/apc.2018.0032

Source DB:  PubMed          Journal:  AIDS Patient Care STDS        ISSN: 1087-2914            Impact factor:   5.078


  5 in total

Review 1.  The Ryan White HIV/AIDS Program after the Patient Protection and Affordable Care Act full implementation: a critical review of predictions, evidence, and future directions.

Authors:  Tamar Ginossar; John Oetzel; Lindsay Van Meter; Andrew A Gans; Joel E Gallant
Journal:  Top Antivir Med       Date:  2019-09

2.  Linking criminal justice-involved individuals to HIV, Hepatitis C, and opioid use disorder prevention and treatment services upon release to the community: Progress, gaps, and future directions.

Authors:  Noor Taweh; Esther Schlossberg; Cynthia Frank; Ank Nijhawan; Irene Kuo; Kevin Knight; Sandra A Springer
Journal:  Int J Drug Policy       Date:  2021-05-18

3.  Health insurance and AIDS Drug Assistance Program (ADAP) increases retention in care among women living with HIV in the United States.

Authors:  Emma Sophia Kay; Andrew Edmonds; Christina Ludema; Adaora Adimora; Maria L Alcaide; Aruna Chandran; Mardge H Cohen; Mallory O Johnson; Seble Kassaye; Mirjam-Colette Kempf; Caitlin A Moran; Oluwakemi Sosanya; Tracey E Wilson
Journal:  AIDS Care       Date:  2020-11-25

Review 4.  Lessons Learned from the Response to the Human Immunodeficiency Virus Epidemic that Can Inform Addressing the Opioid Epidemic.

Authors:  Sandra A Springer; Carlos Del Rio
Journal:  Infect Dis Clin North Am       Date:  2020-09       Impact factor: 5.982

5.  Time From HIV Diagnosis to Viral Suppression: Survival Analysis of Statewide Surveillance Data in Alabama, 2012 to 2014.

Authors:  D Scott Batey; Xueyuan Dong; Richard P Rogers; Anthony Merriweather; Latesha Elopre; Aadia I Rana; H Irene Hall; Michael J Mugavero
Journal:  JMIR Public Health Surveill       Date:  2020-05-22
  5 in total

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