Geographic Variations in Retention in Care among HIV-Infected Adults in the United States.

ABSTRACT:

Objective

To understand geographic variations in clinical retention, a central component of the HIV care continuum and key to improving individual- and population-level HIV outcomes.

Design

We evaluated retention by US region in a retrospective observational study.

Methods

Adults receiving care from 2000-2010 in 12 clinical cohorts of the North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD) contributed data. Individuals were assigned to Centers for Disease Control and Prevention (CDC)-defined regions by residential data (10 cohorts) and clinic location as proxy (2 cohorts). Retention was ≥2 primary HIV outpatient visits within a calendar year, >90 days apart. Trends and regional differences were analyzed using modified Poisson regression with cl

SUBMITTER: Rebeiro PF 

PROVIDER: S-EPMC4708981 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature