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. 2022 Nov;26(11):3740-3745.
doi: 10.1007/s10461-022-03703-8. Epub 2022 May 18.

ASSOCIATION OF SOCIAL NEEDS WITH UNCONTROLLED VIREMIA IN PEOPLE WITH HIV

David B Hanna  1 , Uriel R Felsen  2 , Kathryn Anastos  3   2   4 , Laurie J Bauman  5   6 , Kevin P Fiori  5   7 , Mindy S Ginsberg  3 , Dana Watnick  5 , Earle C Chambers  3   7
Affiliations

ASSOCIATION OF SOCIAL NEEDS WITH UNCONTROLLED VIREMIA IN PEOPLE WITH HIV

David B Hanna et al. AIDS Behav. 2022 Nov.

Erratum in

Abstract
in English, Spanish

Using a tool integrated into the electronic health record, we determined prevalence of 10 social needs among 377 people with HIV (PWH) and 27,833 patients without HIV receiving care in the Montefiore Health System. PWH (median age 53) were 55% women, 41% Black, 44% Hispanic. 33% of PWH reported at least one social need vs. 18% among patients without HIV, with healthcare transportation and housing needs significantly higher among PWH in adjusted analyses. PWH reporting transportation needs were 27% less likely to be virologically suppressed (< 200 copies/mL, adjusted prevalence ratio 0.73, 95% CI 0.55-0.96) compared with PWH without transportation needs.

Por medio del uso de encuestas integradas en el registro electrónico de salud, determinamos la prevalencia de 10 necesidades sociales entre 377 personas con VIH (PCV) y 27 833 pacientes sin VIH que reciben atención en el Montefiore Health System. PCV (edad mediana de 53 años) fueron 55% mujeres, 41% negras, 44% hispanas. 33% de PCV reportó al menos una necesidad social vs. 18% de los pacientes sin VIH, siendo las necesidades de transporte a cuidados de salud y de vivienda significativamente mayores en PCV en análisis multivariable ajustado. PCV con necesidades de transportación fueron 27% menos probables de tener supresión viral (< 200 copias/ml, razón de prevalencias ajustada 0.73, IC 95% 0.55–0.96) comparada con PCV sin necesidades de transportación.

Keywords: HIV care continuum; HIV infection; Social needs; Transportation; Virologic suppression.

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Conflict of interest statement

Conflicts of interest: The authors have no relevant financial or non-financial interests to disclose.

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