Prior incarceration associated with missed HIV care visits among young people living with HIV in the US.

TitlePrior incarceration associated with missed HIV care visits among young people living with HIV in the US.
Publication TypePublication
Year of Publication2020
AuthorsLudema C, Wilson CM, Lally MA, van den Berg JJ, J Fortenberry D
JournalAIDS Care
Volume32
Issue9
Pagination1150-1154
Date Published2020 09
ISSN1360-0451
KeywordsAdolescent, Child, Cohort Studies, Female, Gender Identity, HIV Infections, Humans, Male, Proportional Hazards Models, Viral Load, Young Adult
Abstract

<p>Maintenance in HIV care is important to achieve optimal personal health and HIV viral load suppression for young people living with HIV (PLWH). We assessed the relationship between incarceration and missed visits in a longitudinal data cohort of PLWH ( = 910), ages 12-24, from 14 adolescent trial network sites across the US. The time from study entry to missed visits was modeled using Cox proportional hazards models. The cohort was mostly male (78%) and African American (75%) with a median age of 22. Prior incarceration had been experienced by 39% of the cohort, with a median number of times incarcerated of 2 (IQR: 1-3). The crude and adjusted hazard ratios for missed HIV care visits comparing those with incarceration histories to those without were 1.27 (95% CI: 1.06, 1.54) and 1.53 (95% CI: 1.26, 1.86). Among those returning to care, HIV viral loads were more likely to be unsuppressed among those with incarceration history compared to those without (RR: 1.28, 95% CI: 0.95, 1.74). This association was attenuated to the null after adjustment for suppression of viral load prior to the missed visit. Young PLWH with incarceration histories are at higher risk of missing HIV care visits.</p>

DOI10.1080/09540121.2019.1710448
Alternate JournalAIDS Care
PubMed ID31910666
PubMed Central IDPMC7338228
Grant ListU01 HD040474 / HD / NICHD NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States