Factors associated with delays in accessing HIV primary care in rural Arkansas.

Abstract:

:While debate continues at what stage of human immunodeficiency virus (HIV) disease to begin combination antiretroviral therapy, a number of clinical and public health benefits are linked to early entry into primary care soon after first testing HIV positive. However, HIV-infected patients continue to test late and delay entry into care. We used routinely collected demographic and clinical information to examine which factors are associated with delays in seeking care in a predominantly rural, economically poor area of Arkansas. The study population is 75% African American and male and 70% lack health insurance; nearly one fourth were referred from prison. At diagnosis, two thirds of the population had CD4 counts below 500 cells per microliter. Days from initial HIV diagnosis to entry into care declined from a median of 178 in 1994 to 24 in 1998. In 1998, 75% of the population entered into primary care within 2 months of diagnosis. However, CD4 counts at HIV diagnosis also declined in this period, from a median of 427 in 1995 to 208 cells per microliter in 1998. More recent year of diagnosis was associated with a shorter delay in seeking care; males, and individuals lacking health insurance took significantly longer to enter into care than females and those with insurance, respectively. Our univariate finding of extensive delays in seeking care in the prison population did not hold in the multivariate analysis. We found significant delays in time to initial HIV diagnosis, and further considerable delays in males and those lacking health insurance in the time taken to enter into primary care.

journal_name

AIDS Patient Care STDS

authors

Milberg J,Sharma R,Scott F,Conviser R,Marconi K,Parham D

doi

10.1089/108729101753205694

subject

Has Abstract

pub_date

2001-10-01 00:00:00

pages

527-32

issue

10

eissn

1087-2914

issn

1557-7449

journal_volume

15

pub_type

杂志文章
  • Age of MSM sexual debut and risk factors: results from a multisite study of racial/ethnic minority YMSM living with HIV.

    abstract::The average reported age of sexual debut for youth in the United States is 14.4 years, with approximately 7% reporting their sexual debut prior to age 13. While the research literature on sexual debut for youth addresses gender and ethnic differences (with males and African-American youth experiencing earlier sexual d...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2011.9879

    authors: Outlaw AY,Phillips G 2nd,Hightow-Weidman LB,Fields SD,Hidalgo J,Halpern-Felsher B,Green-Jones M,Young MSM of Color SPNS Initiative Study Group.

    更新日期:2011-08-01 00:00:00

  • Screening and Management of HIV-2-Infected Individuals in Northern Italy.

    abstract::There is a lack of updated estimates of HIV-2 infection in Italy. Moreover, lack of standardized HIV-2 viral load (VL) and drug resistance tests challenges clinical practice. Among 2941 HIV-positive patients followed in our center (Brescia, Northern Italy), 220 (7.5%) were African at the beginning of the study period....

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2007.0149

    authors: Costarelli S,Torti C,Rodella A,Baldanti F,Paolucci S,Lapadula G,Manca N,Quiros-Roldan E,Izzo I,Carosi G

    更新日期:2008-06-01 00:00:00

  • Asymptomatic Adolescent HIV: Identifying a Role for Universal HIV Screening in the Pediatric Emergency Department.

    abstract::Adolescents account for most undiagnosed HIV infections in the United States. Although the Centers for Disease Control and Prevention (CDC) recommends universal HIV screening for all patients ≥13 years, <10% of adolescents have been tested for HIV. To identify earlier opportunities for adolescent HIV prevention and di...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2020.0033

    authors: Gutman CK,Middlebrooks L,Camacho-Gonzalez A,Shah B,Belay Z,Morris CR

    更新日期:2020-09-01 00:00:00

  • Sexual Risk Behaviors Associated with Sexually Transmitted Infections in a US Military Population Living with HIV After the Repeal of "Don't Ask, Don't Tell".

    abstract::Risk behaviors associated with sexually transmitted infections (STIs) among people living with HIV (PLWH) have not been well characterized in the US military. We identified risk behaviors associated with a new STI in this population after the repeal of "Don't Ask, Don't Tell." US Military HIV Natural History Study par...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2020.0095

    authors: Noiman A,Macalino G,Won SH,Byrne M,Deiss R,Haw NJ,Ganesan A,Okulicz JF,Schofield C,Lalani T,Maves RC,Wang X,Agan BK,Infectious Disease Clinical Research Program HIV Working Group.

    更新日期:2020-12-01 00:00:00

  • Stigma and sexual health risk in HIV-positive African American young men who have sex with men.

    abstract::Understanding the multiple forms of stigma experienced by young HIV-positive African American men who have sex with men and how they relate to sexual risk behaviors is essential to design effective HIV prevention programs. This study of 40 African American young MSM found that 90% of those surveyed experienced sexual ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2010.0020

    authors: Radcliffe J,Doty N,Hawkins LA,Gaskins CS,Beidas R,Rudy BJ

    更新日期:2010-08-01 00:00:00

  • Sexual functioning among HIV-infected women.

    abstract::The influence of HIV on sexual activity and functioning presents a unique set of issues. HIV transmissibility, partner disclosure, potential vertical transmission and, for some HIV-infected women, problems associated with illicit drug use, may affect sexuality. Few studies have examined HIV-infected women's sexuality ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729103321150809

    authors: Bova C,Durante A

    更新日期:2003-02-01 00:00:00

  • Cross-resistance patterns among HIV protease inhibitors.

    abstract::Acquired resistance to antiretroviral agents is an established sequela of HIV pharmacotherapy. Viral mutations can confer reduced susceptibility to antiretroviral medications, resulting in virologic and clinical failure in more than half of treated patients. Cross-resistance that can develop within each drug class lea...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审

    doi:10.1089/108729104323038874

    authors: Kozal M

    更新日期:2004-04-01 00:00:00

  • Hepatitis C virus activation in HIV-infected patients initiating highly active antiretroviral therapy.

    abstract::We describe repeated episodes of hepatitis C (HCV) activation associated with initiation of highly active antiretroviral therapy (HAART) in two HIV/HCV coinfected individuals with undetectable serum HCV RNA. Both patients developed high HCV viremia (>1 million IU/mL) and elevations in aminotransferases >10 times upper...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2007.0017

    authors: Kim HN,Harrington RD,Shuhart MC,Cook L,Morishima C,Jerome KR,Wang CC

    更新日期:2007-10-01 00:00:00

  • HIV-associated nephropathy: case study and review of the literature.

    abstract::Human immunodeficiency virus type 1 (HIV-1)-seropositive patients are at risk for the development of a variety of acute and chronic renal diseases. The most common cause of chronic renal failure in HIV-1-seropositive patients is HIV-associated nephropathy (HIVAN). HIVAN occurs almost exclusively in black patients and ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审

    doi:10.1089/10872910050206559

    authors: Ross MJ,Klotman PE,Winston JA

    更新日期:2000-12-01 00:00:00

  • Management of chronic hepatitis B in an HIV-positive patient with 3TC-resistant hepatitis B virus.

    abstract::Chronic viral hepatitis has emerged as one of the leading causes of morbidity and mortality among HIV-positive patients. These individuals are at risk for aggressive chronic active hepatitis, cirrhosis, and hepatocellular carcinoma, and eventually, death. Currently available therapies for hepatitis B are limited and i...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729103322395456

    authors: Ristig M,Drechsler H,Crippin J,Lisker-Melman M,Tebas P

    更新日期:2003-09-01 00:00:00

  • Race, outpatient mental health service use, and survival after an AIDS diagnosis in the highly active antiretroviral therapy era.

    abstract::We examined the relationships between survival after AIDS diagnosis and outpatient mental health service use among men with history of highly active antiretroviral therapy (HAART). Analysis involved 1913 black and 1684 white men with AIDS who received HIV care in 2003 in the Veterans Affairs health care system. Negati...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2009.0177

    authors: Mkanta WN,Mejia MC,Duncan RP

    更新日期:2010-01-01 00:00:00

  • The determinants of poor respiratory health status in adults living with human immunodeficiency virus infection.

    abstract::The increased longevity afforded by combination antiretroviral therapy in developed countries has led to an increased concern regarding senescence-related diseases in patients with human immunodeficiency virus (HIV) infection. Previous epidemiologic analyses have demonstrated an increased risk of chronic obstructive p...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2013.0373

    authors: Leung JM,Liu JC,Mtambo A,Ngan D,Nashta N,Guillemi S,Harris M,Lima VD,Mattman A,Shaipanich T,Raju R,Hague C,Leipsic JA,Sin DD,Montaner JS,Man SF

    更新日期:2014-05-01 00:00:00

  • HIV in correctional facilities: role of self-report in case identification.

    abstract::For treatment of HIV/AIDS in jails and prisons to be effective, these institutions must identify as many HIV-positive inmates as they can. We compare HIV status among a drug-addicted jail population determined through a physical examination and a voluntary HIV testing program, with self-reported status in an interview...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2006.20.93

    authors: Lyons T,Goldstein P,Kiriazes J

    更新日期:2006-02-01 00:00:00

  • The hemostatic balance in HIV-infected patients with and without antiretroviral therapy: partial restoration with antiretroviral therapy.

    abstract::The incidence of arterial and venous thrombosis in HIV-infected patients is increased compared to healthy controls. In this cross-sectional analysis we measured markers of endothelial cell activation, thrombin generation, fibrinolysis and anticoagulation combined with endogenous thrombin potential (ETP) and activated ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2009.0173

    authors: Jong E,Louw S,Meijers JC,de Kruif MD,ten Cate H,Büller HR,Mulder JW,van Gorp EC

    更新日期:2009-12-01 00:00:00

  • Experiences of women of color with a nurse patient navigation program for linkage and engagement in HIV care.

    abstract::Patient navigation, a patient-centered model of care coordination focused on reducing barriers to care, is an emerging strategy for linking patients to and retaining them in HIV care. The Guide to Healing Program (G2H), implemented at the Infectious Diseases Clinic at UNC Chapel Hill, provided patient navigation to wo...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2014.0279

    authors: Sullivan KA,Schultz K,Ramaiya M,Berger M,Parnell H,Quinlivan EB

    更新日期:2015-01-01 00:00:00

  • Combining Cell and Gene Therapy in an Effort to Eradicate HIV.

    abstract::More than 30 million people are infected with HIV, and HIV remains the fifth leading cause of disability-adjusted life years worldwide. Antiretroviral therapy (ART) dramatically decreases mortality rate, but there are side effects, long-term toxicities, expenses, stigmas, and inconveniences associated with chronic tre...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2016.0226

    authors: Wagner TA

    更新日期:2016-12-01 00:00:00

  • Integrated opioid use disorder and HIV treatment: rationale, clinical guidelines for addiction treatment, and review of interactions of antiretroviral agents and opioid agonist therapies.

    abstract::Injection drug use (IDU) is an important vector of HIV infection in the United States. Many patients with HIV infection have comorbid substance use disorders. Integrated treatment for HIV and substance use disorders has been shown to improve HIV and other health outcomes, but significant barriers to integrated treatme...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2009.0242

    authors: Batkis MF,Treisman GJ,Angelino AF

    更新日期:2010-01-01 00:00:00

  • Reversal of growth failure in HIV-infected Thai children treated with non-nucleoside reverse transcriptase inhibitor-based antiretroviral therapy.

    abstract::Growth failure is a common problem in HIV-infected children. The extent to which this growth failure could be reversed after the children receive antiretroviral therapy (ART) is not known. This study assessed the incidence of growth failure in HIV-infected Thai children, impact of ART on growth, and the predictors of ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2009.0093

    authors: Aurpibul L,Puthanakit T,Taecharoenkul S,Sirisanthana T,Sirisanthana V

    更新日期:2009-12-01 00:00:00

  • Psychosocial challenges and strategies for coping with HIV among adolescents in Uganda: a qualitative study.

    abstract::Although more than 90% of youth perinatally infected with HIV live in sub-Saharan Africa, little is known about the psychosocial factors that impact their wellbeing, or how these youth cope with these challenges. The purpose of this study was to identify the psychosocial challenges and coping strategies among perinata...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2014.0222

    authors: Mutumba M,Bauermeister JA,Musiime V,Byaruhanga J,Francis K,Snow RC,Tsai AC

    更新日期:2015-02-01 00:00:00

  • Reactions and Receptivity to Framing HIV Prevention Message Concepts About Pre-Exposure Prophylaxis for Black and Latino Men Who Have Sex with Men in Three Urban US Cities.

    abstract::Men who have sex with men (MSM) of color are disproportionately affected by HIV in the United States. Pre-exposure prophylaxis (PrEP) using antiretroviral medications is a newer biomedical prevention modality with established efficacy for reducing the risk of acquiring HIV. We conducted formative qualitative research ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2016.0123

    authors: Mimiaga MJ,Closson EF,Battle S,Herbst JH,Denson D,Pitts N,Holman J,Landers S,Mansergh G

    更新日期:2016-10-01 00:00:00

  • Correlates of antiretroviral and antidepressant adherence among depressed HIV-infected patients.

    abstract::Although crucial for efficacy of pharmacotherapy, adherence to prescribed medication regimens for both antiretrovirals and antidepressants is often suboptimal. As many depressed HIV-infected individuals are prescribed both antiretrovirals and antidepressants, it is important to know whether correlates of nonadherence ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1089/apc.2011.0218

    authors: Bottonari KA,Tripathi SP,Fortney JC,Curran G,Rimland D,Rodriguez-Barradas M,Gifford AL,Pyne JM

    更新日期:2012-05-01 00:00:00

  • Failure of prophylaxis against PCP in patients with HIV infection.

    abstract::Since the end of the 1980s, primary anti-Pneumocystis carinii pneumonia (PCP) prophylaxis has become a fundamental part of the global AIDS control strategy in industrialized countries. The widespread adoption of anti-PCP chemoprophylaxis has been a key element in prolonging the survival of patients with AIDS. There is...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审

    doi:10.1089/apc.1998.12.843

    authors: Bonora S,Di Perri G,Vento S,Cazzadori A,Concia E

    更新日期:1998-11-01 00:00:00

  • Knowledge of HIV Testing Guidelines Among US Internal Medicine Residents: A Decade After the Centers for Disease Control and Prevention's Routine HIV Testing Recommendations.

    abstract::Ten years after the Centers for Disease Control and Prevention recommended universal HIV screening, rates remain low. Internal medicine residents are the front-line medical providers for large groups of patients. We evaluated the knowledge of internal medicine residents about HIV testing guidelines and examined adhere...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2018.0035

    authors: Dandachi D,Dang BN,Wilson Dib R,Friedman H,Giordano T

    更新日期:2018-05-01 00:00:00

  • Reduction mammoplasty in an HIV-positive woman.

    abstract::Mortality rates have decreased in medically compliant patients with HIV. More HIV-positive patients are requesting procedures that improve their quality of life. Reduction mammoplasty has been proven to predictably relieve back, neck, and shoulder pain related to macromastia. A case report is presented demonstrating a...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2005.19.353

    authors: Johnson RM

    更新日期:2005-06-01 00:00:00

  • A Mixed Methods Study of Anticipated and Experienced Stigma in Health Care Settings Among Women Living with HIV in the United States.

    abstract::Among places where people living with HIV experience and anticipate HIV-related stigma, stigma in health care settings may be particularly harmful. Utilizing an exploratory sequential mixed methods approach, we conducted interviews (n = 76) and questionnaires (N = 460) with older adult women living with HIV enrolled i...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2018.0282

    authors: Rice WS,Turan B,Fletcher FE,Nápoles TM,Walcott M,Batchelder A,Kempf MC,Konkle-Parker DJ,Wilson TE,Tien PC,Wingood GM,Neilands TB,Johnson MO,Weiser SD,Turan JM

    更新日期:2019-04-01 00:00:00

  • Building blocks for peer success: lessons learned from a train-the-trainer program.

    abstract::The National HIV/AIDS Strategy (NHAS) calls for a reduction in health disparities, a reduction in new HIV infections, and improved retention in HIV care and treatment. It acknowledges that HIV-positive peers can play an important role in supporting these aims. However, peer training must be comprehensive enough to equ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审

    doi:10.1089/apc.2011.0224

    authors: Tobias CR,Downes A,Eddens S,Ruiz J

    更新日期:2012-01-01 00:00:00

  • Health-related beliefs and decisions about accessing HIV medical care among HIV-infected persons who are not receiving care.

    abstract::In the United States, the publically supported national HIV medical care system is designed to provide HIV medical care to those who would otherwise not receive such care. Nevertheless, many HIV-infected persons are not receiving medical care. Limited information is available from HIV-infected persons not currently in...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2009.0032

    authors: Beer L,Fagan JL,Valverde E,Bertolli J,Never in Care Project.

    更新日期:2009-09-01 00:00:00

  • Risk of opportunistic infection in the HAART era among HIV-infected Latinos born in the United States compared to Latinos born in Mexico and Central America.

    abstract::There are few studies that compare opportunistic infection (OI) rates for U.S.-born, Mexican-born, and Central American-born Latinos in the pre- or post-highly active antiretroviral therapy (HAART) era. Data on 803 Latino persons in treatment for HIV infection in Los Angeles, California, were examined to evaluate diff...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729103322108148

    authors: Wohl AR,Lu S,Turner J,Kovacs A,Witt M,Squires K,Towner W,Beer V

    更新日期:2003-06-01 00:00:00

  • HIV System Navigation: an emerging model to improve HIV care access.

    abstract::Little is known about the effectiveness of outreach interventions to engage and retain underserved populations living with HIV in stable, primary medical care. This study provided an opportunity to adapt a patient navigation model first developed for cancer care to assess its effectiveness with HIV-infected disadvanta...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2007.9987

    authors: Bradford JB,Coleman S,Cunningham W

    更新日期:2007-01-01 00:00:00

  • Retrospective analysis of suspending HAART in selected patients with controlled HIV replication.

    abstract::We sought to determine the consequences of stopping highly active antiretroviral therapy (HAART) in a group of 41 HIV-infected individuals with undetectable HIV viral loads and CD4+ counts greater than 500 cells per microliter for 6 months or more. Clinical and laboratory parameters were monitored, as was the time to ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2005.19.429

    authors: Jacobs B,Neil N,Aboulafia DM

    更新日期:2005-07-01 00:00:00