Skip to main content
Erschienen in: AIDS and Behavior 11/2015

01.11.2015 | Original Paper

Positive Charge: Filling the Gaps in the U.S. HIV Continuum of Care

verfasst von: Cathy Maulsby, Vignetta Charles, Suzanne Kinsky, Maura Riordan, Kriti Jain, David Holtgrave, The Positive Charge Intervention Team

Erschienen in: AIDS and Behavior | Ausgabe 11/2015

Einloggen, um Zugang zu erhalten

Abstract

Adequate engagement in HIV care is necessary for the achievement of optimal health outcomes and for the reduction of HIV transmission. Positive Charge (PC) was a national HIV linkage and re-engagement in care program implemented by AIDS United. This study describes three PC programs, the characteristics of their participants, and the continuum of engagement in care for their participants. Eighty-eight percent of participants were engaged in care post PC enrollment. Sixty-nine percent were retained in care, and 46 % were virally suppressed at follow-up. Older participants were more likely to be engaged, retained, and virally suppressed. Differences by race and gender in HIV care and treatment varied across PC programs, reflecting the diverse target populations, locations, and strategies employed by the PC grantees. There is an urgent need for programs that promote HIV care and treatment among vulnerable populations, including young people living with HIV. There is also an urgent need for additional research to test the effectiveness of promising linkage and retention in care strategies, such as peer navigation.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
2.
Zurück zum Zitat Hall HI, Frazier EL, Rhodes P, Holtgrave DR, Furlow-Parmley C, Tang T, et al. Differences in human immunodeficiency virus care and treatment among subpopulations in the United States. JAMA Intern Med. 2013;173(14):1337–44.CrossRefPubMed Hall HI, Frazier EL, Rhodes P, Holtgrave DR, Furlow-Parmley C, Tang T, et al. Differences in human immunodeficiency virus care and treatment among subpopulations in the United States. JAMA Intern Med. 2013;173(14):1337–44.CrossRefPubMed
3.
Zurück zum Zitat Gardner K. The continuum of care for persons with AIDS. QRB Qual Rev Bull. 1989;15(1):2–3.PubMed Gardner K. The continuum of care for persons with AIDS. QRB Qual Rev Bull. 1989;15(1):2–3.PubMed
6.
Zurück zum Zitat Millett GA, Peterson JL, Flores SA, Hart TA, Jeffries WLT, Wilson PA, et al. Comparisons of disparities and risks of HIV infection in black and other men who have sex with men in Canada, UK, and USA: a meta-analysis. Lancet. 2012;380(9839):341–8.CrossRefPubMed Millett GA, Peterson JL, Flores SA, Hart TA, Jeffries WLT, Wilson PA, et al. Comparisons of disparities and risks of HIV infection in black and other men who have sex with men in Canada, UK, and USA: a meta-analysis. Lancet. 2012;380(9839):341–8.CrossRefPubMed
7.
Zurück zum Zitat Palella FJ Jr, Delaney KM, Moorman AC, Loveless MO, Fuhrer J, Satten GA, et al. Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. HIV Outpatient Study Investigators. N Engl J Med. 1998;338(13):853–60.CrossRefPubMed Palella FJ Jr, Delaney KM, Moorman AC, Loveless MO, Fuhrer J, Satten GA, et al. Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. HIV Outpatient Study Investigators. N Engl J Med. 1998;338(13):853–60.CrossRefPubMed
8.
9.
Zurück zum Zitat Attia S, Egger M, Muller M, Zwahlen M, Low N. Sexual transmission of HIV according to viral load and antiretroviral therapy: systematic review and meta-analysis. AIDS. 2009;23(11):1397–404.CrossRefPubMed Attia S, Egger M, Muller M, Zwahlen M, Low N. Sexual transmission of HIV according to viral load and antiretroviral therapy: systematic review and meta-analysis. AIDS. 2009;23(11):1397–404.CrossRefPubMed
10.
Zurück zum Zitat Bunnell R, Ekwaru JP, Solberg P, Wamai N, Bikaako-Kajura W, Were W, et al. Changes in sexual behavior and risk of HIV transmission after antiretroviral therapy and prevention interventions in rural Uganda. AIDS. 2006;20(1):85–92.CrossRefPubMed Bunnell R, Ekwaru JP, Solberg P, Wamai N, Bikaako-Kajura W, Were W, et al. Changes in sexual behavior and risk of HIV transmission after antiretroviral therapy and prevention interventions in rural Uganda. AIDS. 2006;20(1):85–92.CrossRefPubMed
11.
Zurück zum Zitat Del Romero J, Castilla J, Hernando V, Rodriguez C, Garcia S. Combined antiretroviral treatment and heterosexual transmission of HIV-1: cross sectional and prospective cohort study. BMJ. 2010;340:c2205.PubMedCentralCrossRefPubMed Del Romero J, Castilla J, Hernando V, Rodriguez C, Garcia S. Combined antiretroviral treatment and heterosexual transmission of HIV-1: cross sectional and prospective cohort study. BMJ. 2010;340:c2205.PubMedCentralCrossRefPubMed
12.
Zurück zum Zitat Donnell D, Baeten JM, Kiarie J, Thomas KK, Stevens W, Cohen CR, et al. Heterosexual HIV-1 transmission after initiation of antiretroviral therapy: a prospective cohort analysis. Lancet. 2010;375(9731):2092–8.PubMedCentralCrossRefPubMed Donnell D, Baeten JM, Kiarie J, Thomas KK, Stevens W, Cohen CR, et al. Heterosexual HIV-1 transmission after initiation of antiretroviral therapy: a prospective cohort analysis. Lancet. 2010;375(9731):2092–8.PubMedCentralCrossRefPubMed
13.
Zurück zum Zitat Das M, Chu PL, Santos GM, Scheer S, Vittinghoff E, McFarland W, et al. Decreases in community viral load are accompanied by reductions in new HIV infections in San Francisco. PLoS One. 2010;5(6):e11068.PubMedCentralCrossRefPubMed Das M, Chu PL, Santos GM, Scheer S, Vittinghoff E, McFarland W, et al. Decreases in community viral load are accompanied by reductions in new HIV infections in San Francisco. PLoS One. 2010;5(6):e11068.PubMedCentralCrossRefPubMed
14.
Zurück zum Zitat Gardner LI, Metsch LR, Anderson-Mahoney P, Loughlin AM, del Rio C, Strathdee S, et al. Efficacy of a brief case management intervention to link recently diagnosed HIV-infected persons to care. AIDS. 2005;19(4):423–31.CrossRefPubMed Gardner LI, Metsch LR, Anderson-Mahoney P, Loughlin AM, del Rio C, Strathdee S, et al. Efficacy of a brief case management intervention to link recently diagnosed HIV-infected persons to care. AIDS. 2005;19(4):423–31.CrossRefPubMed
15.
Zurück zum Zitat Liau A, Crepaz N, Lyles CM, Higa DH, Mullins MM, DeLuca J, et al. Interventions to promote linkage to and utilization of HIV medical care among HIV-diagnosed persons: a qualitative systematic review, 1996-2011. AIDS Behav. 2013;17(6):1941–62.CrossRefPubMed Liau A, Crepaz N, Lyles CM, Higa DH, Mullins MM, DeLuca J, et al. Interventions to promote linkage to and utilization of HIV medical care among HIV-diagnosed persons: a qualitative systematic review, 1996-2011. AIDS Behav. 2013;17(6):1941–62.CrossRefPubMed
16.
Zurück zum Zitat Higa DH, Marks G, Crepaz N, Liau A, Lyles CM. Interventions to improve retention in HIV primary care: a systematic review of U.S. studies. Curr HIV/AIDS Rep. 2012;9(4):313–25.CrossRefPubMed Higa DH, Marks G, Crepaz N, Liau A, Lyles CM. Interventions to improve retention in HIV primary care: a systematic review of U.S. studies. Curr HIV/AIDS Rep. 2012;9(4):313–25.CrossRefPubMed
17.
Zurück zum Zitat Craw JA, Gardner LI, Marks G, Rapp RC, Bosshart J, Duffus WA, et al. Brief strengths-based case management promotes entry into HIV medical care: results of the antiretroviral treatment access study-II. J Acquir Immune Defic Syndr. 2008;47(5):597–606.CrossRefPubMed Craw JA, Gardner LI, Marks G, Rapp RC, Bosshart J, Duffus WA, et al. Brief strengths-based case management promotes entry into HIV medical care: results of the antiretroviral treatment access study-II. J Acquir Immune Defic Syndr. 2008;47(5):597–606.CrossRefPubMed
18.
Zurück zum Zitat Coleman SM, Rajabiun S, Cabral HJ, Bradford JB, Tobias CR. Sexual risk behavior and behavior change among persons newly diagnosed with HIV: the impact of targeted outreach interventions among hard-to-reach populations. AIDS Patient Care STDS. 2009;23(8):639–45.CrossRefPubMed Coleman SM, Rajabiun S, Cabral HJ, Bradford JB, Tobias CR. Sexual risk behavior and behavior change among persons newly diagnosed with HIV: the impact of targeted outreach interventions among hard-to-reach populations. AIDS Patient Care STDS. 2009;23(8):639–45.CrossRefPubMed
19.
Zurück zum Zitat Naar-King S, Bradford J, Coleman S, Green-Jones M, Cabral H, Tobias C. Retention in care of persons newly diagnosed with HIV: outcomes of the Outreach Initiative. AIDS Patient Care STDS. 2007;21(Suppl 1):S40–8.PubMed Naar-King S, Bradford J, Coleman S, Green-Jones M, Cabral H, Tobias C. Retention in care of persons newly diagnosed with HIV: outcomes of the Outreach Initiative. AIDS Patient Care STDS. 2007;21(Suppl 1):S40–8.PubMed
20.
Zurück zum Zitat Horberg MA, Aberg JA, Cheever LW, Renner P. O’Brien Kaleba E, Asch SM. Development of national and multiagency HIV care quality measures. Clin Infect Dis. 2010;51(6):732–8.CrossRefPubMed Horberg MA, Aberg JA, Cheever LW, Renner P. O’Brien Kaleba E, Asch SM. Development of national and multiagency HIV care quality measures. Clin Infect Dis. 2010;51(6):732–8.CrossRefPubMed
21.
Zurück zum Zitat Kim JJ, Maulsby C, Kinsky S, Riordan M, Charles V, Jain K, et al. The development and implementation of the national evaluation strategy of access to care, a multi-site linkage to care initiative in the United States. AIDS Educ Prev. 2014;26(5):429–44.CrossRefPubMed Kim JJ, Maulsby C, Kinsky S, Riordan M, Charles V, Jain K, et al. The development and implementation of the national evaluation strategy of access to care, a multi-site linkage to care initiative in the United States. AIDS Educ Prev. 2014;26(5):429–44.CrossRefPubMed
22.
Zurück zum Zitat Dean B, Debes, R, Bozzette, S, Buchacz, K, Brooks, JT. HIV laboratory tests used as a proxy for medical visits for defining engagement in care. Abstract No. 1036. Presented at 20th Conference on Retroviruses and Opportunistic Infections; March 3–6, 2013; Atlanta, GA. Dean B, Debes, R, Bozzette, S, Buchacz, K, Brooks, JT. HIV laboratory tests used as a proxy for medical visits for defining engagement in care. Abstract No. 1036. Presented at 20th Conference on Retroviruses and Opportunistic Infections; March 3–6, 2013; Atlanta, GA.
24.
Zurück zum Zitat Centers for Disease Control and Prevention. Vital signs: HIV prevention through care and treatment–United States. MMWR Morb Mortal Wkly Rep. 2011;60(47):1618–23. Centers for Disease Control and Prevention. Vital signs: HIV prevention through care and treatment–United States. MMWR Morb Mortal Wkly Rep. 2011;60(47):1618–23.
25.
Zurück zum Zitat Nosyk B, Montaner JS, Colley G, Lima VD, Chan K, Heath K, et al. The cascade of HIV care in British Columbia, Canada, 1996-2011: a population-based retrospective cohort study. Lancet Infect Dis. 2014;14(1):40–9.PubMedCentralCrossRefPubMed Nosyk B, Montaner JS, Colley G, Lima VD, Chan K, Heath K, et al. The cascade of HIV care in British Columbia, Canada, 1996-2011: a population-based retrospective cohort study. Lancet Infect Dis. 2014;14(1):40–9.PubMedCentralCrossRefPubMed
26.
Zurück zum Zitat Barros AJ, Hirakata VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003;20(3):21.CrossRef Barros AJ, Hirakata VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003;20(3):21.CrossRef
27.
Zurück zum Zitat McNutt LA, Wu C, Xue X, Hafner JP. Estimating the relative risk in cohort studies and clinical trials of common outcomes. Am J Epidemiol. 2003;157(10):940–3.CrossRefPubMed McNutt LA, Wu C, Xue X, Hafner JP. Estimating the relative risk in cohort studies and clinical trials of common outcomes. Am J Epidemiol. 2003;157(10):940–3.CrossRefPubMed
30.
Zurück zum Zitat Hightow-Weidman LB, Jones K, Wohl AR, Futterman D, Outlaw A, Phillips G 2nd, et al. Early linkage and retention in care: findings from the outreach, linkage, and retention in care initiative among young men of color who have sex with men. AIDS Patient Care STDS. 2011;25(Suppl 1):S31–8.CrossRefPubMed Hightow-Weidman LB, Jones K, Wohl AR, Futterman D, Outlaw A, Phillips G 2nd, et al. Early linkage and retention in care: findings from the outreach, linkage, and retention in care initiative among young men of color who have sex with men. AIDS Patient Care STDS. 2011;25(Suppl 1):S31–8.CrossRefPubMed
31.
Zurück zum Zitat Hightow-Weidman LB, Smith JC, Valera E, Matthews DD, Lyons P. Keeping them in “STYLE”: finding, linking, and retaining young HIV-positive black and Latino men who have sex with men in care. AIDS Patient Care STDS. 2011;25(1):37–45.PubMedCentralCrossRefPubMed Hightow-Weidman LB, Smith JC, Valera E, Matthews DD, Lyons P. Keeping them in “STYLE”: finding, linking, and retaining young HIV-positive black and Latino men who have sex with men in care. AIDS Patient Care STDS. 2011;25(1):37–45.PubMedCentralCrossRefPubMed
32.
Zurück zum Zitat Gardner LI, Marks G, Metsch LR, Loughlin AM, O’Daniels C, del Rio C, et al. Psychological and behavioral correlates of entering care for HIV infection: the Antiretroviral Treatment Access Study (ARTAS). AIDS Patient Care STDS. 2007;21(6):418–25.CrossRefPubMed Gardner LI, Marks G, Metsch LR, Loughlin AM, O’Daniels C, del Rio C, et al. Psychological and behavioral correlates of entering care for HIV infection: the Antiretroviral Treatment Access Study (ARTAS). AIDS Patient Care STDS. 2007;21(6):418–25.CrossRefPubMed
33.
Zurück zum Zitat Mugavero MJ, Amico KR, Horn T, Thompson MA. The state of engagement in HIV care in the United States: from cascade to continuum to control. Clin Infect Dis. 2013;57(8):1164–71.CrossRefPubMed Mugavero MJ, Amico KR, Horn T, Thompson MA. The state of engagement in HIV care in the United States: from cascade to continuum to control. Clin Infect Dis. 2013;57(8):1164–71.CrossRefPubMed
34.
Zurück zum Zitat Eberhart MG, Yehia BR, Hillier A, Voytek CD, Blank MB, Frank I, et al. Behind the cascade: analyzing spatial patterns along the HIV care continuum. J Acquir Immune Defic Syndr. 2013;1(64 Suppl 1):S42–51.CrossRef Eberhart MG, Yehia BR, Hillier A, Voytek CD, Blank MB, Frank I, et al. Behind the cascade: analyzing spatial patterns along the HIV care continuum. J Acquir Immune Defic Syndr. 2013;1(64 Suppl 1):S42–51.CrossRef
35.
37.
Zurück zum Zitat Keller SC, Yehia BR, Eberhart MG, Brady KA. Accuracy of definitions for linkage to care in persons living with HIV. J Acquir Immune Defic Syndr. 2013;63(5):622–30.PubMedCentralCrossRefPubMed Keller SC, Yehia BR, Eberhart MG, Brady KA. Accuracy of definitions for linkage to care in persons living with HIV. J Acquir Immune Defic Syndr. 2013;63(5):622–30.PubMedCentralCrossRefPubMed
Metadaten
Titel
Positive Charge: Filling the Gaps in the U.S. HIV Continuum of Care
verfasst von
Cathy Maulsby
Vignetta Charles
Suzanne Kinsky
Maura Riordan
Kriti Jain
David Holtgrave
The Positive Charge Intervention Team
Publikationsdatum
01.11.2015
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 11/2015
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-015-1015-0

Weitere Artikel der Ausgabe 11/2015

AIDS and Behavior 11/2015 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.