scholarly journals Financial, Food, and Housing Insecurity Due to Coronavirus Disease 2019 Among At-Risk People With Human Immunodeficiency Virus in a Nonurban Ryan White HIV/AIDS Program Clinic

2020 ◽  
Vol 7 (10) ◽  
Author(s):  
Jacqueline E Sherbuk ◽  
Brooke Williams ◽  
Kathleen A McManus ◽  
Rebecca Dillingham
Keyword(s):  
United States ◽  
At Risk ◽  
Human Immunodeficiency Virus ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Southern United States ◽  
Immunodeficiency Virus ◽  
Ryan White ◽  
Aids Program ◽  
Hiv Aids

Abstract Coronavirus disease 2019 negatively impacts social determinants of health that contribute to disparities for people with human immunodeficiency virus (HIV). Insecurity of food, housing, and employment increased significantly in April 2020 among patients with lower incomes at a Ryan White HIV/AIDS program clinic in the Southern United States.

scholarly journals Human Immunodeficiency Virus (HIV) Viral Suppression After Transition From Having No Healthcare Coverage and Relying on Ryan White HIV/AIDS Program Support to Medicaid or Private Health Insurance

2018 ◽  
Vol 69 (3) ◽  
pp. 538-541
Author(s):  
Julia Raifman ◽  
Keri Althoff ◽  
Peter F Rebeiro ◽  
W Christopher Mathews ◽  
Laura W Cheever ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Health Insurance ◽  
Private Health Insurance ◽  
Viral Suppression ◽  
Immunodeficiency Virus ◽  
Ryan White ◽  
Healthcare Coverage ◽  
Hiv Viral Suppression ◽  
Aids Program ◽  
Hiv Aids

Abstract Among 1942 persons with human immunodeficiency virus (HIV) without healthcare coverage in 2012–2015, transitioning to Medicaid (adjusted prevalence ratio, 0.95 [0.87, 1.04]) or to private health insurance (1.04 [0.95, 1.13]) was not associated with a change in consistent HIV viral suppression compared to continued reliance on the Ryan White HIV/AIDS Program.

scholarly journals Human Immunodeficiency Virus–Experienced Clinician Workforce Capacity: Urban–Rural Disparities in the Southern United States

2020 ◽  
Author(s):  
Rose S Bono ◽  
Bassam Dahman ◽  
Lindsay M Sabik ◽  
Lauren E Yerkes ◽  
Yangyang Deng ◽  
...  
Keyword(s):  
United States ◽  
Human Immunodeficiency Virus ◽  
Urban Areas ◽  
Clinical Care ◽  
Hiv Care ◽  
Southern United States ◽  
County Level ◽  
Immunodeficiency Virus ◽  
Urban Rural ◽  
Workforce Capacity

Abstract Background Human immunodeficiency virus (HIV)–experienced clinicians are critical for positive outcomes along the HIV care continuum. However, access to HIV-experienced clinicians may be limited, particularly in nonmetropolitan areas, where HIV is increasing. We examined HIV clinician workforce capacity, focusing on HIV experience and urban–rural differences, in the Southern United States. Methods We used Medicaid claims and clinician characteristics (Medicaid Analytic eXtract [MAX] and MAX Provider Characteristics, 2009–2011), county-level rurality (National Center for Health Statistics, 2013), and diagnosed HIV cases (AIDSVu, 2014) to assess HIV clinician capacity in 14 states. We assumed that clinicians accepting Medicaid approximated the region’s HIV workforce, since three-quarters of clinicians accept Medicaid insurance. HIV-experienced clinicians were defined as those providing care to ≥ 10 Medicaid enrollees over 3 years. We assessed HIV workforce capacity with county-level clinician-to-population ratios, using Wilcoxon-Mann-Whitney tests to compare urban–rural differences. Results We identified 5012 clinicians providing routine HIV management, of whom 28% were HIV-experienced. HIV-experienced clinicians were more likely to specialize in infectious diseases (48% vs 6%, P < .001) and practice in urban areas (96% vs 83%, P < .001) compared to non–HIV-experienced clinicians. The median clinician-to-population ratio for all HIV clinicians was 13.3 (interquartile range, 38.0), with no significant urban–rural differences. When considering HIV experience, 81% of counties had no HIV-experienced clinicians, and rural counties generally had fewer HIV-experienced clinicians per 1000 diagnosed HIV cases (P < .001). Conclusions Significant urban–rural disparities exist in HIV-experienced workforce capacity for communities in the Southern United States. Policies to improve equity in access to HIV-experienced clinical care for both urban and rural communities are urgently needed.

scholarly journals Addressing disparities in the health of persons with HIV attributable to unstable housing in the United States: The role of the Ryan White HIV/AIDS Program

PLoS Medicine ◽  
2020 ◽  
Vol 17 (3) ◽  
pp. e1003057
Author(s):  
Amy Griffin ◽  
Antigone Dempsey ◽  
Wendy Cousino ◽  
Latham Avery ◽  
Harold Phillips ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Unstable Housing ◽  
Ryan White ◽  
Aids Program ◽  
Hiv Aids

scholarly journals Human Immunodeficiency Virus (HIV) Subtype Surveillance of African‐Born Persons at Risk for Group O and Group N HIV Infections in the United States

2000 ◽  
Vol 181 (2) ◽  
pp. 463-469 ◽  
Author(s):  
Patrick S. Sullivan ◽  
Ann N. Do ◽  
Dennis Ellenberger ◽  
Chou‐Pong Pau ◽  
Sindy Paul ◽  
...  
Keyword(s):  
United States ◽  
At Risk ◽  
Human Immunodeficiency Virus ◽  
Hiv Infections ◽  
The United States ◽  
Immunodeficiency Virus
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