Risk factors for HIV disease progression in a rural southwest American Indian population.

Public Health Reports
Jonathan IraluMelvin Harrison

Abstract

Risk factors for human immunodeficiency virus (HIV) disease progression among American Indians (AIs) have been poorly characterized. We assessed the impact of socioeconomic factors and use of traditional healing on HIV disease progression in a rural AI community. From January 2004 through December 2006, we interviewed 36 HIV-positive AIs regarding their socioeconomic status, incarceration, and use of traditional healing. We also collected chart-abstracted adherence and substance-abuse data. Through bivariate analysis, we compared these factors with the CD4-cell counts and log HIV-1 viral loads (VLs). Using a simple regression model, we assessed interactions between the significant associations and the outcome. Participant characteristics included being male (58.3%), being transgender (13.9%), having ever been incarcerated (63.9%), having a household income of < $1,000/month (41.7%), being unemployed (61.1%), being diagnosed with alcohol abuse (50.0%), and using traditional medicine (27.8%) in the last 12 months. Higher VLs were associated with recent incarceration (p < 0.05), household income of < $1,000/month (p < 0.05), and provider-assessed alcohol abuse (p < 0.05). We found an interaction between incarceration and alcohol a...Continue Reading

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Citations

Aug 23, 2011·Current HIV/AIDS Reports·Adam GonzalezConall O'Cleirigh
Jan 3, 2019·AIDS and Behavior·Kate JongbloedUNKNOWN Cedar Project Partnership
Sep 10, 2019·JDR Clinical and Translational Research·C L RandallJ Cunha-Cruz
Aug 1, 2015·BMC Public Health·Nyawira T Gitahi-KamauA Lakati
Dec 11, 2020·Public Health Reports·Michael Sang HughesJonathan Iralu

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