Abstract
Retention in care (RIC) and viral suppression (VS) are associated with reduced HIV transmission and mortality. Studies addressing postpartum engagement in HIV care have been limited by small sample size, short follow-up, and a lack of data from the Southeast United States. HIV-positive adult women with ≥1 prenatal visit at the Vanderbilt Obstetrics Comprehensive Care Clinic from 1999 to 2015 were included. Poor RIC was defined as not having ≥2 encounters per year, ≥90 days apart; poor VS was a viral load >200 copies/mL. Modified Poisson regression was used to estimate adjusted relative risks (aRRs) of poor postpartum RIC and VS. Among 248 women over 2070 person-years of follow-up, 37.6% person-years had poor RIC and 50.4% lacked VS. Prenatal substance use was independently associated with poor RIC (aRR, 1.40; 95% confidence interval [CI], 1.08-1.80) and poor VS (aRR, 1.20; 95% CI, 1.04-1.38), and lack of VS at enrollment was associated with poor RIC (aRR, 1.64; 95% CI, 1.15-2.35) and poor VS (aRR, 1.59; 95% CI, 1.30-1.94). Hispanic women were less likely and women with lower educational attainment were more likely to have poor RIC. Women >30 years of age and married women were less likely to have poor VS. In this population of ...Continue Reading
References
Mar 17, 2001·Biometrics·W Pan
Aug 2, 2003·AIDS·Amanda MocroftUNKNOWN EuroSIDA study group
Mar 23, 2004·American Journal of Epidemiology·Guangyong Zou
Dec 14, 2005·Current HIV/AIDS Reports·Thomas P GiordanoRichard M Grimes
Aug 5, 2008·JAMA : the Journal of the American Medical Association·Scott M HammerUNKNOWN International AIDS Society-USA
Nov 10, 2009·Public Health Reports·David B HannaLucia V Torian
Aug 3, 2010·AIDS Patient Care and STDs·Mirjam-Colette KempfLinda Moneyham
Sep 14, 2010·Journal of Women's Health·Aadia I RanaCurt G Beckwith
Sep 22, 2012·American Journal of Public Health·Susie HoffmanArpi Terzian
Jun 21, 2013·American Journal of Epidemiology·Bryan E ShepherdSten H Vermund
Aug 16, 2013·AIDS Care·Susan S ReifWenfeng Gong
Apr 12, 2014·AIDS Patient Care and STDs·Robaab SiddiquiJudy Levison
Jan 23, 2015·AIDS Patient Care and STDs·Meredith K BuchbergTanvir K Bell
Aug 13, 2015·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Joëlla W AdamsFlorence M Momplaisir
Jun 2, 2016·MMWR. Morbidity and Mortality Weekly Report·Regina M SimeoneUNKNOWN Zika and Pregnancy Working Group
Jul 29, 2016·AIDS·Heather BradleyUNKNOWN Medical Monitoring Project
Aug 16, 2016·PloS One·Carol-Ann SwainLouise-Anne McNutt
Oct 18, 2016·The Pediatric Infectious Disease Journal·Kristen M LittleSteven R Nesheim
Mar 12, 2017·International Journal of Environmental Research and Public Health·Elena CyrusMary Jo Trepka
May 13, 2018·Social Science & Medicine·Whitney S RiceJanet M Turan
Aug 10, 2018·MMWR. Morbidity and Mortality Weekly Report·Sarah C HaightWilliam M Callaghan