Place-based predictors of HIV viral suppression and durable suppression among heterosexuals in New York city

Kevin A. Jefferson, Laura S. Kersanske, Mary E. Wolfe, Sarah L. Braunstein, Regine Haardörfer, Don Des Jarlais, Aimee N.C. Campbell, Hannah L.F. Cooper

Research output: Contribution to journalArticle

Abstract

Scant research has explored place-based correlates of achieving and maintaining HIV viral load suppression among heterosexuals living with HIV. We conducted multilevel analyses to examine associations between United Hospital Fund (UHF)-level characteristics and individual-level viral suppression and durable viral suppression among individuals with newly diagnosed HIV in New York City (NYC) who have heterosexual HIV transmission risk. Individual-level independent and dependent variables came from NYC’s HIV surveillance registry for individuals diagnosed with HIV in 2009–2013 (N = 3,159; 57% virally suppressed; 36% durably virally suppressed). UHF-level covariates included measures of food distress, demographic composition, neighborhood disadvantage and affluence, healthcare access, alcohol outlet density, residential vacancy, and police stop and frisk rates. We found that living in neighborhoods where a larger percent of residents were food distressed was associated with not maintaining viral suppression. If future research should confirm this is a causal association, community-level interventions targeting food distress may improve the health of people living with HIV and reduce the risk of forward transmission.

Original languageEnglish (US)
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Heterosexuality
suppression
HIV
food
residential density
affluence
Food
surveillance
police
Multilevel Analysis
alcohol
resident
Police
Viral Load
health
Registries
community
Alcohols
Demography
Delivery of Health Care

Keywords

  • Food distress
  • heterosexuals
  • HIV viral suppression
  • New York city
  • place-based predictors

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health

Cite this

Place-based predictors of HIV viral suppression and durable suppression among heterosexuals in New York city. / Jefferson, Kevin A.; Kersanske, Laura S.; Wolfe, Mary E.; Braunstein, Sarah L.; Haardörfer, Regine; Des Jarlais, Don; Campbell, Aimee N.C.; Cooper, Hannah L.F.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 01.01.2018.

Research output: Contribution to journalArticle

Jefferson, Kevin A. ; Kersanske, Laura S. ; Wolfe, Mary E. ; Braunstein, Sarah L. ; Haardörfer, Regine ; Des Jarlais, Don ; Campbell, Aimee N.C. ; Cooper, Hannah L.F. / Place-based predictors of HIV viral suppression and durable suppression among heterosexuals in New York city. In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2018.
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