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Open Access 17-06-2024 | Human Immunodeficiency Virus | Original Paper

Travel Burden and Timely Linkage to Care Among People Newly Diagnosed with HIV Infection in South Carolina from 2005 to 2020

Authors: Fanghui Shi, Jiajia Zhang, Peiyin Hung, Xiaowen Sun, Xueying Yang, Bankole Olatosi, Sharon Weissman, Xiaoming Li

Published in: AIDS and Behavior

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Abstract

This retrospective study explored the association between travel burden and timely linkage to care (LTC) among people with HIV (PWH) in South Carolina. HIV care data were derived from statewide all-payer electronic health records, and timely LTC was defined as having at least one viral load or CD4 count record within 90 days after HIV diagnosis before the year 2015 and 30 days after 2015. Travel burden was measured by average driving time (in minutes) to any healthcare facility visited within six months before and one month after the initial HIV diagnosis. Multivariable logistic regression models with the least absolute shrinkage and selection operator were employed. From 2005 to 2020, 81.2% (3,547 out of 4,366) of PWH had timely LTC. Persons who had longer driving time (adjusted Odds Ratio (aOR): 0.37, 95% CI: 0.14–0.99), were male versus female (aOR: 0.73, 95% CI: 0.58–0.91), had more comorbidities (aOR: 0.73, 95% CI: 0.57–0.94), and lived in counties with a higher percentage of unemployed labor force (aOR: 0.21, 95% CI: 0.06–0.71) were less likely to have timely LTC. However, compared to those aged between 18 and 24 years old, those aged between 45 and 59 (aOR:1.47, 95% CI: 1.14–1.90) or older than 60 (aOR:1.71, 95% CI: 1.14–2.56) were more likely to have timely LTC. Concentrated and sustained interventions targeting underserved communities and the associated travel burden among newly diagnosed PWH who are younger, male, and have more comorbidities are needed to improve LTC and reduce health disparities.
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Metadata
Title
Travel Burden and Timely Linkage to Care Among People Newly Diagnosed with HIV Infection in South Carolina from 2005 to 2020
Authors
Fanghui Shi
Jiajia Zhang
Peiyin Hung
Xiaowen Sun
Xueying Yang
Bankole Olatosi
Sharon Weissman
Xiaoming Li
Publication date
17-06-2024
Publisher
Springer US
Published in
AIDS and Behavior
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-024-04411-1
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