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Perceived neighborhood disorder and achieving HIV viral suppression among adults living with HIV

A cross-sectional study

Bibliographic Data

ID19594549
AuthorsLinda Jepkoech Kimaru (0000-0003-2700-1786, University of Arizona, corresponding author), Chengcheng Hu (0000-0001-8525-0356, University of Arizona, corresponding author), Sudha Nagalingam (corresponding author), Priscilla Magrath (0000-0001-8526-458X, University of Arizona, corresponding author), Elizabeth Connick (0000-0002-0465-6248, University of Arizona, corresponding author), Kacey C Ernst (0000-0002-3346-7788, University of Arizona, corresponding author), Kacey Ernst, John Ehiri (University of Arizona, corresponding author)
EditorsJulia Robinson (0000-0003-0719-3995)
Year2024
Volume4
Issue12
Pagese0004060
Publication date2024-12-19
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0004060
PMID39700192
OpenAlexW4405611000
LanguageEN
References cited43

Adherence to antiretroviral therapy (ART) is crucial for achieving and maintaining viral suppression in people living with HIV (PLWH). While individual factors affecting HIV viral suppression have been extensively studied, there is less attention on community-level factors, specifically perceived neighborhood disorder. This study aims to assess the relationship between perceived neighborhood disorder and achieving virologic suppression among people living with HIV. One hundred and eighty-eight PLWH 18 years of age and older from two HIV clinics completed a cross-sectional study. We assessed perceptions of neighborhood disorder, ART self-efficacy, social support, alcohol and drug use, depression, HIV stigma, provider-patient relationship, demographics, and length at the zip code. HIV viral loads were obtained from the clinical record. The analysis involved the use of Fisher’s Exact test, Spearman’s Rank test, Wilcoxon rank sum test, and Firth logistic regression. All analyses were conducted using STATA 17. Most participants were male (79%), white (62%), and identified as non-Hispanic (66%). Individuals with no perceived neighborhood disorder had median scores of 10 for integration and perseverance in ART self-efficacy. Those with high perceived disorder displayed decreased scores of 8.4 and 8.3 for integration and perseverance respectively. Both integration and perseverance showed statistically significant negative correlations with perceived neighborhood disorder, (Spearman’s rho -0.2966; p

Alcohol · Alcohol use disorder · Cross-sectional study · Logistic regression · Mann–Whitney U test · Psychiatry · Viral load · Clinical Psychology · Demography · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Immunology · Internal Medicine

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