Table 5.
Association Between Attending Ryan White HIV/AIDS Program Funded Facility, ART Prescription, and Viral Suppressiona
| Characteristic | ART Prescriptionb,c | Viral Suppressiond | ||||
|---|---|---|---|---|---|---|
| % (95% CI) | APR (95% CI) | P Value | % (95% CI) | APR (95% CI) | P Value | |
| Age, y | ||||||
| 18–29 | 0.79 (0.74–0.84) | 0.85 (0.80–0.90) | <.001 | NA | NA | NA |
| 30–39 | 0.88 (0.85–0.90) | 0.94 (0.92–0.97) | <.001 | NA | NA | NA |
| 40–49 | 0.92 (0.91–0.93) | 0.99 (0.97–1.01) | .23 | NA | NA | NA |
| ≥50 | 0.93 (0.91–0.94) | 1 [Reference] | NA | NA | NA | NA |
| Sex | ||||||
| Male | 0.91 (0.90–0.92) | 1 [Reference] | NA | 0.74 (0.73–0.76) | 1 [Reference] | NA |
| Female | 0.90 (0.88–0.91) | 0.99 (0.97–1.01) | .18 | 0.72 (0.69–0.74) | 0.96 (0.93–1.00) | .03 |
| Race/ethnicity | ||||||
| Non-Hispanic, black | 0.89 (0.88–0.91) | 0.97 (0.95–0.99) | <.001 | 0.70 (0.67–0.72) | 0.89 (0.86–0.93) | <.001 |
| Hispanic or Latino | 0.91 (0.89–0.93) | 0.99 (0.96–1.01) | .37 | 0.76 (0.73–0.79) | 0.98 (0.93–1.02) | .27 |
| Non-Hispanic, white | 0.92 (0.91–0.94) | 1 [Reference] | NA | 0.78 (0.76–0.80) | 1 [Reference] | NA |
| Othere | 0.87 (0.82–0.91) | 0.94 (0.90–0.99) | .02 | 0.72 (0.67–0.77) | 0.93 (0.86–1.00) | .04 |
| Educational level | ||||||
| <High school | 0.93 (0.91–0.94) | 1.03 (1.01–1.05) | .003 | 0.72 (0.69–0.75) | 0.97 (0.93–1.02) | .20 |
| High school diploma or equivalent | 0.91 (0.89–0.92) | 1.01 (0.99–1.03) | .33 | 0.74 (0.71–0.76) | 0.99 (0.95–1.03) | .60 |
| >High school | 0.90 (0.88–0.91) | 1 [Reference] | NA | 0.74 (0.72–0.77) | 1 [Reference] | NA |
| Povertyc,f | ||||||
| At or below level | 0.90 (0.89–0.92) | 1.00 (0.98–1.01) | .63 | NA | NA | |
| Above level | 0.91 (0.90–0.92) | 1 [Reference] | NA | NA | NA | |
| Homeless in the past 12 moc | ||||||
| Yes | 0.88 (0.85–0.91) | 0.97 (0.94–1.00) | .05 | 0.66 (0.62–0.70) | 0.89 (0.83–0.95) | <.001 |
| No | 0.91 (0.90–0.92) | 1 [Reference] | NA | 0.74 (0.73–0.76) | 1 [Reference] | NA |
| Incarcerated in the past 12 moc | ||||||
| Yes | 0.89 (0.86–0.91) | 0.98 (0.95–1.01) | .26 | 0.65 (0.60–0.70) | 0.87 (0.81–0.94) | <.001 |
| No | 0.91 (0.90–0.92) | 1 [Reference] | NA | 0.74 (0.72–0.76) | 1 [Reference] | NA |
| Depression in the past 2 wk | ||||||
| Major | 0.90 (0.88–0.92) | 0.99 (0.97–1.02) | .48 | 0.69 (0.66–0.73) | 0.92 (0.88–0.98) | .003 |
| Other | 0.92 (0.89–0.93) | 1.01 (0.99–1.04) | .32 | 0.71 (0.68–0.74) | 0.95 (0.91–0.99) | .02 |
| None | 0.91 (0.89–0.92) | 1 [Reference] | NA | 0.75 (0.73–0.77) | 1 [Reference] | NA |
| Attending RWHAP-funded facility | ||||||
| Yes | 0.91 (0.90–0.92) | 1.01 (0.99–1.03) | .46 | NA | NA | NA |
| No | 0.90 (0.88–0.92) | 1 [Reference] | NA | NA | NA | NA |
| Interaction between poverty and attending RWHAP-funded vs non-RWHAP-funded facilityd |
||||||
| At or below poverty level and in RWHAP facility | NA | NA | NA | 0.73 (0.70–0.75) | 1.09 (1.02–1.16) | .01 |
| At or below poverty level and in non-RWHAP facility |
NA | NA | NA | 0.67 (0.62–0.71) | 1 [Reference] | NA |
| Above poverty level and in RWHAP facility | NA | NA | NA | 0.74 (0.72–0.77) | 0.96 (0.92–1.01) | .09 |
| Above poverty level and in non-RWHAP facility | NA | NA | NA | 0.77 (0.74–0.80) | 1 [Reference] | NA |
| Interaction between age and attending RWHAP-funded vs non-RWHAP-funded facility |
||||||
| Aged 30–39 y and in RWHAP facility | NA | NA | NA | 0.66 (0.61–0.70) | 1.17 (1.02–1.35) | .02 |
| Aged 30–39 y and in non-RWHAP facility | NA | NA | NA | 0.56 (0.48–0.63) | 1 [Reference] | NA |
| Not aged 30–39 y and in RWHAP facility | NA | NA | NA | 0.75 (0.73–0.77) | 0.99 (0.95–1.04) | .79 |
| Not aged 30–39 y and in non-RWHAP facility | NA | NA | NA | 0.75 (0.72–0.78) | 1 [Reference] | NA |
Abbreviations: APR, adjusted prevalence ratio based on predicted marginal; ART, antiretroviral therapy; HIV, human immunodeficiency virus; RWHAP, Ryan White HIV/AIDS Program.
Documentation in the medical record of prescription of antiretroviral therapy.
During the 1-year period preceding the interview (2009 data were collected in interviews conducted between June 2009 and May 2010; 2011 data were collected in interviews conducted between June 2011 and May 2012).
Documentation in the medical record of the most recent viral load being undetectable or <200 copies/mL.
Includes Asian, American Indian, Alaska native, Native Hawaiian, Other Pacific Islander, and multiracial groups.
Determined using the US Department of Health and Human Services poverty guidelines.