Table 2.
Factors associated with achieving retention-in-care (RIC) and viral suppression (VS) in Washington, DC 2014-2015.
Retention-in-care N=3,623 |
Viral suppression N=2,658 |
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---|---|---|---|---|---|---|---|---|---|---|
Univariable | Multivariable | Univariable | Multivariable | |||||||
N (%) | OR | 95% CI | aOR | 95% CI | N (%) | OR | 95% CI | aOR | 95% CI | |
Distance ≥5 miles | ||||||||||
No | 3,173 (78.5) | Ref | Ref | Ref | Ref | 2,421 (89.7) | Ref | Ref | Ref | Ref |
Yes | 450 (12.5) | 0.52 | 0.44, 0.62 | 0.71 | 0.58, 0.86 | 237 (9.3) | 0.76 | 0.59, 0.99 | 0.70 | 0.52, 0.94 |
Age as of June 2015 | ||||||||||
Med (IQR) | 50 (40-57) | 1.02 | 1.02, 1.03 | 1.02 | 1.01, 1.03 | 49.4 (12.1) | 1.02 | 1.01, 1.03 | 1.02 | 1.01, 1.03 |
Sex at birth (Female) | 1,114 (30.7) | 0.85 | 0.73, 0.99 | 0.83 | 0.65, 1.06 | 755 (29.5) | 0.60 | 0.49, 0.72 | 0.95 | 0.73, 1.24 |
Race/ethnicity3 | ||||||||||
Hispanic | 151 (4.2) | 2.01 | 1.31, 3.09 | 1.65 | 1.02, 2.67 | 114 (4.5) | 0.40 | 0.21, 0.77 | 0.66 | 0.33, 1.31 |
NH Black | 2,978 (82.2) | 1.72 | 1.39, 2.12 | 1.33 | 1.02, 1.74 | 2,137 (83.6) | 0.26 | 0.16, 0.40 | 0.42 | 0.26, 0.71 |
NH White | 434 (12.0) | Ref | Ref | Ref | Ref | 269 (10.5) | Ref | Ref | Ref | Ref |
Other/Unknown | 60 (1.7) | 1.01 | 0.58, 1.77 | 1.18 | 0.62, 2.25 | 36 (1.4) | 0.22 | 0.09, 0.52 | 0.58 | 0.15, 0.96 |
Housing | ||||||||||
Permanent | 2,807 (77.5) | Ref | Ref | Ref | Ref | 1,939 (75.9) | Ref | Ref | NA | NA |
Homeless/Temp | 368 (10.2) | 1.51 | 1.16, 1.97 | 0.82 | 0.60, 1.10 | 282 (11.0) | 1.13 | 0.83, 1.52 | ||
Other/Unknown | 448 (12.4) | 1.28 | 1.02, 1.62 | 1.02 | 0.79, 1.32 | 335 (13.1) | 1.29 | 0.96, 1.72 | ||
Employment status4 | ||||||||||
Employed | 850 (23.5) | Ref | Ref | Ref | Ref | 485 (19.0) | Ref | Ref | Ref | Ref |
Unemployed | 1,223 (33.8) | 1.62 | 1.35, 1.95 | 0.63 | 0.49, 0.80 | 831 (32.5) | 0.36 | 0.27, 0.47 | 0.58 | 0.42, 0.80 |
Other | 1,550 (42.8) | 3.18 | 2.63, 3.84 | 1.14 | 0.89, 1.45 | 1,240 (48.5) | 0.85 | 0.64, 1.13 | 1.35 | 0.98, 1.85 |
HIV Risk5 | ||||||||||
MSM | 1,762 (48.6) | 1.09 | 0.92, 1.29 | 0.98 | 0.75, 1.28 | 1,228 (48.1) | 1.89 | 1.53, 2.35 | 1.52 | 1.13, 2.04 |
IDU | 603 (16.6) | 1.84 | 1.44, 2.34 | 1.27 | 0.96, 1.68 | 476 (18.6) | 1.26 | 0.97, 1.64 | 1.23 | 0.93, 1.63 |
Heterosexual | 1,099 (30.3) | Ref | Ref | Ref | Ref | 748 (29.3) | Ref | Ref | Ref | Ref |
Other/unknown | 159 (4.4) | 0.85 | 0.59, 1.23 | 1.55 | 1.02, 2.35 | 101 (3.9) | 1.07 | 0.68, 1.71 | 0.72 | 0.43, 1.21 |
Insurance type6 | ||||||||||
Private | 758 (20.9) | Ref | Ref | Ref | Ref | 401 (15.7) | Ref | Ref | Ref | Ref |
Public | 2,674 (73.8) | 3.01 | 2.54, 3.56 | 1.89 | 1.49, 2.38 | 2,022 (79.1) | 0.50 | 0.37, 0.68 | 0.98 | 0.72, 1.33 |
Other/Unknown | 191 (5.3) | 2.41 | 1.69, 3.43 | 1.15 | 0.76, 1.74 | 133 (5.2) | 0.47 | 0.29, 0.77 | 0.98 | 0.60, 1.62 |
Clinic type | ||||||||||
Hospital | 1,467 (40.5) | Ref | Ref | Ref | Ref | 786 (30.8) | Ref | Ref | Ref | Ref |
Communitv | 2.156 (59.5) | 4.53 | 3.87, 5.30 | 2.72 | 2.16, 3.42 | 1.770 (69.3) | 0.43 | 0.34, 0.54 | 0.44 | 0.32, 0.62 |
Primary care at site | 2,788 (78.0) | 5.01 | 4.23, 5.94 | 1.98 | 1.58, 2.48 | 2,178 (86.2) | 0.39 | 0.28, 0.56 | 0.68 | 0.44, 1.05 |
History of AIDS | 2,259 (62.4) | 1.13 | 0.98, 1.32 | NA | NA | 1,637 (64.1) | 0.94 | 0.78, 1.14 | NA | NA |
NOTE: NH=non-Hispanic; MSM = men who have sex with men; IDU = injection drug user; IQR = interquartile range. P-values were considered statistically significant at the 0.05 alpha level.
RIC was defined as evidence of ≥ 2 HIV-related clinical encounters and/or HIV-related labs ≥90 days apart in 12 months.
VS was defined as VL <200 copies/mL at last visit among those retained in care and prescribed antiretroviral therapy.
Other race groups include those of multiple race group and unknown.
Other includes retired, student, disabled, termination of student, unknown, and other.
MSM risk includes persons identified as having both MSM and IDU risk.
Primary insurance type was either public (Medicare, Medicaid, Ryan White/ADAP, or DC Alliance) or private (commercial payer).