Table 2.
Results of estimated relative risk ratios (RRRs) (95% CI) of changes in viral suppression among criminal justice-involved Black men living with HIV in Louisiana, Louisiana Re-Entry Initiative (n=97), 2013–2016
| Characteristics | DVSa | NVSb relative to DVS | SVSc relative to DVS | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| n (%) | n (%) | Unadjusted | p value* | Adjustedd | p value | n (%) | Unadjusted | p value* | Adjustedd | p value | |
| Intervention | |||||||||||
| Health Navigation | 5 (13) | 19 (49) | REF | REF | 15 (38) | REF | REF | ||||
| Pre/Post Release CM* | 11 (24) | 13 (29) | 0.27 (0.07, 0.92) | 0.04 | 0.53 (0.03, 8.51) | 0.66 | 21 (47) | 0.48 (0.14, 1.63) | 0.24 | 1.76 (0.12, 24.98) | 0.68 | 
| Community Outreach | 2 (67) | 0 (0) | -- | -- | 1 (33) | 0.13 (0.01, 1.79) | 0.13 | 0.70 (0.02, 22.42) | 0.84 | ||
| City | |||||||||||
| Baton Rouge | 5 (11) | 22 (48) | 4.40 (1.29, 15.02) | 0.02 | 19 (41) | 2.31 (0.70, 7.64) | 0.17 | ||||
| New Orleans | 14 (27) | 14 (27) | REF | 23 (45) | REF | ||||||
| Age | |||||||||||
| <30 | 1 (6) | 12 (67) | REF | REF | 5 (28) | REF | REF | ||||
| 30+ | 17 (25) | 20 (29) | 0.09 (0.01, 0.74) | 0.03 | 0.10 (0.01, 1.10) | 0.06 | 32 (46) | 0.33 (0.04, 3.02) | 0.33 | 0.55 (0.05, 6.13) | 0.63 | 
| Annual Income ($) | |||||||||||
| <20,000 | 17 (22) | 26 (33) | REF | 36 (46) | REF | ||||||
| ≥20,000 | 1 (13) | 6 (75) | 5.14 (0.59, 45.17) | 0.14 | 1 (13) | 0.44 (0.03, 7.52) | 0.57 | ||||
| Education | |||||||||||
| ≤High School or GED | 17 (20) | 29 (34) | REF | 39 (46) | REF | ||||||
| >High School or GED | 2 (17) | 7 (58) | 2.05 (0.38, 11.12) | 0.41 | 3 (25) | 0.65 (0.10, 4.32) | 0.66 | ||||
| Relationship | |||||||||||
| No | 17 (20) | 34 (39) | REF | 36 (41) | REF | ||||||
| Yes | 0 (0) | 2 (29) | -- | 5 (71) | -- | ||||||
| Employed | |||||||||||
| No | 10 (24) | 16 (38) | REF | 16 (38) | REF | ||||||
| Yes | 4 (16) | 13 (52) | 2.03 (0.51, 8.06) | 0.31 | 8 (32) | 1.25 (0.29, 5.30) | 0.76 | ||||
| Disabled | 5 (17) | 7 (24) | 0.87 (0.22, 3.55) | 0.85 | 17 (59) | 2.12 (0.59, 7.63) | 0.25 | ||||
| Health Insurance | |||||||||||
| No | 13 (21) | 24 (39) | REF | 25 (40) | REF | ||||||
| Yes | 6 (17) | 12 (34) | 1.08 (0.33, 3.58) | 0.9 | 17 (49) | 1.47 (0.47, 4.67) | 0.51 | ||||
| Co-occurring health condition | |||||||||||
| No | 5 (10) | 23 (46) | REF | REF | 22 (44) | REF | REF | ||||
| Yes | 13 (35) | 9 (24) | 0.16 (0.05, 0.55) | 0.004 | 0.12 (0.02, 0.91) | 0.04 | 15 (41) | 0.20 (0.06, 0.66) | 0.01 | 0.17 (0.03, 1.12) | 0.07 | 
| Years Living with HIV | |||||||||||
| ≤10 Years | 11 (22) | 18 (37) | REF | REF | 20 (41) | REF | REF | ||||
| >10 Years | 7 (18) | 14 (37) | 1.09 (0.34, 3.46) | 0.88 | 18.80 (3.16, 111.73) | 0.001 | 17 (45) | 1.29 (0.42, 3.94) | 0.66 | 7.00 (1.29, 37.70) | 0.02 | 
| Housing Status | |||||||||||
| No Stable Housing | 8 (35) | 6 (26) | REF | REF | 9 (39) | REF | REF | ||||
| Stable Housing | 10 (16) | 26 (41) | 3.01 (0.88, 10.36) | 0.08 | 4.98 (0.54, 45.83) | 0.16 | 28 (44) | 2.05 (0.65, 6.46) | 0.22 | 6.14 (0.84, 45.09) | 0.07 | 
| Incarceration (last 6 months) | |||||||||||
| No | 4 (16) | 13 (52) | REF | 8 (32) | REF | ||||||
| Yes | 15 (25) | 19 (31) | 0.39 (0.10, 1.45) | 0.16 | 27 (44) | 0.90 (0.23, 3.52) | 0.88 | ||||
| Length of Incarceration Stay | |||||||||||
| <6 months | 7 (14) | 21 (41) | REF | 23 (45) | REF | ||||||
| ≥6 months | 12 (28) | 14 (33) | 0.39 (0.12, 1.24) | 0.11 | 17 (40) | 0.43 (0.14, 1.33) | 0.14 | ||||
| Parole or probation | |||||||||||
| No | 10 (17) | 25 (42) | REF | 24 (41) | REF | ||||||
| Yes | 9 (25) | 11 (31) | 0.49 (0.15, 1.55) | 0.22 | 16 (44) | 0.74 (0.25, 2.24) | 0.6 | ||||
| Picked up from correctional facility | |||||||||||
| No | 14 (26) | 17 (32) | REF | REF | 22 (42) | REF | REF | ||||
| Yes | 4 (12) | 15 (44) | 3.50 (0.96, 12.79) | 0.06 | 1.31 (0.09, 20.25) | 0.85 | 15 (44) | 2.59 (0.72, 9.33) | 0.15 | 2.71 (0.18, 41.20) | 0.47 | 
| Received HIV services while incarcerated | |||||||||||
| No | 3 (9) | 16 (50) | REF | REF | 13 (41) | REF | REF | ||||
| Yes | 15 (27) | 16 (29) | 0.19 (0.05, 0.76) | 0.02 | 0.15 (0.02, 1.29) | 0.08 | 24 (44) | 0.28 (0.07, 1.10) | 0.07 | 0.10 (0.02, 0.68) | 0.02 | 
| Stigma, Mean (SD) | 0.31 (0.33) | 0.17 (0.31) | 0.24 (0.04, 1.47) | 0.12 | 0..34 (0.35) | 0.89 (0.20, 4.00) | 0.88 | ||||
| Social Support | |||||||||||
| Low/Moderate | 7 (20) | 13 (37) | REF | 15 (43) | REF | ||||||
| High | 12 (19) | 23 (37) | 1.03 (0.32, 3.29) | 0.96 | 27 (44) | 1.05 (0.34, 3.26) | 0.93 | ||||
| Depression | |||||||||||
| Minimal | 7 (15) | 21 (46) | REF | REF | 18 (39) | REF | REF | ||||
| Mild | 7 (32) | 5 (23) | 0.21 (0.05, 0.87) | 0.03 | 0.33 (0.06, 1.76) | 0.19 | 10 (45) | 0.55 (0.15, 1.99) | 0.36 | 0.59 (0.12, 2.85) | 0.52 | 
| Moderate/Moderately Severe | 3 (25) | 4 (33) | 0.49 (0.09, 2.58) | 0.4 | 0.89 (0.03, 27.58) | 0.95 | 5 (42) | 0.70 (0.14, 3.61) | 0.67 | 3.20 (0.10, 97.39) | 0.51 | 
| Severe | 1 (14) | 2 (29) | 0.29 (0.03, 2.49) | 0.26 | 8.80 (0.46, 169.73) | 0.15 | 4 (57) | 0.88 (0.14, 5.63) | 0.89 | 16.27 (1.99, 133.35) | 0.01 | 
| Any Drug Use | |||||||||||
| No | 15 (21) | 27 (38) | REF | 29 (41) | REF | ||||||
| Yes | 4 (15) | 9 (35) | 1.25 (0.33, 4.79) | 0.75 | 13 (50) | 1.68 (0.46, 6.10) | 0.43 | ||||
| Health Care Provider (Last 6 Months) | |||||||||||
| No | 1 (4) | 14 (56) | REF | REF | 10 (40) | REF | REF | ||||
| Yes | 17 (27) | 18 (29) | 0.06 (0.01, 0.47) | 0.01 | 0.11 (0.00, 13.80) | 0.37 | 27 (44) | 0.16 (0.02, 1.33) | 0.09 | 0.12 (0.00, 15.43) | 0.39 | 
| Most Urgent Needs | |||||||||||
| Non-Health-Related | 11 (22) | 15 (31) | REF | 23 (47) | REF | ||||||
| Health-Related | 8 (17) | 21 (44) | 1.93 (0.62, 5.97) | 0.26 | 19 (40) | 1.14 (0.38, 3.41) | 0.82 | ||||
| Greatest Barriers | |||||||||||
| No Barriers | 10 (28) | 8 (25) | REF | REF | 15 (47) | REF | REF | ||||
| Individual | 5 (15) | 16 (47) | 4.50 (1.15, 17.63) | 0.03 | 4.20 (0.49, 35.94) | 0.19 | 13 (38) | 1.47 (0.41, 5.31) | 0.55 | 2.12 (0.24, 18.38) | 0.5 | 
| Structural | 4 (19) | 8 (38) | 3.13 (0.70, 13.92) | 0.14 | 6.05 (0.53, 69.08) | 0.15 | 9 (43) | 1.18 (0.29, 4.86) | 0.81 | 3.08 (0.29, 32.67) | 0.35 | 
| HIV Medication Self-Efficacy, Mean (SD) | 4.70 (0.43) | 4.27 (0.86) | 0.31 (0.14, 0.69) | 0.004 | 0.22 (0.03, 1.56) | 0.13 | 4.65 (0.56) | 0.79 (0.33, 1.87) | 0.59 | 0.70 (0.11, 4.53) | 0.7 | 
| Adherence | |||||||||||
| No | 1 (3) | 16 (55) | REF | REF | 12 (41) | REF | REF | ||||
| Yes | 17 (29) | 16 (28) | 0.04 (0.01, 0.37) | 0.004 | 0.09 (0.01, 0.66) | 0.02 | 25 (43) | 0.09 (0.01, 0.75) | 0.03 | 0.13 (0.02, 0.98) | 0.048 | 
Durable Viral Suppression,
No Viral Suppression,
Some Viral Suppression
Only participants without missing covariates data were included in the model (n=87)
0.10 used as cut-off point for short-listing variables to adjusted model
CM = Case Management