Individual, community, and structural factors associated with linkage to HIV care among people diagnosed with HIV in Tennessee.
Aima A AhonkhaiPeter F RebeiroCathy A JenkinsMichael RicklesMekeila CookDonaldson F ConserveLeslie J PierceBryan E ShepherdMeredith BrantleyCarolyn WesterPublished in: PloS one (2022)
Racial disparities in linkage to care persist at both individual and county levels, even when adjusting for county-level social determinants of health. These findings suggest a need for structural interventions to address both structural racism and mental health needs to improve linkage to care and minimize racial disparities in HIV outcomes.
Keyphrases
- hiv testing
- mental health
- men who have sex with men
- healthcare
- affordable care act
- hiv positive
- antiretroviral therapy
- hiv infected
- palliative care
- genome wide
- human immunodeficiency virus
- hepatitis c virus
- quality improvement
- public health
- hiv aids
- pain management
- mental illness
- african american
- dna methylation
- metabolic syndrome
- skeletal muscle
- type diabetes
- weight loss
- south africa
- chronic pain