Travel Time to Clinic but not Neighborhood Crime Rate is Associated with Retention in Care Among HIV-Positive Patients View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-09

AUTHORS

Jessica P. Ridgway, Ellen A. Almirol, Jessica Schmitt, Todd Schuble, John A. Schneider

ABSTRACT

Using geospatial analysis, we examined the relationship of distance between a patient's residence and clinic, travel time to clinic, and neighborhood violent crime rates with retention in care or viral suppression among people living with HIV (PLWH). For HIV-positive patients at a large urban clinic, we measured distance and travel time between home and clinic and violent crime rate within a two block radius of the travel route. Kruskal-Wallis rank sum was used to compare outcomes between groups. Over the observation period, 2008-2016, 219/602 (36%) patients were retained in care. Median distance from clinic was 3.6 (IQR 2.1-5.6) miles versus 3.9 (IQR 2.7-6.1) miles among those retained versus not retained in care, p = 0.06. Median travel time by car was 15.9 (IQR 9.6-22.9) versus 17.1 (IQR 12.0-24.6) minutes for those retained versus not retained, p = 0.04. Violent crime rate along travel route was not associated with retention. There was no significant association between travel time or distance and viral suppression. More... »

PAGES

3003-3008

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10461-018-2094-5

DOI

http://dx.doi.org/10.1007/s10461-018-2094-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1101838382

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29600423


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