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Postpartum Engagement in HIV Care

Open Forum Infect Dis; ePub 2019 Jan 19; Oliver, et al

Postpartum HIV care engagement is suboptimal among HIV-positive women in prenatal care in the Southeast US, with substance use and socioeconomic factors associated with poor outcomes. This according to a recent study that examined postpartum HIV care engagement at a large HIV primary medical home in this region of the US. HIV-positive adult women with ≥1 prenatal visit at the Vanderbilt Obstetrics Comprehensive Care Clinic from 1999-2015 were included. Researchers found:

  • Among 248 women over 2,070 person-years of follow-up, 37.6% person-years had poor retention in care (RIC) and >50% lacked viral suppression (VS).
  • Prenatal substance use was independently associated with poor RIC and poor VS.
  • Hispanic women were less likely and women with lower education attainment were more likely to have poor RIC.
  • Women aged >30 years and married women were less likely to have poor VS.

Citation:

Oliver C, Rebeiro PF, Hopkins MJ, et al. Substance use, demographic, and socioeconomic factors are independently associated with post-partum HIV care engagement in the Southern United States, 1999-2016. [Published online ahead of print January 19, 2019]. Open Forum Infect Dis. doi:10.1093/ofid/ofz023.