| Title |
Antiretroviral Adherence Among Rural Compared to Urban Veterans with HIV Infection in the United States
|
|---|---|
| Published in |
AIDS and Behavior, October 2012
|
| DOI | 10.1007/s10461-012-0325-8 |
| Pubmed ID | |
| Authors |
Michael E. Ohl, Eli Perencevich, D. Keith McInnes, Nancy Kim, David Rimland, Kathleen Akgun, David A. Fiellin, Melissa Skanderson, Karen Wang, Amy Justice |
| Abstract |
Rural-dwelling persons with HIV infection face barriers to maintaining high levels of antiretroviral adherence. We compared adherence among 1,782 rural and 18,519 urban veterans initiating antiretroviral therapy in the Veterans Affairs (VA) healthcare system in the United States between 1998 and 2007. Residence was determined using rural urban commuting area codes and adherence using pharmacy-based refill measures. The median proportion of days covered (PDC) by combination antiretroviral therapy in the first year of treatment ranged from 0.72 among urban residents to 0.79 among rural-small town/remote residents (p < 0.0001). In multivariable logistic regression, predictors of high adherence (PDC greater than 0.90) were residence in a rural-small town/remote setting (odds ratio 1.24, 95 % CI 1.09-1.56, relative to urban), increasing age, white race, absence of an alcohol or substance use disorder, and absence of hepatitis C infection. Results may differ outside VA healthcare, where there may be fewer resources to support adherence among rural-dwelling persons with HIV. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 60 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 2% |
| Unknown | 59 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 11 | 18% |
| Researcher | 9 | 15% |
| Student > Master | 7 | 12% |
| Student > Doctoral Student | 5 | 8% |
| Student > Postgraduate | 5 | 8% |
| Other | 16 | 27% |
| Unknown | 7 | 12% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 20 | 33% |
| Social Sciences | 10 | 17% |
| Nursing and Health Professions | 8 | 13% |
| Biochemistry, Genetics and Molecular Biology | 2 | 3% |
| Linguistics | 1 | 2% |
| Other | 8 | 13% |
| Unknown | 11 | 18% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 November 2012.
All research outputs
#19,246,640
of 23,849,058 outputs
Outputs from AIDS and Behavior
#3,007
of 3,566 outputs
Outputs of similar age
#135,691
of 177,896 outputs
Outputs of similar age from AIDS and Behavior
#59
of 79 outputs
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