Treatment Outcomes in Undocumented Hispanic Immigrants with HIV Infection
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{"title"=>"Treatment Outcomes in Undocumented Hispanic Immigrants with HIV Infection", "type"=>"journal", "authors"=>[{"first_name"=>"Kenneth K.", "last_name"=>"Poon", "scopus_author_id"=>"55905167300"}, {"first_name"=>"Bich N.", "last_name"=>"Dang", "scopus_author_id"=>"53463100400"}, {"first_name"=>"Jessica A.", "last_name"=>"Davila", "scopus_author_id"=>"7102461072"}, {"first_name"=>"Christine", "last_name"=>"Hartman", "scopus_author_id"=>"7005322720"}, {"first_name"=>"Thomas P.", "last_name"=>"Giordano", "scopus_author_id"=>"7006698084"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84875413864", "sgr"=>"84875413864", "issn"=>"19326203", "doi"=>"10.1371/journal.pone.0060022", "pmid"=>"23555868", "isbn"=>"1932-6203", "pui"=>"368601632"}, "id"=>"fa3e7532-0728-31c5-8e67-cf0a965f4280", "abstract"=>"Objective: Little is known about the treatment outcomes of undocumented Hispanic immigrants with HIV infection. We sought to compare the treatment outcomes of undocumented and documented patients 12-months after entering HIV care.; Methods: We conducted a retrospective cohort study of antiretroviral-naive patients 18 years and older attending their first visit at Thomas Street Health Center in Houston, Texas, between 1/1/2003 and 6/30/2008. The study population of 1,620 HIV-infected adults included 186 undocumented Hispanic, 278 documented Hispanic, 986 Black, and 170 White patients. The main outcome measures were retention in care (quarter years with at least one completed HIV primary care provider visit) and HIV suppression (HIV RNA <400 copies/mL), both measured 12-months after entering HIV care.; Results: Undocumented Hispanic patients had lower median initial CD4 cell count (132 cells/mm(3)) than documented Hispanic patients (166 cells/mm(3); P = 0.186), Black patients (226 cells/mm(3); P<0.001), and White patients (264 cells/mm(3); P = 0.001). However, once in care, undocumented Hispanic patients did as well or better than their documented counterparts. One year after entering HIV care, undocumented Hispanics achieved similar rates of retention in care and HIV suppression as documented Hispanic and White patients. Of note, black patients were significantly less likely to have optimal retention in care (adjusted odds ratio [aOR] 0.65, CI = 0.45-0.94) or achieve HIV suppression (aOR 0.32, CI = 0.17-0.61) than undocumented Hispanics.; Conclusions: Undocumented Hispanic persons with HIV infection enter care with more advanced disease than documented persons, suggesting testing and/or linkage to care efforts for this difficult-to-reach population need intensification. Once diagnosed, however, undocumented Hispanics have outcomes as good as or better than other racial/ethnic groups. Safety net providers for undocumented immigrants are vital for maintaining individual and public health.;", "link"=>"http://www.mendeley.com/research/treatment-outcomes-undocumented-hispanic-immigrants-hiv-infection", "reader_count"=>36, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>3, "Researcher"=>7, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>1, "Student > Master"=>10, "Other"=>2, "Student > Bachelor"=>4, "Lecturer"=>2, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>3, "Researcher"=>7, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>1, "Student > Master"=>10, "Other"=>2, "Student > Bachelor"=>4, "Lecturer"=>2, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Nursing and Health Professions"=>2, "Medicine and Dentistry"=>13, "Agricultural and Biological Sciences"=>3, "Neuroscience"=>1, "Business, Management and Accounting"=>1, "Psychology"=>2, "Social Sciences"=>13}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>13}, "Neuroscience"=>{"Neuroscience"=>1}, "Social Sciences"=>{"Social Sciences"=>13}, "Psychology"=>{"Psychology"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>3}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Unspecified"=>{"Unspecified"=>1}}, "reader_count_by_country"=>{"United States"=>1}, "group_count"=>7}

Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/997255"], "description"=>"<p>Flow Diagram.</p>", "links"=>[], "tags"=>["public health and epidemiology", "Infectious diseases", "Non-clinical medicine"], "article_id"=>659626, "categories"=>["Biotechnology", "Medicine", "Infectious Diseases"], "users"=>["Kenneth K. Poon", "Bich N. Dang", "Jessica A. Davila", "Christine Hartman", "Thomas P. Giordano"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0060022.g001", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flow_Diagram_/659626", "title"=>"Flow Diagram.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-03-27 08:24:41"}
  • {"files"=>["https://ndownloader.figshare.com/files/1013421"], "description"=>"*<p>Undocumented defined as having an invalid social security number (SSN) or no SSN.</p>**<p> = p value when comparing all groups in the analysis for each category.</p>†<p> = p≤0.006 when comparing Undocumented Hispanic and Documented Hispanic groups.</p>‡<p> = p≤0.006 when comparing Undocumented Hispanic and Documented non-Hispanic Black groups.</p>§<p> = p≤0.006 when comparing Undocumented Hispanic and Documented non-Hispanic White groups.</p>||<p> = calculated for 1471; 152 patients did not have marriage information available in the database.</p>#<p> = calculated for 1590; 30 patients did not have income information available in the database.</p>**<p> = Undocumented individuals are those who do not have a valid social security number.</p>", "links"=>[], "tags"=>["persons", "initiating", "thomas"], "article_id"=>673834, "categories"=>["Biotechnology", "Medicine", "Infectious Diseases"], "users"=>["Kenneth K. Poon", "Bich N. Dang", "Jessica A. Davila", "Christine Hartman", "Thomas P. Giordano"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0060022.t001", "stats"=>{"downloads"=>0, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Baseline_characteristics_of_persons_initiating_care_at_Thomas_Street_Health_Center_in_Houston_Texas_/673834", "title"=>"Baseline characteristics of persons initiating care at Thomas Street Health Center in Houston, Texas.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-03-26 01:03:54"}
  • {"files"=>["https://ndownloader.figshare.com/files/1013404"], "description"=>"*<p>Optimal Retention in care is defined as having fulfilled an appointment with an HIV care physician in all 4 quarters.</p>**<p>Undocumented defined as having an invalid social security number (SSN) or no SSN.</p>†<p> = Total N = 1620.</p>‡<p> = calculated for 671.</p>§<p> = calculated for 1471; 152 patients did not have marital status information available in the database.</p>||<p> = calculated for 1590; 30 patients did not have income information available in the database.</p>", "links"=>[], "tags"=>["retention", "hiv", "suppression", "initiating", "thomas"], "article_id"=>673815, "categories"=>["Biotechnology", "Medicine", "Infectious Diseases"], "users"=>["Kenneth K. Poon", "Bich N. Dang", "Jessica A. Davila", "Christine Hartman", "Thomas P. Giordano"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0060022.t003", "stats"=>{"downloads"=>1, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Multivariable_analysis_of_retention_in_care_and_HIV_suppression_one_year_after_initiating_care_at_Thomas_Street_Health_Center_in_Houston_Texas_/673815", "title"=>"Multivariable analysis of retention in care and HIV suppression one year after initiating care at Thomas Street Health Center in Houston, Texas.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-03-26 01:03:35"}

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Relative Metric

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