Health insurance and AIDS Drug Assistance Program (ADAP) increases retention in care among women living with HIV in the United States
Year: 2020
Type: article
Abstract: Our objective was to examine the association between healthcare payer type and missed HIV care visits among 1,366 US women living with HIV (WLWH) enrolled in the prospective Women's Interagency HIV Study (WIHS). We collected secondary patient-level data (October 1, 2017-September 30, 2018) from WLWH at nine WIHS sites. We used bivariate and multivariable binary logistic regression to examine the relationship between healthcare payer type (cross-classification of patients' ADAP and health insurance enrollment) and missed visits-based retention in care, defined as no-show appointments for which patients did not reschedule. Our sample included all WLWH who self-reported having received HIV care at least once during the two consecutive biannual WIHS visits a year prior to October 1, 2017-September 30, 2018. In the bivariate model, compared to uninsured WLWH without ADAP, WLWH with private insurance + ADAP were more likely to be retained in care, as were WLWH with Medicaid only and private insurance only. In the adjusted model, WLWH with private insurance only were more likely to be retained in care compared to uninsured WLWH without ADAP. Private health insurance and ADAP are associated with increased odds of retention in care among WLWH.
Source: AIDS Care
Institutions: University of Alabama at Birmingham, University of North Carolina at Chapel Hill, Indiana University Bloomington, University of Miami, Johns Hopkins University, Rush University, University of California, San Francisco, Georgetown University, Emory University, Montefiore Medical Center, SUNY Downstate Health Sciences University
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: green
Funders: Northwestern University, Georgia Clinical and Translational Science Alliance, National Institutes of Health, University of California, San Francisco, Center for AIDS Research, University of Alabama at Birmingham, National Institute on Alcohol Abuse and Alcoholism, National Institute on Aging, National Heart, Lung, and Blood Institute, National Institute of Mental Health, National Institute on Drug Abuse, National Human Genome Research Institute, National Cancer Institute, National Institute on Deafness and Other Communication Disorders, National Institute of Nursing Research, National Institute of Allergy and Infectious Diseases, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Neurological Disorders and Stroke, National Institute of Dental and Craniofacial Research, National Center for Advancing Translational Sciences, Center for AIDS Research, University of North Carolina at Chapel Hill
Awards: G1130671811, G12089860, G1329112180, G1400602301, G1655989834, G1830603148, G183157880, G1913134163, G192128497, G2127051194, G248584506, Emory R38 Research Training Program, G2688758764, G2755707676, G2759654445, G2782268947, G2837030827, G311558797, G319781266, G3242306066, G3630727822, G3648831043, G3671922257, G3869857964, G43444534, G4391827178, G4535678174, G483408255, G4942913453, G5078796989, G5147848267, G521591464, G5660189159, G5721902458, G5747858550, G5863844756, G5900455136, G6396423216, G693265041, G6990385686, University of North Carolina Womens Interagency HIV Study UNC WIHS, G7096550276, G7152846654, G775892330, G7807729167, G7824296413, G8148537207, G830126741, G8653535977, G9000003786, G9000006802, G9000010044, G9000025681, G9000030772, G9000032316, G9000037749, G9000039899, G9000050451, G9000066220, G9000079175, G9000080293, G9000088144, G9000093720, G9000102070, G9000102447, G9000122764, G9000132212, G9000144427, G9000190463, G9000198063, G9000250084, G9000264592, Emory Specialized Center of Research Excellence (SCORE) on Sex Differences, UNC MACS/WIHS Combined Cohort Study Clinical Research Site, Surviving the HIV Epidemic (S/HE) in metropolitan Washington DC - Advancing knowledge through cohort studies, Clinical Research Sites for the MACS/WIHS Combined Cohort Study (MACS/WIHS-CCS) - Baltimore/Wash DC Center, Clinical Research Sites for the MACS/WIHS Combined Cohort Study (MACS/WIHS-CCS), UAB Center for AIDS Research (CFAR), G97119092
OpenAlex ID: W3108518672