Assessing the Impact of Perinatal HIV Case Management on Outcomes Along the HIV Care Continuum for Pregnant and Postpartum Women Living With HIV, Philadelphia 2005–2013
To evaluate the impact of a Perinatal Medical Case Management (PCM) Program for women living with HIV (WLWH). Characteristics of pregnant and postpartum WLWH were compared between those who engaged in PCM and those who did not. Using secondary data collected from routine HIV surveillance, multivaria...
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Veröffentlicht in: | AIDS and behavior 2017-09, Vol.21 (9), p.2670-2681 |
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description | To evaluate the impact of a Perinatal Medical Case Management (PCM) Program for women living with HIV (WLWH). Characteristics of pregnant and postpartum WLWH were compared between those who engaged in PCM and those who did not. Using secondary data collected from routine HIV surveillance, multivariable regression models were used to evaluate the association between PCM and four outcomes adapted from the HIV care continuum. In multivariable models, compared to WLWH not in PCM, participants (n = 448, 52.8%) were almost twice as likely to achieve HIV suppression before delivery (aOR 1.90 [1.33, 2.71], p = 0.0005); were more likely to be retained in HIV care 1 year postpartum (aOR 1.59 [1.17, 2.16], p = 0.0029); and were equally likely to engage in HIV care within 90-days of delivery (aOR 1.21 [0.88, 1.65], p = 0.236) and be virally suppressed 1 year postpartum (aOR 1.26 [0.90, 1.77], p = 0.178). PCM is an important intervention for preventing perinatal HIV transmission and closings gaps in the HIV care continuum for WLWH during pregnancy and postpartum. |
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Characteristics of pregnant and postpartum WLWH were compared between those who engaged in PCM and those who did not. Using secondary data collected from routine HIV surveillance, multivariable regression models were used to evaluate the association between PCM and four outcomes adapted from the HIV care continuum. In multivariable models, compared to WLWH not in PCM, participants (n = 448, 52.8%) were almost twice as likely to achieve HIV suppression before delivery (aOR 1.90 [1.33, 2.71], p = 0.0005); were more likely to be retained in HIV care 1 year postpartum (aOR 1.59 [1.17, 2.16], p = 0.0029); and were equally likely to engage in HIV care within 90-days of delivery (aOR 1.21 [0.88, 1.65], p = 0.236) and be virally suppressed 1 year postpartum (aOR 1.26 [0.90, 1.77], p = 0.178). PCM is an important intervention for preventing perinatal HIV transmission and closings gaps in the HIV care continuum for WLWH during pregnancy and postpartum.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-017-1714-9</identifier><identifier>PMID: 28176167</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Acquired immune deficiency syndrome ; AIDS ; Case management ; Disease transmission ; Dynamic programming ; Health Psychology ; HIV ; Human immunodeficiency virus ; Infectious Diseases ; Medicine ; Medicine & Public Health ; Methadone ; Original Paper ; Postpartum ; Pregnancy ; Public Health ; Regression analysis ; Surveillance ; Women ; Womens health</subject><ispartof>AIDS and behavior, 2017-09, Vol.21 (9), p.2670-2681</ispartof><rights>Springer Science+Business Media New York 2017</rights><rights>AIDS and Behavior is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-f75d2bd2758cd6572f29a7ed9c44c6c3667359ac7e31dbc4f6e4a900df5098b73</citedby><cites>FETCH-LOGICAL-c372t-f75d2bd2758cd6572f29a7ed9c44c6c3667359ac7e31dbc4f6e4a900df5098b73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-017-1714-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-017-1714-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27349,27929,27930,33779,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28176167$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Anderson, Emily A.</creatorcontrib><creatorcontrib>Momplaisir, Florence M.</creatorcontrib><creatorcontrib>Corson, Catherine</creatorcontrib><creatorcontrib>Brady, Kathleen A.</creatorcontrib><title>Assessing the Impact of Perinatal HIV Case Management on Outcomes Along the HIV Care Continuum for Pregnant and Postpartum Women Living With HIV, Philadelphia 2005–2013</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>To evaluate the impact of a Perinatal Medical Case Management (PCM) Program for women living with HIV (WLWH). Characteristics of pregnant and postpartum WLWH were compared between those who engaged in PCM and those who did not. Using secondary data collected from routine HIV surveillance, multivariable regression models were used to evaluate the association between PCM and four outcomes adapted from the HIV care continuum. In multivariable models, compared to WLWH not in PCM, participants (n = 448, 52.8%) were almost twice as likely to achieve HIV suppression before delivery (aOR 1.90 [1.33, 2.71], p = 0.0005); were more likely to be retained in HIV care 1 year postpartum (aOR 1.59 [1.17, 2.16], p = 0.0029); and were equally likely to engage in HIV care within 90-days of delivery (aOR 1.21 [0.88, 1.65], p = 0.236) and be virally suppressed 1 year postpartum (aOR 1.26 [0.90, 1.77], p = 0.178). PCM is an important intervention for preventing perinatal HIV transmission and closings gaps in the HIV care continuum for WLWH during pregnancy and postpartum.</description><subject>Acquired immune deficiency syndrome</subject><subject>AIDS</subject><subject>Case management</subject><subject>Disease transmission</subject><subject>Dynamic programming</subject><subject>Health Psychology</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Infectious Diseases</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Methadone</subject><subject>Original Paper</subject><subject>Postpartum</subject><subject>Pregnancy</subject><subject>Public Health</subject><subject>Regression analysis</subject><subject>Surveillance</subject><subject>Women</subject><subject>Womens health</subject><issn>1090-7165</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kcGq1DAUhoso3uvVB3AjATcurOYkbdIsh0G9AyN3Fupdhkx6OtNLm9QkFdz5Dr6Fj-WTmKGjiOAqgfP9_wn5iuIp0FdAqXwdgVYCSgqyBAlVqe4Vl1BLXnJWV_fznSpaShD1RfEoxjtKqRJSPSwuWANSgJCXxY9VjBhj7w4kHZFsxsnYRHxHdhh6Z5IZyPXmE1mbiOS9ceaAI7oMOHIzJ-tHjGQ1-HN6IQOStXepd_M8ks4Hsgt4cCanjGvJzsc0mZDy7DbHHdn2X07bb_t0PBW8JLtjP5gWh-nYG8IorX9--84o8MfFg84MEZ-cz6vi49s3H9bX5fbm3Wa92paWS5bKTtYt27dM1o1tRS1Zx5SR2CpbVVZYLoTktTJWIod2b6tOYGUUpW1XU9XsJb8qXiy9U_CfZ4xJj320OAzGoZ-jhkYIpvKHQ0af_4Pe-Tm4_DoNilPJZAM8U7BQNvgYA3Z6Cv1owlcNVJ9E6kWkziL1SaRWOfPs3DzvR2z_JH6bywBbgJhH7oDhr9X_bf0F16aoSw</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>Anderson, Emily A.</creator><creator>Momplaisir, Florence M.</creator><creator>Corson, Catherine</creator><creator>Brady, Kathleen A.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7T2</scope><scope>7U3</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AM</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>BHHNA</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HEHIP</scope><scope>K7.</scope><scope>K9.</scope><scope>KB0</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20170901</creationdate><title>Assessing the Impact of Perinatal HIV Case Management on Outcomes Along the HIV Care Continuum for Pregnant and Postpartum Women Living With HIV, Philadelphia 2005–2013</title><author>Anderson, Emily A. ; Momplaisir, Florence M. ; Corson, Catherine ; Brady, Kathleen A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-f75d2bd2758cd6572f29a7ed9c44c6c3667359ac7e31dbc4f6e4a900df5098b73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>AIDS</topic><topic>Case management</topic><topic>Disease transmission</topic><topic>Dynamic programming</topic><topic>Health Psychology</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Infectious Diseases</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Methadone</topic><topic>Original Paper</topic><topic>Postpartum</topic><topic>Pregnancy</topic><topic>Public Health</topic><topic>Regression analysis</topic><topic>Surveillance</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Anderson, Emily A.</creatorcontrib><creatorcontrib>Momplaisir, Florence M.</creatorcontrib><creatorcontrib>Corson, Catherine</creatorcontrib><creatorcontrib>Brady, Kathleen A.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Social Services Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Criminal Justice Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Criminology Collection</collection><collection>Sociological Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Sociology Collection</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Criminal Justice Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Anderson, Emily A.</au><au>Momplaisir, Florence M.</au><au>Corson, Catherine</au><au>Brady, Kathleen A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing the Impact of Perinatal HIV Case Management on Outcomes Along the HIV Care Continuum for Pregnant and Postpartum Women Living With HIV, Philadelphia 2005–2013</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2017-09-01</date><risdate>2017</risdate><volume>21</volume><issue>9</issue><spage>2670</spage><epage>2681</epage><pages>2670-2681</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><abstract>To evaluate the impact of a Perinatal Medical Case Management (PCM) Program for women living with HIV (WLWH). Characteristics of pregnant and postpartum WLWH were compared between those who engaged in PCM and those who did not. Using secondary data collected from routine HIV surveillance, multivariable regression models were used to evaluate the association between PCM and four outcomes adapted from the HIV care continuum. In multivariable models, compared to WLWH not in PCM, participants (n = 448, 52.8%) were almost twice as likely to achieve HIV suppression before delivery (aOR 1.90 [1.33, 2.71], p = 0.0005); were more likely to be retained in HIV care 1 year postpartum (aOR 1.59 [1.17, 2.16], p = 0.0029); and were equally likely to engage in HIV care within 90-days of delivery (aOR 1.21 [0.88, 1.65], p = 0.236) and be virally suppressed 1 year postpartum (aOR 1.26 [0.90, 1.77], p = 0.178). PCM is an important intervention for preventing perinatal HIV transmission and closings gaps in the HIV care continuum for WLWH during pregnancy and postpartum.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28176167</pmid><doi>10.1007/s10461-017-1714-9</doi><tpages>12</tpages></addata></record> |
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subjects | Acquired immune deficiency syndrome AIDS Case management Disease transmission Dynamic programming Health Psychology HIV Human immunodeficiency virus Infectious Diseases Medicine Medicine & Public Health Methadone Original Paper Postpartum Pregnancy Public Health Regression analysis Surveillance Women Womens health |
title | Assessing the Impact of Perinatal HIV Case Management on Outcomes Along the HIV Care Continuum for Pregnant and Postpartum Women Living With HIV, Philadelphia 2005–2013 |
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