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Impact of mail order pharmacy use and travel time to pharmacy on viral suppression among people living with HIV.
Ridgway, Jessica P; Friedman, Eleanor E; Choe, Justine; Nguyen, Cynthia T; Schuble, Todd; Pettit, Natasha N.
Affiliation
  • Ridgway JP; Department of Medicine, University of Chicago, Chicago, IL, USA.
  • Friedman EE; The Chicago Center for HIV Elimination, University of Chicago, Chicago, IL, USA.
  • Choe J; The Chicago Center for HIV Elimination, University of Chicago, Chicago, IL, USA.
  • Nguyen CT; Department of Pharmacy, University of Chicago, Chicago, IL, USA.
  • Schuble T; Department of Pharmacy, University of Chicago, Chicago, IL, USA.
  • Pettit NN; Research Computing Group, University of Chicago, Chicago, IL, USA.
AIDS Care ; 32(11): 1372-1378, 2020 11.
Article in En | MEDLINE | ID: mdl-32362129
ABSTRACT
This study aimed to evaluate the impact of mail order pharmacy services and travel time to pharmacy on HIV viral suppression rates among people living with HIV. For adult patients receiving HIV care from 2010 to 2015 at an urban HIV care clinic, we collected demographics, pharmacy type, viral load, and patient home and pharmacy address. We geocoded addresses and measured travel time to pharmacy by car and public transportation. No difference was observed in recent viral suppression rates based on pharmacy type (p = 0.41), distance to pharmacy (p = 0.16), or travel time to pharmacy by car (p = 0.20) or public transportation (p = 0.15). The only factors significantly associated with sustained viral suppression were number of doses per day of antiretroviral therapy, with patients prescribed twice daily regimens less likely to be virally suppressed than those prescribed once daily regimens (aOR 0.4, 95% CI, [0.1, 0.6]) and average household income in patients' zip code, with patients living in zip codes with average household income <$40,000 per year less likely to be virally suppressed than those living in zip codes with average income >$55,000 per year (aOR 0.2. 95% CI, [0.1, 0.7]).
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pharmaceutical Services / HIV Infections / Anti-HIV Agents / Sexual and Gender Minorities Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: America do norte Language: En Journal: AIDS Care Journal subject: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2020 Type: Article Affiliation country: United States

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pharmaceutical Services / HIV Infections / Anti-HIV Agents / Sexual and Gender Minorities Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: America do norte Language: En Journal: AIDS Care Journal subject: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2020 Type: Article Affiliation country: United States