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Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

2021

Epidemiology

FIU Electronic Theses and Dissertations

Geographic disparities

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Full-Text Articles in Medicine and Health Sciences

Examining The Effects Of Neighborhood Factors And Geography On Racial/Ethnic Disparities In Achieving Sustained Viral Suppression, Rahel Dawit Dec 2021

Examining The Effects Of Neighborhood Factors And Geography On Racial/Ethnic Disparities In Achieving Sustained Viral Suppression, Rahel Dawit

FIU Electronic Theses and Dissertations

Sustained viral suppression (all viral load tests/mL in a year) decreases the risk of HIV transmission and disease progression to AIDS for people with HIV. Racial/ethnic minorities living with HIV are particularly challenged by barriers, including neighborhood factors, to maintain viral suppression. This dissertation examined the contribution of neighborhood and geographic factors on racial/ethnic disparities in achieving sustained viral suppression. A cross-sectional analysis of secondary data collected in 2017 for 6491 clients enrolled in the Miami-Dade County Ryan White Program (RWP) was conducted.

The first study examined the moderating role of neighborhood level factors on the association between race/ethnicity and …