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Publication Profiles

Characterizing residential mobility among people with HIV in Tennessee and its impact on HIV care outcomes

Citation

Ahonkhai AA, Bian A, Robbins NN, et al. Characterizing residential mobility among people with HIV in Tennessee and its impact on HIV care outcomes. AIDS. 2024;38(3):397-405. doi:10.1097/QAD.0000000000003778

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Not applicable

Continuum target addressed:

Engagement in treatment (including retention and re-engagement), Viral suppression

Geography:

Shelby County-TN

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers wanted to learn how often and how far people with HIV in Tennessee moved and whether moving was related to staying in HIV care, being lost to follow-up, or maintaining a very low viral load.

Plain Language Abstract

Moving can interrupt relationships with clinics and create difficulties staying in HIV care. Researchers linked residential-address and HIV-surveillance data for 17,428 people in Tennessee from 2016 through 2018. Thirty-eight percent moved at least once, with a median move of 8.9 miles. Movement occurred between Tennessee’s major cities and between Tennessee, Georgia, and Florida. After adjustment, any in-state move was associated with a lower likelihood of being retained in care the following year. People with two or three moves had a 17% higher risk of being lost to follow-up than those who did not move. Longer moves were linked with larger differences: a modeled move of 1,000 versus zero miles was associated with substantially lower retention and higher loss to follow-up. Mobility was not associated with viral suppression. The findings indicate that address changes may help programs identify periods when patients need extra support to remain connected with care. However, this retrospective observational study cannot show that moving caused poorer engagement; housing instability, economic conditions, or other factors may influence both mobility and care.

Key Takeaways

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