title: For Many Served By The Ryan White HIV/AIDS Program, Disparities In Viral Suppression Decreased, 2010-14.
abstract: For twenty-five years, the Ryan White HIV/AIDS Program has supported a comprehensive system of health services for vulnerable and under- or uninsured people living with HIV. Using data from the Health Resources and Services Administration about people living with HIV and served by the Ryan White HIV/AIDS Program, we found reductions in disparities in viral suppression rates between 2010 and 2014-with rates for Blacks/African Americans, adolescents and young adults, and people living in the South becoming more similar to rates for Whites, older adults, and people in other regions of the United States, respectively. Although absolute viral suppression rates for people without stable housing and transgender people improved during the same time period, disparities were not reduced between these groups and those with stable housing and nontransgender people, respectively. Addressing persistent disparities through the effective use of this program will be one of the key ways to meet the goals of the National HIV/AIDS Strategy.
authors.affiliation: Rupali K. Doshi (rkdoshi@gwu.edu) is an assistant research professor of epidemiology and biostatistics at the Milken Institute School of Public Health at George Washington University, and chief of the Strategic Information Division, HIV/AIDS, Hepatitis, STD, and TB Administration, District of Columbia Department of Health, both in Washington, D.C.
authors.forename: Rupali K
authors.initials: RK
authors.lastname: Doshi
authors.affiliation: John Milberg is a health scientist at the Division of Policy and Data, HIV/AIDS Bureau, Health Resources and Services Administration (HRSA), in Rockville, Maryland.
authors.forename: John
authors.initials: J
authors.lastname: Milberg
authors.affiliation: Theresa Jumento is a branch chief at the Division of Policy and Data, HIV/AIDS Bureau, HRSA.
authors.forename: Theresa
authors.initials: T
authors.lastname: Jumento
authors.affiliation: Tracy Matthews is deputy director of the Division of Policy and Data, HIV/AIDS Bureau.
authors.forename: Tracy
authors.initials: T
authors.lastname: Matthews
authors.affiliation: Antigone Dempsey is director of the Division of Policy and Data, HIV/AIDS Bureau.
authors.forename: Antigone
authors.initials: A
authors.lastname: Dempsey
authors.affiliation: Laura W. Cheever is the associate administrator of the HIV/AIDS Bureau.
authors.forename: Laura W
authors.initials: LW
authors.lastname: Cheever
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000188:drug therapy* / Q000208:ethnology / Q000821:virology*; D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000368:Aged; D005260:Female; D006297:Health Services Accessibility; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D017057:Medically Uninsured; D008875:Middle Aged; D014481:United States; D014488:United States Health Resources and Services Administration; D019562:Viral Load / Q000639:trends*; D044465:White People / Q000706:statistics & numerical data
keywords: AIDS/HIV; Disparities; Safety-Net Systems