Faculty, Staff and Student Publications
Language
English
Publication Date
1-1-2026
Journal
International Association of Providers of AIDS Care
DOI
10.1177/23259582251411352
PMID
41627029
Abstract
Objective: This cross-sectional study examined how types of disability and comorbidities influence retention in care (RIC) among people with HIV (PWH) in Houston/Harris County, Texas, USA.
Methods: Data from 1142 participants in the Houston Medical Monitoring Project (2015–2021) were analyzed. Descriptive statistics, bivariate analyses, and multivariable logistic regression were used to evaluate factors associated with RIC.
Results: Approximately 74.9% of participants were retained in care. Compared to PWH without specific comorbidities, those with dyslipidemia and kidney disease had higher odds of RIC (AOR: 2.66; 95% CI: 1.40–5.03 and AOR: 14.08; 95% CI: 1.44–138.12, respectively). PWH reporting only mobility disability had increased odds of RIC (AOR: 3.40; 95% CI: 1.33–8.71), while those reporting only visual disability had reduced odds of RIC (AOR: 0.38; 95% CI: 0.16–0.87). Durable viral suppression was strongly associated with greater RIC (AOR: 7.96; 95% CI: 5.28–11.99).
Conclusion: Comorbidities and disability types significantly influence retention in HIV care. Tailored interventions are needed to improve RIC among PWH, particularly those with visual disabilities.
Keywords
Humans, HIV Infections, Male, Female, Middle Aged, Cross-Sectional Studies, Persons with Disabilities, Adult, Comorbidity, Retention in Care, Texas
Published Open-Access
yes
Recommended Citation
Onigbogi, Modupe Olajumoke; Mgbere, Osaro; Rowan, Paul; et al., "Population-Based Analysis of Synergistic Effects of Functional Disability and Comorbidities on Retention in HIV Care Among People With HIV" (2026). Faculty, Staff and Student Publications. 1191.
https://digitalcommons.library.tmc.edu/uthsph_docs/1191