Our new study just published in #ClinInfectDis examines neighborhood deprivation, race/ethnicity, and HIV viral suppression. Thread 👇🏾
#MedTwitter #MedStudentTwitter #IDTwitter
doi.org/10.1093/cid/ci…
![ACCEPTED MANUSCRIPT "Neighborhood Deprivation and Racia](https://pbs.twimg.com/media/EgdfWAUXgA4c1u-.png)
To this day, HOLC maps of urban areas like Omaha STILL align w/deprivation & racial segregation (R).
![An official U.S. Home Owners Loan Corporation (HOLC) map of](https://pbs.twimg.com/media/EgdfWTEWAAAaC25.jpg)
![Area Deprivation Index (ADI) map of the Greater Omaha Area,](https://pbs.twimg.com/media/EgdfWTlXcAY6Yx3.png)
![Racial Dot Map of Greater Omaha Area, demonstrating clear pr](https://pbs.twimg.com/media/EgdfWUJWkAInMu8.png)
We assessed neighborhood disadvantage using the ADI, outlined by @amyjhkind et al. in @NEJM.
nejm.org/doi/full/10.10…
✅Viral suppression rates among Black ppl w/HIV (PWH) < White PWH
✅Black-White differences were non-significant after adjusting for age, sex, income, ADI, rurality
✅ADI & poverty independently & inversely assoc. w/suppression
doi.org/10.1093/cid/ci…
![Table 1 – Independent predictors of HIV viral suppression.](https://pbs.twimg.com/media/EgdbYYxWsAIdrmd.jpg)
As we aim to #EndHIVEpidemic, we need to think beyond the clinic walls. The *structural* -isms require *structural* interventions.
The phenomenal Invited Commentary by Doshi et al. expands on our brief discussion section 👇🏾
doi.org/10.1093/cid/ci…
![ACCEPTED MANUSCRIPT "Tying Structural Racism to HIV Vir](https://pbs.twimg.com/media/EgdfXGfXYAcOmr5.png)
At @UNMC, @DrJRMarcelin and I partner with our community to start these conversations early.
✅Changes in welfare policy
✅Integrated models of care
✅Comprehensive sex education
✅Harm reduction programs
✅Protecting the rights of sexual/gender minorities
Gratitude to @shurtadobares @DrJRMarcelin, truly incredible research (and life! ☺️) mentors, and to our @UNMC_ID clinic team & patients!
doi.org/10.1093/cid/ci…