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Barriers to HIV Care by Viral Suppression Status Among US Adults With HIV: Findings From the Centers for Disease Control and Prevention Medical Monitoring Project

Journal of the Association of Nurses in AIDS Care: September/October 2021 - Volume 32 - Issue 5 - p e60-e61
doi: 10.1097/JNC.0000000000000294


  • Read the article on page 561.
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Registration Deadline: September 6, 2024

Disclosure Statement: The authors and planners have disclosed that they have no financial relationships related to this article.


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LPD is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours. LPD is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida. CE Broker #50-1223.

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DOI: 10.1097/JNC.0000000000000294

Learning Outcome: Health care providers will demonstrate knowledge of estimates of engagement in care among US adults with diagnosed HIV, overall and by viral suppression, by achieving a minimum score of 70% on the outcomes-based posttest.

Learning Objectives: After completing this continuing professional development activity, the participant will be able to apply knowledge gained to:

  • 1. Recognize the percentage of adults with HIV who were retained in HIV care.
  • 2. Differentiate adults with HIV who did not have viral suppression from those who did.
  • 3. Select the common barriers adults with HIV reported to receiving care.
  • 1. From 2015 to 2018, nearly 80% of adults with diagnosed HIV
    • a. were retained in HIV care.
    • b. had missed at least one visit with a health care provider.
    • c. had at least one unsuppressed viral load test in the previous year.
  • 2. About how many adults with diagnosed HIV had sustained viral suppression?
    • a. almost one half
    • b. nearly two thirds
    • c. about three quarters
  • 3. Adults with HIV who were not virally suppressed were
    • a. more likely to be retained in care.
    • b. less likely to report financial issues.
    • c. more likely to miss health care visits.
  • 4. The barrier to care that adults with HIV most commonly reported was
    • a. having life circumstances that impeded receiving care.
    • b. having problems with health care insurance.
    • c. not feeling sick enough to warrant taking take medicine.
  • 5. Of the following barriers to care, which did adults with HIV report most often?
    • a. no faith in antiretroviral therapy
    • b. mistrust of HIV care providers
    • c. fear of HIV disclosure
  • 6. Compared with those who were virally suppressed, adults with HIV who were not virally suppressed were more likely to report which of the following as barriers to care?
    • a. ongoing transportation issues
    • b. fear or denial about living with HIV
    • c. lack of a dependable social support system
  • 7. Compared with those who were virally suppressed, adults with HIV who were not virally suppressed reported their health care provider not requesting more frequent appointments as a barrier to care
    • a. less often.
    • b. more often.
    • c. about as often.
  • 8. Among people who felt they did not receive enough HIV care, almost all of them reported
    • a. no substantial barriers to care.
    • b. at least one barrier to care.
    • c. multiple barriers to care.
  • 9. Of all adults with diagnosed HIV, how many reported having life circumstances that impeded HIV care engagement?
    • a. one third
    • b. one half
    • c. two thirds
  • 10. Although adults with HIV who were not virally suppressed experienced substantial barriers to receiving HIV care, they were also more likely to get professional help to
    • a. increase their access to care.
    • b. address mental health issues.
    • c. obtain food and housing assistance.

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