Limited preventive care among Medicaid enrollees with HIV in the US South
Abstract Routine preventive care (RPC) services are recommended for people with HIV, who have higher risk of certain preventable conditions. We used a pooled cross-section of patient-years to examine receipt of 5 annual RPC services among Medicaid enrollees in the US South. Data were person-level ad...
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Nature Portfolio
2025-01-01
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| Online Access: | https://doi.org/10.1038/s41598-025-85428-x |
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| author | Jessica S. Kiernan Rose S. Bono Deo Mujwara Zhongzhe Pan Bassam Dahman April D. Kimmel |
| author_facet | Jessica S. Kiernan Rose S. Bono Deo Mujwara Zhongzhe Pan Bassam Dahman April D. Kimmel |
| author_sort | Jessica S. Kiernan |
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| description | Abstract Routine preventive care (RPC) services are recommended for people with HIV, who have higher risk of certain preventable conditions. We used a pooled cross-section of patient-years to examine receipt of 5 annual RPC services among Medicaid enrollees in the US South. Data were person-level administrative claims (Medicaid Analytic eXtract, 2008–2012) and county-level characteristics for 16 Southern states plus District of Columbia. Generalized estimating equations estimated the probability of lipid, glucose, syphilis, and cervical cancer (women only) screenings and influenza vaccination. We also examined service receipt among subgroups including enrollees requiring more general or HIV-specific care, in managed care, < 45 years and, separately, Non-Hispanic Black and Non-Hispanic White enrollees. The sample included 57,695 adult Medicaid enrollees with HIV (187,275 enrollee-years) that were majority 45–54 years (38.0%), female (53.6%), Non-Hispanic Black (54.3%), and urban (90.2%). Enrollees received lipid, syphilis, and cervical cancer screenings and influenza vaccination in < 50% and glucose screening in 71.7% of total enrollment-years. The adjusted probability was low (< 50%) for all services except glucose screening (estimated probability 81%; 95% confidence interval 78%, 83%). Findings were similar across subgroups. There is consistent, suboptimal receipt of RPC services among people with HIV. Approaches are needed to increase uptake of RPC services. |
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| institution | Kabale University |
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| language | English |
| publishDate | 2025-01-01 |
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| spelling | doaj-art-a2f6148dbbbf4df4b97f24790e5b77552025-01-19T12:17:03ZengNature PortfolioScientific Reports2045-23222025-01-011511910.1038/s41598-025-85428-xLimited preventive care among Medicaid enrollees with HIV in the US SouthJessica S. Kiernan0Rose S. Bono1Deo Mujwara2Zhongzhe Pan3Bassam Dahman4April D. Kimmel5Virginia Commonwealth University School of MedicineDepartment of Health Policy, Virginia Commonwealth University School of Public HealthDepartment of Health Policy, Virginia Commonwealth University School of Public HealthDepartment of Health Policy, Virginia Commonwealth University School of Public HealthDepartment of Health Policy, Virginia Commonwealth University School of Public HealthVirginia Commonwealth University School of MedicineAbstract Routine preventive care (RPC) services are recommended for people with HIV, who have higher risk of certain preventable conditions. We used a pooled cross-section of patient-years to examine receipt of 5 annual RPC services among Medicaid enrollees in the US South. Data were person-level administrative claims (Medicaid Analytic eXtract, 2008–2012) and county-level characteristics for 16 Southern states plus District of Columbia. Generalized estimating equations estimated the probability of lipid, glucose, syphilis, and cervical cancer (women only) screenings and influenza vaccination. We also examined service receipt among subgroups including enrollees requiring more general or HIV-specific care, in managed care, < 45 years and, separately, Non-Hispanic Black and Non-Hispanic White enrollees. The sample included 57,695 adult Medicaid enrollees with HIV (187,275 enrollee-years) that were majority 45–54 years (38.0%), female (53.6%), Non-Hispanic Black (54.3%), and urban (90.2%). Enrollees received lipid, syphilis, and cervical cancer screenings and influenza vaccination in < 50% and glucose screening in 71.7% of total enrollment-years. The adjusted probability was low (< 50%) for all services except glucose screening (estimated probability 81%; 95% confidence interval 78%, 83%). Findings were similar across subgroups. There is consistent, suboptimal receipt of RPC services among people with HIV. Approaches are needed to increase uptake of RPC services.https://doi.org/10.1038/s41598-025-85428-xHIVPreventive careQuality of careScreeningVaccination |
| spellingShingle | Jessica S. Kiernan Rose S. Bono Deo Mujwara Zhongzhe Pan Bassam Dahman April D. Kimmel Limited preventive care among Medicaid enrollees with HIV in the US South Scientific Reports HIV Preventive care Quality of care Screening Vaccination |
| title | Limited preventive care among Medicaid enrollees with HIV in the US South |
| title_full | Limited preventive care among Medicaid enrollees with HIV in the US South |
| title_fullStr | Limited preventive care among Medicaid enrollees with HIV in the US South |
| title_full_unstemmed | Limited preventive care among Medicaid enrollees with HIV in the US South |
| title_short | Limited preventive care among Medicaid enrollees with HIV in the US South |
| title_sort | limited preventive care among medicaid enrollees with hiv in the us south |
| topic | HIV Preventive care Quality of care Screening Vaccination |
| url | https://doi.org/10.1038/s41598-025-85428-x |
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