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Impact of Pharmacy Proximity and Delivery Services on HIV Viral Suppression Among Low Income Urban Patients
Nathan Pham1, Steven Lewis2, Ann Avery3,4
1Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Abstract:
Adherence to antiretrovirals is essential to achieve viral suppression in HIV patients. Unfortunately, numerous barriers to adherence and subsequent viral suppression still exist. This study examines the association between pharmacy location and viral suppression for low income HIV patients. We evaluated whether home delivery services or closer proximity to in-store pharmacies was associated with viral suppression. Patients utilizing delivery pharmacy had increased likelihood of sustained viral suppression compared to in-store pharmacy patients (aOR = 3.430). For patients traveling to pharmacies, there were no differences in proximity for suppressed and non-suppressed patients. Home delivery may aid adherence and improve viral suppression.
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