"Viral Suppression Among Rural and Urban People Living With HIV in Wyoming"

To determine whether sociodemographic factors, including residence in rural/frontier versus urban settings, are associated with differences in HIV viral suppression rates among people living with HIV in Wyoming with one or more reported viral load results in 2023.

Wyoming Department of Health databases were used to identify people living with HIV in Wyoming who had a viral load reported between January 1, 2023, and December 27, 2023. Demographic information was obtained, including county of residence, sex, age, insurance status, and Ryan White HIV and AIDS Program participation. Multiple logistic regression models were developed to conduct a cross-sectional examination of the effect of geographic location on the viral suppression status.

A total of 272 people were identified as having one or more viral load results in 2023 and were included in the study. A total of 248 study participants were virally suppressed. There was no significant association between rural/frontier and urban county of residence and the odds of being virally suppressed (OR = 1.066, 95% CI: [0.447-2.617], and p = 0.886). There was a significant association between age and viral suppression status, with the odds of being virally suppressed increasing as age increases (OR = 1.046, 95% CI: [1.012-1.082], and p = 0.008).

There was no statistically significant association in HIV viral suppression between rural/frontier and urban people living with HIV in Wyoming who had a viral load result in 2023. There was a statistically significant association between age and odds of viral suppression, with the odds of viral suppression increasing as age increases.