Neighborhood characteristics and HIV treatment outcomes: A scoping review.

Recognizing challenges faced by people living with HIV is vital for improving their HIV treatment outcomes. While individual-level interventions play a crucial role, community factors can shape the impact of individual interventions on treatment outcomes. Understanding neighborhood characteristics&#...

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Main Authors: Linda Jepkoech Kimaru, Magdiel A Habila, Namoonga M Mantina, Purnima Madhivanan, Elizabeth Connick, Kacey Ernst, John Ehiri
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLOS Global Public Health
Online Access:https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0002870&type=printable
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author Linda Jepkoech Kimaru
Magdiel A Habila
Namoonga M Mantina
Purnima Madhivanan
Elizabeth Connick
Kacey Ernst
John Ehiri
author_facet Linda Jepkoech Kimaru
Magdiel A Habila
Namoonga M Mantina
Purnima Madhivanan
Elizabeth Connick
Kacey Ernst
John Ehiri
author_sort Linda Jepkoech Kimaru
collection DOAJ
description Recognizing challenges faced by people living with HIV is vital for improving their HIV treatment outcomes. While individual-level interventions play a crucial role, community factors can shape the impact of individual interventions on treatment outcomes. Understanding neighborhood characteristics' association with HIV treatment outcomes is crucial for optimizing effectiveness. This review aims to summarize the research scope on the association between neighborhood characteristics and HIV treatment outcomes. The databases PubMed, CINAHL (EBSCOhost), Embase (Elsevier), and PsychINFO (EBSCOhost) were searched from the start of each database to Nov 21, 2022. Screening was performed by three independent reviewers. Full-text publications of all study design meeting inclusion criteria were included in the review. There were no language or geographical limitations. Conference proceedings, abstract only, and opinion reports were excluded from the review. The search yielded 7,822 publications, 35 of which met the criteria for inclusion in the review. Studies assessed the relationship between neighborhood-level disadvantage (n = 24), composition and interaction (n = 17), social-economic status (n = 18), deprivation (n = 16), disorder (n = 8), and rural-urban status (n = 7) and HIV treatment outcomes. The relationship between all neighborhood characteristics and HIV treatment outcomes was not consistent across studies. Only 7 studies found deprivation had a negative association with HIV treatment outcomes; 6 found that areas with specific racial/ethnic densities were associated with poor HIV treatment outcomes, and 5 showed that disorder was associated with poor HIV treatment outcomes. Three studies showed that rural residence was associated with improved HIV treatment outcomes. There were inconsistent findings regarding the association between neighborhood characteristics and HIV treatment outcomes. While the impact of neighborhood characteristics on disease outcomes is highly recognized, there is a paucity of standardized definitions and metrics for community characteristics to support a robust assessment of this hypothesis. Comparative studies that define and assess how specific neighborhood indicators independently or jointly affect HIV treatment outcomes are highly needed.
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spelling doaj-art-b478902a907843bb9b45dbef42c4d58f2025-02-05T05:50:31ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752024-01-0142e000287010.1371/journal.pgph.0002870Neighborhood characteristics and HIV treatment outcomes: A scoping review.Linda Jepkoech KimaruMagdiel A HabilaNamoonga M MantinaPurnima MadhivananElizabeth ConnickKacey ErnstJohn EhiriRecognizing challenges faced by people living with HIV is vital for improving their HIV treatment outcomes. While individual-level interventions play a crucial role, community factors can shape the impact of individual interventions on treatment outcomes. Understanding neighborhood characteristics' association with HIV treatment outcomes is crucial for optimizing effectiveness. This review aims to summarize the research scope on the association between neighborhood characteristics and HIV treatment outcomes. The databases PubMed, CINAHL (EBSCOhost), Embase (Elsevier), and PsychINFO (EBSCOhost) were searched from the start of each database to Nov 21, 2022. Screening was performed by three independent reviewers. Full-text publications of all study design meeting inclusion criteria were included in the review. There were no language or geographical limitations. Conference proceedings, abstract only, and opinion reports were excluded from the review. The search yielded 7,822 publications, 35 of which met the criteria for inclusion in the review. Studies assessed the relationship between neighborhood-level disadvantage (n = 24), composition and interaction (n = 17), social-economic status (n = 18), deprivation (n = 16), disorder (n = 8), and rural-urban status (n = 7) and HIV treatment outcomes. The relationship between all neighborhood characteristics and HIV treatment outcomes was not consistent across studies. Only 7 studies found deprivation had a negative association with HIV treatment outcomes; 6 found that areas with specific racial/ethnic densities were associated with poor HIV treatment outcomes, and 5 showed that disorder was associated with poor HIV treatment outcomes. Three studies showed that rural residence was associated with improved HIV treatment outcomes. There were inconsistent findings regarding the association between neighborhood characteristics and HIV treatment outcomes. While the impact of neighborhood characteristics on disease outcomes is highly recognized, there is a paucity of standardized definitions and metrics for community characteristics to support a robust assessment of this hypothesis. Comparative studies that define and assess how specific neighborhood indicators independently or jointly affect HIV treatment outcomes are highly needed.https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0002870&type=printable
spellingShingle Linda Jepkoech Kimaru
Magdiel A Habila
Namoonga M Mantina
Purnima Madhivanan
Elizabeth Connick
Kacey Ernst
John Ehiri
Neighborhood characteristics and HIV treatment outcomes: A scoping review.
PLOS Global Public Health
title Neighborhood characteristics and HIV treatment outcomes: A scoping review.
title_full Neighborhood characteristics and HIV treatment outcomes: A scoping review.
title_fullStr Neighborhood characteristics and HIV treatment outcomes: A scoping review.
title_full_unstemmed Neighborhood characteristics and HIV treatment outcomes: A scoping review.
title_short Neighborhood characteristics and HIV treatment outcomes: A scoping review.
title_sort neighborhood characteristics and hiv treatment outcomes a scoping review
url https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0002870&type=printable
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