{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T06:18:50Z","timestamp":1793341130126,"version":"4.5.0"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"United States (US) Department of Veterans Affairs, Health Services Research and Development Service","award":["101 HX002051-01A2"],"award-info":[{"award-number":["101 HX002051-01A2"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,19]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>We examined correlates of registration and utilization of the Veteran Health Administration\u2019s (VHA) personal health record (PHR), My HealtheVet (MHV), among a national cohort of veterans living with HIV.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>Using VHA administrative data, we matched veterans with HIV who registered for MHV in fiscal year 2012\u20132018 (n\u2009=\u20098589) to 8589 veterans with HIV who did not register for MHV. We compared demographic and geographic characteristics, housing status, comorbidities, and non-VHA care between MHV registrants and nonregistrants to identify correlates of MHV registration. Among registrants, we examined the association between these characteristics and MHV tool use (prescription refill, record download, secure messaging, view labs, and view appointments).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>MHV registrants were more likely to be younger, women, White, and to have bipolar disorder, depression, or post-traumatic stress disorder diagnosis than nonregistrants. Having a substance use disorder (SUD) diagnosis or a higher Elixhauser score was associated with lower odds of MHV registration. Among registrants, women were less likely to use prescription refill. Patients who were at risk of homelessness in the past year were less likely to use secure messaging and, along with those who were homeless, were less likely to use view labs and prescription refill. Bipolar disorder and depression were associated with increased secure messaging use. Diagnoses of SUD and alcohol use disorder were both associated with lower rates of prescription refill.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Among veterans living with HIV, we identified significant differences in PHR registration and utilization by race, sex, age, housing status, and diagnosis.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamiaopen\/ooab029","type":"journal-article","created":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T04:38:30Z","timestamp":1623818310000},"source":"Crossref","is-referenced-by-count":6,"title":["Correlates of personal health record registration and utilization among veterans with HIV"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6202-2043","authenticated-orcid":false,"given":"Tigran","family":"Avoundjian","sequence":"first","affiliation":[{"name":"Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, California, USA"},{"name":"Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington, USA"},{"name":"Department of Health Services, School of Public Health, University of Washington, Seattle, Washington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lara","family":"Troszak","sequence":"additional","affiliation":[{"name":"Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, California, USA"},{"name":"Stanford School of Medicine, Stanford University, Stanford, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shayna","family":"Cave","sequence":"additional","affiliation":[{"name":"Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, California, USA"},{"name":"Stanford School of Medicine, Stanford University, Stanford, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Shimada","sequence":"additional","affiliation":[{"name":"Center for Healthcare Organization & Implementation Research (CHOIR), Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts, USA"},{"name":"Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"McInnes","sequence":"additional","affiliation":[{"name":"Center for Healthcare Organization & Implementation Research (CHOIR), Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts, USA"},{"name":"Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda M","family":"Midboe","sequence":"additional","affiliation":[{"name":"Center 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