{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T10:00:31Z","timestamp":1785060031808,"version":"3.55.0"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"vor","delay-in-days":53,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AIDS Research and Treatment"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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\u2010sectional examination of the effect of geographic location on the viral suppression status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      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\u2009=\u20091.066, 95% CI: [0.447\u20132.617], and\n                      <jats:italic>p<\/jats:italic>\n                      = 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\u2009=\u20091.046, 95% CI: [1.012\u20131.082], and\n                      <jats:italic>p<\/jats:italic>\n                      = 0.008).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/arat\/7353282","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:29:40Z","timestamp":1772990980000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cViral Suppression Among Rural and Urban People Living With HIV in Wyoming\u201d"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8520-4425","authenticated-orcid":false,"given":"Sarah","family":"Hendricks","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6185-0897","authenticated-orcid":false,"given":"Anh","family":"Huynh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5862-6935","authenticated-orcid":false,"given":"Daniel T.","family":"Burns","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1080-4766","authenticated-orcid":false,"given":"Shawna","family":"Pena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3686-0290","authenticated-orcid":false,"given":"Paul","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,23]]},"reference":[{"key":"e_1_2_10_1_2","volume-title":"The Role of HIV Viral Suppression in Improving Individual Health and Reducing Transmission: Policy Brief","author":"World Health Organization","year":"2023"},{"key":"e_1_2_10_2_2","unstructured":"Centers for Disease Control and Prevention HIV Treatment as Prevention (Tasp) 2023 https:\/\/www.cdc.gov\/hiv\/risk\/art\/index.html."},{"key":"e_1_2_10_3_2","unstructured":"Health Resources and Services Administration Ryan White HIV\/AIDS Program Parts and Initiatives https:\/\/ryanwhite.hrsa.gov\/about\/parts-and-initiatives."},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0230121"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12208"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3181ef60c2"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25286"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12384"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-023-04145-6"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2012.08.007"},{"key":"e_1_2_10_11_2","article-title":"CDC Publishes New HIV Surveillance Reports","author":"Centers for Disease Control and Prevention","journal-title":"National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention"},{"key":"e_1_2_10_12_2","volume-title":"Insurance Coverage and Viral Suppression Among People with HIV, 2018","author":"Dawson L.","year":"2020"},{"key":"e_1_2_10_13_2","unstructured":"Us Census Bureau Quickfacts: Wyoming https:\/\/www.census.gov\/quickfacts\/WY."},{"key":"e_1_2_10_14_2","unstructured":"Centers for Disease Control HIV Diagnoses Deaths and Prevalence: 2025 Update https:\/\/www.cdc.gov\/hiv-data\/nhss\/hiv-diagnoses-deaths-and-prevalence-2025.html."},{"key":"e_1_2_10_15_2","unstructured":"Health Resources and Services Administration Maternal and Child Health Services Title V Block Grant Program: State overview\u2014Wyoming 2021 https:\/\/mchb.tvisdata.hrsa.gov\/Narratives\/Overview\/928ca6c6-9f40-4aa5-8bfa-f22dd52da28c."},{"key":"e_1_2_10_16_2","article-title":"How We Define Rural","author":"Us Department of Health & Human Services","year":"2025","journal-title":"Health Resources and Services Administration"},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40266-013-0107-7"},{"key":"e_1_2_10_18_2","unstructured":"Health Resources and Services Administration Ryan White HIV\/AIDS Program Achieves record-breaking 90.6% Viral Suppression Rate Among its More than 576 000 Clients https:\/\/www.hrsa.gov\/about\/news\/press-releases\/ryan-white-record-breaking-viral-suppression-rate."},{"key":"e_1_2_10_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/wics.1460"}],"container-title":["AIDS Research and 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