{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:41:34Z","timestamp":1777927294324,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,1,22]],"date-time":"2020-01-22T00:00:00Z","timestamp":1579651200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:p>Socioeconomically disadvantaged men who have sex with men (MSM) and transgender women (TGW) share a disproportionate burden of the HIV epidemic. Providing care in the community may help improve retention and treatment outcomes of these clients. Our objective was to compare HIV outcomes between a community-based model (CBM) and a hospital-based model (HBM) of HIV care. This was a retrospective cohort study of MSM and TGW with HIV treated at community clinics or at a hospital-based clinic. The primary outcome was the cumulative probability of virologic failure (HIV viral load \u2265200\u00a0copies\/ml). We conducted multivariable Cox proportional hazard regression to identify differences in outcome by care setting. Of 258 MSM and TGW, approximately half received care in the CBM. They were more likely to be African American (71% versus 59%), uninsured (48% versus 39%), and used illicit drugs (40% versus 25%). There was no difference in virologic failure by setting (58% CBM, 53% HBM; cumulative incidence of virologic failure: 35% CBM, 25% HBM; adjusted HR\u2009=\u20091.11; 95% CI: 0.88\u20131.39). Despite serving clients at greater risk for failure, virologic failure in our CBM was similar to a traditional HBM for MSM and TGW living with HIV.<\/jats:p>","DOI":"10.1177\/0956462419886779","type":"journal-article","created":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T01:55:21Z","timestamp":1579744521000},"page":"150-157","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A community-based model of HIV care for men who have sex with men and transgender women in Chicago"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4463-514X","authenticated-orcid":false,"given":"Maximo O","family":"Brito","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases and College of Medicine, University of Illinois at Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaveta","family":"Khosla","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lyanne","family":"Santana","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and College of Medicine, University of Illinois at Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Lubrano","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and College of Medicine, University of Illinois at Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamara","family":"Martinez","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alissa","family":"Eugeni","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and College of Medicine, University of Illinois at Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7926-2489","authenticated-orcid":false,"given":"Supriya D","family":"Mehta","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard M","family":"Novak","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and College of Medicine, University of Illinois at Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,1,22]]},"reference":[{"key":"bibr1-0956462419886779","unstructured":"Centers for Disease Control and Prevention. Estimated HIV incidence and prevalence in the United States, 2010\u20132015, http:\/\/www.cdc.gov\/hiv\/library\/reports\/hiv-surveillance.html (accessed 20 January 2019)."},{"key":"bibr2-0956462419886779","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e32835ad489"},{"key":"bibr3-0956462419886779","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000000933"},{"key":"bibr4-0956462419886779","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000001412"},{"key":"bibr5-0956462419886779","doi-asserted-by":"publisher","DOI":"10.3201\/eid1808.111202"},{"key":"bibr6-0956462419886779","first-page":"1","volume":"65","author":"Kirkcaldy RD","year":"2014","journal-title":"MMWR Surveill Summ 2016"},{"key":"bibr7-0956462419886779","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-158-5-201303050-00004"},{"key":"bibr8-0956462419886779","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.298.6674.623"},{"key":"bibr9-0956462419886779","doi-asserted-by":"publisher","DOI":"10.1136\/sti.75.1.3"},{"key":"bibr10-0956462419886779","unstructured":"Chicago Department of Public Health.\n                      HIV\/STI surveillance report, 2018\n                      . City of Chicago. Chicago, IL."},{"key":"bibr11-0956462419886779","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-014-0042-2"},{"key":"bibr12-0956462419886779","doi-asserted-by":"publisher","DOI":"10.1177\/1090198111436340"},{"key":"bibr13-0956462419886779","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2017.0124"},{"key":"bibr14-0956462419886779","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000606"},{"key":"bibr15-0956462419886779","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60829-X"},{"key":"bibr16-0956462419886779","doi-asserted-by":"publisher","DOI":"10.1037\/a0012715"},{"key":"bibr17-0956462419886779","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-156-11-201206050-00419"},{"key":"bibr18-0956462419886779","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2007.9987"},{"key":"bibr19-0956462419886779","unstructured":"Panel on Antiretroviral Guidelines for Adults and Adolescents. Guidelines for the use of antiretroviral agents in adults and adolescents living with HIV. Department of Health and Human Services. Available at: https:\/\/aidsinfo.nih.gov\/ (accessed March 28, 2019)."},{"key":"bibr20-0956462419886779","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.14.0471"},{"key":"bibr21-0956462419886779","doi-asserted-by":"publisher","DOI":"10.1097\/00042560-199607000-00008"},{"key":"bibr22-0956462419886779","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2015.01.140099"},{"key":"bibr23-0956462419886779","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2010.484456"},{"key":"bibr24-0956462419886779","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2014.0199"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462419886779","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0956462419886779","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462419886779","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:40:06Z","timestamp":1777675206000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0956462419886779"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,22]]},"references-count":24,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1177\/0956462419886779"],"URL":"https:\/\/doi.org\/10.1177\/0956462419886779","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,22]]}}}