{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:42:36Z","timestamp":1777927356994,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T00:00:00Z","timestamp":1620950400000},"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":[[2021,10]]},"abstract":"<jats:p>Despite access to nationally supplied antiretroviral treatment, viral load suppression rates remain suboptimal in the Dominican Republic. Counseling and support services are available but mainly targeted to those identified as having the most need. At Cl\u00ednica de Familia La Romana (CFLR) in La Romana, all patients undergo a structured baseline interview including exploration of expected barriers to care. We conducted a retrospective cohort study of a random sample of patients at CFLR with treatment initiation between 1 January 2015 and 1 December 2017 to determine if self-identified barriers to HIV care predict viral load suppression. Viral load suppression occurred in 63% of the 203 patients evaluated. Lack of food ( n = 19) was significantly associated with lack of viral suppression (OR 3.0, 95% CI 1.14\u20137.87). Nondisclosure of HIV status ( n = 24) showed evidence for a protective effect (OR 0.33; 95% CI 0.11\u20131.0). Further steps should be taken to address food insecurity as well as to understand associated barriers to care among individuals with food insecurity.<\/jats:p>","DOI":"10.1177\/09564624211014102","type":"journal-article","created":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T23:38:34Z","timestamp":1621035514000},"page":"1014-1019","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Barriers to HIV treatment adherence among adults living with HIV in the eastern Dominican Republic"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2442-9437","authenticated-orcid":false,"given":"Elizabeth S.","family":"Bast","sequence":"first","affiliation":[{"name":"Bruce W Carter Department of Veterans Affairs Medical Center, Miami, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha","family":"Stonbraker","sequence":"additional","affiliation":[{"name":"Clinica de Familia La Romana, La Romana, Dominican Republic"},{"name":"University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mina","family":"Halpern","sequence":"additional","affiliation":[{"name":"Clinica de Familia La Romana, La Romana, Dominican Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Lowenthal","sequence":"additional","affiliation":[{"name":"Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA"},{"name":"Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA"},{"name":"Global Health Center, Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Gross","sequence":"additional","affiliation":[{"name":"Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,5,14]]},"reference":[{"key":"bibr1-09564624211014102","volume-title":"Global HIV & AIDS Statistics \u2014 2020 Fact Sheet","author":"UNAIDS"},{"key":"bibr2-09564624211014102","volume-title":"Dominican Republic | UNAIDS. 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