{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:11:05Z","timestamp":1777853465907,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2013,8,20]],"date-time":"2013-08-20T00:00:00Z","timestamp":1376956800000},"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":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:p>This is a retrospective cohort study of 352 newly diagnosed HIV-infected individuals in Denver, from 2005 to 2007. Utilizing data from 3 health care systems, 2 clinical trials units, and statewide Colorado HIV laboratory reporting databases, we tracked initial linkage to HIV care, retention in care, loss to follow-up, and transitions between HIV care providers. After more than 2.6 years of follow-up, 256 (73%) individuals linked to HIV care within 180 days. Of the 301 individuals who eventually linked to care, 168 (56%) had at least one 180-day gap in care, while 49 (16%) had a 360-day gap. Transitions in care were common, with 131 (37%) individuals accessing care from 2 different providers and 15% having evidence of living outside of Colorado. In this newly diagnosed HIV-infected cohort, linkage to care was slow and long-term retention in care was poor. Transitions between HIV care providers were common and may impair engagement in care over time. Out-of-state migration was frequent and may cause an underestimation of engagement in care.<\/jats:p>","DOI":"10.1177\/2325957413500532","type":"journal-article","created":{"date-parts":[[2013,8,20]],"date-time":"2013-08-20T23:43:59Z","timestamp":1377042239000},"page":"384-390","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Initial Linkage and Subsequent Retention in HIV Care for a Newly Diagnosed HIV-Infected Cohort in Denver, Colorado"],"prefix":"10.1177","volume":"12","author":[{"given":"Edward M.","family":"Gardner","sequence":"first","affiliation":[{"name":"Denver Public Health, Denver, CO, USA"},{"name":"University of Colorado Denver, Department of Medicine, Division of Infectious Diseases, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elaine","family":"Daniloff","sequence":"additional","affiliation":[{"name":"Colorado Department of Public Health and Environment, Denver, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark W.","family":"Thrun","sequence":"additional","affiliation":[{"name":"Denver Public Health, Denver, CO, USA"},{"name":"University of Colorado Denver, Department of Medicine, Division of Infectious Diseases, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel H.","family":"Reirden","sequence":"additional","affiliation":[{"name":"Children's Hospital of Denver, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arthur J.","family":"Davidson","sequence":"additional","affiliation":[{"name":"Denver Public Health, Denver, CO, USA"},{"name":"University of Colorado Denver, Department of Medicine, Division of Infectious Diseases, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven C.","family":"Johnson","sequence":"additional","affiliation":[{"name":"University of Colorado Denver, Department of Medicine, Division of Infectious Diseases, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralph","family":"Wilmoth","sequence":"additional","affiliation":[{"name":"Colorado Department of Public Health and Environment, Denver, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Connick","sequence":"additional","affiliation":[{"name":"University of Colorado Denver, Department of Medicine, Division of Infectious Diseases, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William J.","family":"Burman","sequence":"additional","affiliation":[{"name":"Denver Public Health, Denver, CO, USA"},{"name":"University of Colorado Denver, Department of Medicine, Division of Infectious Diseases, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,8,20]]},"reference":[{"key":"bibr1-2325957413500532","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e32832ba8ec"},{"key":"bibr2-2325957413500532","doi-asserted-by":"publisher","DOI":"10.1086\/507526"},{"key":"bibr3-2325957413500532","doi-asserted-by":"publisher","DOI":"10.1310\/hct0805-282"},{"key":"bibr4-2325957413500532","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dki042"},{"key":"bibr5-2325957413500532","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciq243"},{"key":"bibr6-2325957413500532","doi-asserted-by":"publisher","DOI":"10.1080\/09540120500101658"},{"key":"bibr7-2325957413500532","doi-asserted-by":"publisher","DOI":"10.1086\/516778"},{"key":"bibr8-2325957413500532","doi-asserted-by":"publisher","DOI":"10.1086\/595705"},{"key":"bibr9-2325957413500532","doi-asserted-by":"publisher","DOI":"10.1097\/01.qai.0000248351.10383.b7"},{"key":"bibr10-2325957413500532","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-138-2-200301210-00016"},{"key":"bibr11-2325957413500532","unstructured":"White House Office of National AIDS Policy. 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