Objective This cross-sectional study examined how types of disability and comorbidities influence retention in care (RIC) among people with HIV (PWH) in Houston/Harris County, Texas, USA. Methods Data from 1142 participants in the Houston Medical Monitoring Project (2015–2021) were analyzed. Descriptive statistics, bivariate analyses, and multivariable logistic regression were used to evaluate factors associated with RIC. Results Approximately 74.9% of participants were retained in care. Compared to PWH without specific comorbidities, those with dyslipidemia and kidney disease had higher odds of RIC (AOR: 2.66; 95% CI: 1.40–5.03 and AOR: 14.08; 95% CI: 1.44–138.12, respectively). PWH reporting only mobility disability had increased odds of RIC (AOR: 3.40; 95% CI: 1.33–8.71), while those reporting only visual disability had reduced odds of RIC (AOR: 0.38; 95% CI: 0.16–0.87). Durable viral suppression was strongly associated with greater RIC (AOR: 7.96; 95% CI: 5.28–11.99). Conclusion Comorbidities and disability types significantly influence retention in HIV care. Tailored interventions are needed to improve RIC among PWH, particularly those with visual disabilities.
Onigbogi et al. (Thu,) studied this question.