Publications by authors named "Shamea Gray"

Background: People with HIV (PWH) are at elevated risk for atherosclerotic cardiovascular disease (ASCVD). Underrepresented racial and ethnic groups (UREGs) with HIV in the southern U.S.

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The increased incidence of chronic diseases among people with HIV (PWH) is poised to increase the need for specialty care outside of HIV treatment settings. To reduce outcome disparities for HIV-associated comorbidities in the United States, it is critical to optimize access to and the quality of specialty care for underrepresented racial and ethnic minority (URM) individuals with HIV. We explored the experiences of URM individuals with HIV and other comorbidities in the specialty care setting during their initial and follow-up appointments.

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Article Synopsis
  • Underrepresented racial and ethnic groups (UREGs) with HIV are at a higher risk for cardiovascular disease (CVD), and consulting a cardiologist can improve their risk management.
  • This study evaluated 2,039 UREG individuals with HIV and borderline CVD risk between 2014-2020, finding that only 14% had seen a cardiologist, with factors like age, BMI, and urban residence influencing encounters.
  • The main drivers for seeing a cardiologist were existing CVD diagnoses, insurance status, and living in urban areas, highlighting the need for future research on how these encounters affect CVD care and outcomes in this population.
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Background: Cardiology care may be beneficial for risk factor management in people living with HIV (PLWH), yet limited information is available about the referral process from the perspectives of HIV specialists and cardiologists.

Methods: We conducted 28 qualitative interviews at academic medical centers in the United States from December 2019 to February 2020 using components of the Specialty Referral Process Framework: referral decision, entry into referral care, and care integration. We analyzed the data using applied thematic analysis.

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