A retrospective study nested within an ongoing clinical cohort in the HIV Clinic (known as the 1917 Clinic) at the University of Alabama at Birmingham (UAB) was conducted using electronic health records (EHR) between January 1st, 2006 and March 30th, 2018. The UAB 1917 Clinic is the largest HIV care facility in the state of Alabama with an extensive regional catchment and referral network. The prospective clinic cohort has collected data on more than 7000 patients including self-reported sociodemographic, behavioral and psychological characteristics, co-morbidities, medications, vital signs, and laboratory results since the cohort establishment in 1992 [16]. Currently, more than 3500 patients receive their routine HIV care from the clinic, representing 30% of all PLWH in the state. In addition to routine HIV care, local PLWH also receive primary care, cancer screening referrals, and other medical needs through the 1917 Clinic.

The present study was approved by the UAB Institutional Review Board for human studies.

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