Abstract

Abstract Key point 1: The obstacles that stand in the way of the Healthy People 2020 objective HIV-22, to increase viral suppression among HIV positive people, could be overcome by utilization of text messaging to encourage treatment adherence. Key point 2: This systematic review of recent studies identified receptiveness, positive behavioral modifications, and improved treatment measures as important variables related to text messaging for appointment and treatment reminders. Key point 3: Text messaging used in high-risk HIV positive populations to send daily medication reminders, appointment reminders, and viral load testing reminders yields improved ART adherence and is key in meeting treatment goals.

Highlights

  • There are over one million people in the United States (US) who are living with HIV and 15% are not aware that they have the virus [1]

  • In the randomized controlled trials (RCT) conducted in India, HIV-positive men who have sex with men (MSM) and male sex workers were receptive to text messaging

  • Text messaging used in high-risk HIV positive populations to send daily medication reminders, appointment reminders, and viral load testing reminders has yielded improved antiretroviral therapy (ART) adherence and has been key in meeting treatment goals

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Summary

Introduction

There are over one million people in the United States (US) who are living with HIV and 15% are not aware that they have the virus [1]. In 2017 that incidence increased to 739 new cases [2]. Of those cases, there is a disproportionality percent of men who have sex with men (MSM) at 66% [2]. Most new HIV cases exist in populations ranging from 13 to 34-years-old, and adolescents have a higher risk of being unaware of their HIV status [3]. People living with HIV are commonly from high-risk populations and are often more difficult to retain for routine care and preventative treatment [4]. The CDC identifies these high-risk groups as African Americans, injection drug users, Latin Americans, gay and bisexual men of all races and ethnicities, and transgendered people [5]

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