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Improving retention along the hypertension care cascade and reducing cardiovascular risk among people with HIV who use a safety net clinic

Award Number: R01MD021111
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/13/2025
PERIOD OF PERFORMANCE END DATE: 06/30/2030

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Improving retention along the hypertension care cascade and reducing cardiovascular risk among people with HIV who use a safety net clinic - ABSTRACT Hypertension (HTN) is among the strongest risk factors for cardiovascular disease and myocardial infarction, but only one-third of people with HIV (PWH) who receive care at a safety net clinic achieve hypertension control. People with severe financial challenges, particularly those with unmet subsistence needs like unstable housing and food insecurity, have higher rates of HTN and cardiovascular events in this setting. However, we still cannot pinpoint exactly how unmet subsistence needs influence where or why patients drop off the HTN care cascade. Here we propose a study among safety net HIV clinic patients. It uses an explanatory sequential design that includes quantitative survey data and qualitative contextual information. Our goal is to understand each stage of the HTN care cascade (diagnosis, treatment, and control) and overall cardiovascular disease risk among PWH who use a safety net clinic, emphasizing the unique HTN care needs of people with severe financial challenges. Results will be immediately usable by HIV safety net clinics; they will inform HIV/HTN integrated health care delivery models and the development of future HTN interventions.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2025	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Minority Health and Health Disparities Research	000	1	11/28/2025	NEW	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $897,989 )
2025	2025	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Minority Health and Health Disparities Research	001	1	9/23/2025	NEW	-$906,894
2025	2025	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Minority Health and Health Disparities Research	000	1	9/13/2025	NEW	$1,804,883
														Subtotal = $897,989

Grand Total All Awards = $897,989

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Improving retention along the hypertension care cascade and reducing cardiovascular risk among people with HIV who use a safety net clinic

Award Number: R01MD021111

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/13/2025

PERIOD OF PERFORMANCE END DATE: 06/30/2030

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