Welcome to CDC stacks | Quantifying the impact of the National HIV/AIDS strategy targets for improved HIV care engagement in the US: a modelling study - 40278 | CDC Public Access
Stacks Logo
Advanced Search
Select up to three search categories and corresponding keywords using the fields to the right. Refer to the Help section for more detailed instructions.
 
 
Help
Clear All Simple Search
Advanced Search
Quantifying the impact of the National HIV/AIDS strategy targets for improved HIV care engagement in the US: a modelling study
Filetype[PDF-315.20 KB]


Details:
  • Pubmed ID:
    26939737
  • Pubmed Central ID:
    PMC4787987
  • Description:
    Background

    The recently updated White House National HIV/AIDS Strategy (NHAS) includes specific progress indicators for improving the HIV care continuum, but the economic and epidemiological impact of achieving those indicators remains unclear.

    Methods

    We constructed a dynamic transmission model of HIV progression and care engagement to project HIV incidence, prevalence, mortality, and costs among adults in the United States over ten years. We specifically considered achievement of the 2020 targets set forth in NHAS progress indicator 1 (90% awareness of serostatus), indicator 4 (85% linkage within one month), and indicator 5 (90% of diagnosed individuals in care).

    Finding

    At current rates of engagement in the HIV care continuum, we project 524,000 (95% Uncertainty Range 442,000 – 712,000) new HIV infections and 375,000 deaths (364,000 – 578,000) between 2016 and 2025. Achieving NHAS progress indicators 1 and 4 has modest epidemiologic impact (new infections reduced by 2·0% and 3·9%, respectively). By contrast, increasing the proportion of diagnosed individuals in care (indicator 5) averts 52% (47-56%) of new infections. Achieving all NHAS targets resulted in a 58% reduction (52%-61%) in new infections and 128,000 lives saved (106,000-223,000) at an incremental health system cost of $105 billion dollars.

    Interpretation

    Achievement of NHAS progress indicators for screening, linkage, and particularly improving retention in care, can substantially reduce the burden of HIV in the United States.

  • Document Type:
  • Collection(s):
  • Funding:
    P30 AI050409/AI/NIAID NIH HHS/United States
    5U38PS004646/PS/NCHHSTP CDC HHS/United States
    K23AI089259/AI/NIAID NIH HHS/United States
    T32AI102623/AI/NIAID NIH HHS/United States
    K23 AI089259/AI/NIAID NIH HHS/United States
    U38 PS004646/PS/NCHHSTP CDC HHS/United States
    T32 AI102623/AI/NIAID NIH HHS/United States
No Related Documents.
You May Also Like: