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Development of an HIV Testing Dashboard to Complement the HIV Care Continuum Among MSM, PWID, and Heterosexuals in Washington, DC, 2007–2015
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Jul 01 2017
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Source: J Acquir Immune Defic Syndr. 75(Suppl 3):S397-S407.
Details:
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Alternative Title:J Acquir Immune Defic Syndr
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Personal Author:
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Description:Background
We developed an HIV testing dashboard to complement the HIV care continuum in selected high-risk populations. Using NHBS data, we examined trends in HIV testing and care for men who have sex with men (MSM), persons who inject drugs (PWID) and heterosexuals at elevated risk (HET).
Methods
Between 2007–2015, 4,792 participants ≥18 years old completed a behavioral survey and were offered HIV testing. For the testing dashboard, proportions ever tested, tested in the past year, testing HIV-positive, and newly testing positive were calculated. An abbreviated care continuum for self-reported positives (SRP) included ever engagement in care, past year care, and current ARV use. The testing dashboard and care continuum were calculated separately for each population. Chi-square test for trend was used to assess significant trends over time.
Results
Among MSM, lifetime HIV testing and prevalence significantly increased from 96% to 98% (p=0.01) and 14% to 20% (p=0.02) over time; prevalence was highest among Black MSM at all time points. HIV prevalence among female PWID was significantly higher in 2015 vs. 2009 (27% and 13%; p<0.01). Among HET from 2010 to 2013, annual testing increased significantly (45% to 73%; p<0.001) and the proportion newly diagnosed decreased significantly (p<0.01). SRP MSM had high levels of care engagement and ARV use; among SRP PWID and HET, past year care engagement and ARV use increased over time.
Conclusions
The HIV testing dashboard can be used to complement the HIV care continuum to display improvements and disparities in HIV testing and care over time.
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Source:
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Pubmed ID:28604445
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Pubmed Central ID:PMC5884696
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Document Type:
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Funding:
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Volume:75
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[PDF-948.10 KB]
