Details:

Alternative Title:
J Acquir Immune Defic Syndr
Personal Author:
Patrick, Rudy ; Greenberg, Alan ; Magnus, Manya ; Opoku, Jenevieve ; Kharfen, Michael ; ... More +
Patrick, Rudy ; Greenberg, Alan ; Magnus, Manya ; Opoku, Jenevieve ; Kharfen, Michael ; Kuo, Irene Less -
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.


Subject:
[+]
Adult
Article
Behavioral Risk Factor Surveillance System
Continuity Of Patient Care
D.C
District Of Columbia
Female
Heterosexuality
HIV Care Continuum
HIV Infections
HIV Testing Dashboard
Homosexuality, Male
Humans
Male
Middle Aged
National HIV Behavioral Surveillance
Prevalence
Risk-Taking
Risk Assessment
Substance Abuse, Intravenous
Transgender Persons
Washington
Young Adult

Source:
J Acquir Immune Defic Syndr. 75(Suppl 3):S397-S407.
Pubmed ID:
28604445
Pubmed Central ID:
PMC5884696
Document Type:
Journal Article
Funding:
P30 AI117970/AI/NIAID NIH HHS/United States ; U1B PS003261/PS/NCHHSTP CDC HHS/United States ; U62 PS005093/PS/NCHHSTP CDC HHS/United States
P30 AI117970/AI/NIAID NIH HHS/United States ; U1B PS003261/PS/NCHHSTP CDC HHS/United States ; U62 PS005093/PS/NCHHSTP CDC HHS/United States Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:4a8c710a19b98dd74594a05d32578d012ce417aef5388c68c7de92135d769a89
File Type:

Supporting Files

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