Details:

Alternative Title:
MMWR Morb Mortal Wkly Rep
Personal Author:
Dailey, Andre F. ; Hoots, Brooke E. ; Hall, H. Irene ; Song, Ruiguang ; Hayes, Demorah ; ... More +
Dailey, Andre F. ; Hoots, Brooke E. ; Hall, H. Irene ; Song, Ruiguang ; Hayes, Demorah ; Fulton, Paul ; Prejean, Joseph ; Hernandez, Angela L. ; Koenig, Linda J. ; Valleroy, Linda A. Less -
Description:
Background

Persons unaware of their human immunodeficiency Virus (HIV) infection account for approximately 40% of ongoing Transmissions in the United States Persons are unaware of their infection because of delayed HIV diagnoses that represent substantial missed opportunities to improve health outcomes and prevent HIV Transmission.

Methods

Data from CDC’s National HIV Surveillance System were used to estimate, among persons with HIV infection diagnosed in 2015, the median interval (and range) from infection to Diagnosis (Diagnosis delay), based on the first CD4 test after HIV Diagnosis and a CD4 depletion model indicating disease progression and, among persons living with HIV in 2015, the percentage with undiagnosed infection. Data from CDC’s National HIV Behavioral Surveillance were analyzed to determine the percentage of persons at increased risk for HIV infection who had tested in the past 12 months and who had missed opportunities for tTesting.

Results

An estimated 15% of persons living with HIV in 2015 were unaware of their infection. Among the 39,720 persons with HIV infection diagnosed in 2015, the estimated median Diagnosis delay was 3.0 years (interquartile range = 0.7–7.8 years); Diagnosis delay varied by race/ethnicity (from 2.2 years among whites to 4.2 years among Asians) and Transmission category (from 2.0 years among females who inject drugs to 4.9 years among heterosexual males). Among persons interviewed through National HIV Behavioral Surveillance, 71% of men who have sex with men, 58% of persons who inject drugs, and 41% of heterosexual persons at increased risk for HIV infection reported tTesting in the past 12 months. In each risk group, at least two thirds of persons who did not have an HIV test had seen a health care provider in the past year.

Conclusions

Delayed HIV diagnoses continue to be substantial for some population groups and prevent early entry to care to improve health outcomes and reduce HIV Transmission to others.

Implications for Public Health Practice

Health care providers and others providing HIV tTesting can reduce HIV-related adverse health outcomes and risk for HIV Transmission by implementing routine and targeted HIV tTesting to decrease Diagnosis delays.


Subjects:
[+]
Adolescent Adult Delayed Diagnosis Female HIV Infections Humans Male Mass Screening Middle Aged Population Surveillance Risk Factors Vital Signs Young Adult
Source:
MMWR Morb Mortal Wkly Rep. 66(47):1300-1306.
Pubmed ID:
29190267
Pubmed Central ID:
PMC5708685
Document Type:
Journal Article
Place as Subject:
United States
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
[+]
urn:sha256:e5215d8278af9c4bc721e189e77105bef82c2300833436d6f993c939c7e71ce9
Download URL:
https://stacks.cdc.gov/view/cdc/54305/cdc_54305_DS1.pdf
File Type:

Supporting Files

• 	mm6647e1-F1.gif	gif
  	mm6647e1-F1.jpg	jpeg
  	mm6647e1-F2.gif	gif
  	mm6647e1-F2.jpg	jpeg
  	mm6647e1.nxml	xml

More +