HIV Infection-Related Care Outcomes among U.S.-Born and Non-U.S.-Born Blacks with Diagnosed HIV in 40 U.S. Areas: The National HIV Surveillance System, 2016

Details

• Alternative Title:
  Int J Environ Res Public Health
• Personal Author:
  Demeke, Hanna B. ; Johnson, Anna S. ; Zhu, Hong ; Gant, Zanetta ; Duffus, Wayne A. ; Dean, Hazel D.
• Description:
  HIV care outcomes must be improved to reduce new human immunodeficiency virus (HIV) infections and health disparities. HIV infection-related care outcome measures were examined for U.S.-born and non-U.S.-born black persons aged ≥13 years by using National HIV Surveillance System data from 40 U.S. areas. These measures include late-stage HIV diagnosis, timing of linkage to medical care after HIV diagnosis, retention in care, and viral suppression. Ninety-five percent of non-U.S.-born blacks had been born in Africa or the Caribbean. Compared with U.S.-born blacks, higher percentages of non-U.S.-born blacks with HIV infection diagnosed during 2016 received a late-stage diagnoses (28.3% versus 19.1%) and were linked to care in ≤1 month after HIV infection diagnosis (76.8% versus 71.3%). Among persons with HIV diagnosed in 2014 and who were alive at year-end 2015, a higher percentage of non-U.S.-born blacks were retained in care (67.8% versus 61.1%) and achieved viral suppression (68.7% versus 57.8%). Care outcomes varied between African- and Caribbean-born blacks. Non-U.S.-born blacks achieved higher care outcomes than U.S.-born blacks, despite delayed entry to care. Possible explanations include a late-stage presentation that requires immediate linkage and optimal treatment and care provided through government-funded programs.
• Subjects:
  Adolescent Adult Black Or African American Female HIV Infections/epidemiology HIV Infections/nursing Humans Male Middle Aged Outcome And Process Assessment, Health Care Young Adult

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• Source:
  Int J Environ Res Public Health. 2018; 15(11)
• Pubmed ID:
  30380715
• Pubmed Central ID:
  PMC6267013
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Volume:
  15
• Issue:
  11
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:d682b2d44e0b6a2472a921c6a9939cb4257d87d0c847410660d15b229c2c9c38
• Download URL:
  https://stacks.cdc.gov/view/cdc/61837/cdc_61837_DS1.pdf
• File Type:
  [PDF - 765.46 KB ]