Details:

Alternative Title:
MMWR Morb Mortal Wkly Rep
Publisher's site:
http://dx.doi.org/10.15585/mmwr.mm675152a1
Personal Author:
Baugher, Amy R. ; Beer, Linda ; Bradley, Heather M. ; Evans, Mary E. ; Luo, Qingwei ; ... More +
Baugher, Amy R. ; Beer, Linda ; Bradley, Heather M. ; Evans, Mary E. ; Luo, Qingwei ; Shouse, R. Luke Less -
Description:
The rate of diagnosis of human immunodeficiency virus (HIV) infection among American Indians and Alaska Natives (AI/ANs) in 2016 (10.2 per 100,000 population) was the fourth highest among seven racial/ethnic groups in the United States (1); the number of diagnoses of HIV infection among AI/AN persons increased by 70%, from 143 in 2011 to 243 in 2016 (1). However, little has been published about the sociodemographic, behavioral, and clinical characteristics of AI/AN patients with HIV infection in care because small sample sizes have led to infrequent analysis of AI/AN-specific estimates (2) and because of underestimation of AI/AN race/ethnicity in surveillance and other data sources (3). CDC analyzed data from the Medical Monitoring Project (MMP), a surveillance system that collects information about the experiences and needs of persons with diagnosed HIV infection, collected during 2011-2015 among AI/AN adults receiving HIV medical care. The results indicated that 64% of AI/AN patients with HIV infection in care achieved sustained viral suppression, and 76% achieved viral suppression at their most recent viral load test within the past 12 months, which is below the national HIV prevention goal of 80%, but comparable to or better than some other racial/ethnic groups (4). Based on self-report, 51% of AI/AN patients with HIV infection had incomes at or below the U.S. Department of Health and Human Services' (HHS) annual poverty limit, 27% had symptoms of depression, 78% reported internalized HIV-related stigma, and 20% reported binge drinking in the past 30 days. To improve the health of AI/AN patients with HIV infection, it is important that health care providers, tribal organizations, and state and local health departments consider the sociodemographic and behavioral barriers to AI/AN patients with HIV infection achieving viral suppression and design care plans that seek to eliminate those barriers.
Subject:
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Adolescent Adult Alaska Natives Anti-Retroviral Agents Female HIV Infections Humans Indians, North American Male Medication Adherence Middle Aged Treatment Outcome Viral Load Young Adult
Source:
MMWR Morb Mortal Wkly Rep. 67(5152):1405-1409
Pubmed ID:
30605445
Pubmed Central ID:
PMC6334823
Document Type:
Journal Article
Place as Subject:
United States
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
[+]
urn:sha256:e50ec20a249a5a90f7934fa1da0378741e8bb70acb0dff0e85d54a9ed2d16142
Download URL:
https://stacks.cdc.gov/view/cdc/70169/cdc_70169_DS1.pdf
File Type:

Supporting Files

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