Behavioral and Clinical Characteristics of American Indian/Alaska Native Adults in HIV Care — Medical Monitoring Project, United States, 2011–2015

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Baugher, Amy R. ; Beer, Linda ; Bradley, Heather M. ; Evans, Mary E. ; Luo, Qingwei ; Shouse, R. Luke
• 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.
• Subjects:
  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

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• Source:
  MMWR Morbidity Mortal Weekly Rep. 67(5152):1405-1409
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• DOI:
  http://dx.doi.org/10.15585/mmwr.mm675152a1
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  30605445
• Pubmed Central ID:
  PMC6334823
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  5 pdf pages
• Volume:
  67
• Issue:
  51
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:d5d20f7adcffb7249d438f922c6662563df11edf3cbfa2896e5a8f5b4e462d0126200e894ca9ec5682042304e8133d816d3713bcc0f21c6ee14a138e905d28b5
• Download URL:
  https://stacks.cdc.gov/view/cdc/70169/cdc_70169_DS1.pdf
• File Type:
  [PDF - 262.97 KB ]