HIV infection and linkage to HIV-related medical care in large Urban Areas in the United States, 2009

Benjamin T. Laffoon*, H. Irene Hall, Aruna Surendera Babu, Nanette Benbow, Ling C. Hsu, Yunyin W. Hu, Urban Areas HIV Surveillance Workgroup

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Background: Residents of urban areas have accounted for the majority of persons diagnosed with HIV disease in the United States. Linking persons recently diagnosed with HIV to primary medical care is an important indicator in the National HIV/AIDS Strategy. Methods: We analyzed data reported to the HIV Surveillance System in 18 urban areas in the United States. Standardized executable SAS programs were distributed to determine the number of HIV cases living through 2008, number of HIV cases diagnosed in 2009, and the percentage of those diagnosed in 2009 who had reported CD4 lymphocyte or HIV viral load test results within 3 months of HIV diagnosis. Data were presented by jurisdiction, age group at diagnosis, race/ethnicity, sex at birth, birth country, disease stage, and transmission category. Results: By jurisdiction, the percentage of persons diagnosed in 2009 with at least 1 CD4 or HIV viral load test within 3 months of diagnosis ranged from 48.5% to 92.5% (median: 70.9). The percentage of persons linked to care varied by age group and by racial/ethnic groups. Fourteen of the 18 areas reported that the percentage of persons linked to care was greater than 65%, the baseline measure indicated in the National HIV/AIDS Strategy. Conclusions: A wide range in percent linked to HIV medical care was observed between residents of 18 urban areas in the United States with noted age and racial disparities. Routine testing and linkage efforts and intensified prevention efforts should be considered to increase access to primary HIV-related medical care.

Original languageEnglish (US)
Pages (from-to)487-492
Number of pages6
JournalJournal of Acquired Immune Deficiency Syndromes
Volume69
Issue number4
DOIs
StatePublished - 2015

Keywords

  • HIV
  • HIV care indicators
  • HIV in urban areas
  • HIV infection
  • Linkage to care

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

Fingerprint Dive into the research topics of 'HIV infection and linkage to HIV-related medical care in large Urban Areas in the United States, 2009'. Together they form a unique fingerprint.

Cite this