HIV infection care and viral suppression among people who inject drugs, 28 U.S. jurisdictions, 2012-2013

作     者：Karch, Debra L. Gray, Kristen Mahle Shi, Jing Hall, H. Irene 

作者机构：Centers for Disease Control and Prevention National Center for HIV/AIDS Viral Hepatitis STD and TB Prevention Atlanta 30329 GA United States ICF International Inc Atlanta 30329 GA United States 

出 版 物：《Open AIDS Journal》 (Open AIDS J.)

年 卷 期：2016年第10卷

页      面：127-135页

学科分类：0710[理学-生物学] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 10[医学] 

主　　题：AIDS Care continuum Facility at diagnosis HIV Injection drug use Stage of infection 

摘      要：Objectives: Assess outcomes along the care continuum for HIV-infected people who inject drugs (PWID), by type of facility and stage of infection at diagnosis. Methods: Data reported by 28 jurisdictions to the National HIV Surveillance System by December 2014 were used to identify PWID aged ≥13 years, diagnosed with HIV infection before December 31, 2013. Analyses used the CDC definition of linkage to care (LTC), retention in care (RIC), and viral suppression (VS), and are stratified by age, sex, race/ethnicity, and type of facility and stage of HIV infection at diagnosis. Results: Of 1,409 PWID diagnosed with HIV in 2013, 1,116 (79.2%) were LTC with the lowest percentages among males (78.4%);blacks (77.5%) ages 13-24 years (69.0%);those diagnosed in early stage infection (71.6%);and at screening, diagnostic, or referral agencies (60.0%). Of 80,958 PWID living with HIV in 2012, 40,234 (49.7%) were RIC and 34,665 (42.8%) achieved VS. The lowest percentages for RIC and VS were among males (47.1% and 41.3% respectively);those diagnosed with late stage disease (47.1% and 42.4%);and young people. Whites had the lowest RIC (47.0%) while blacks had the lowest VS (41.1%). Conclusion: Enhanced LTC activities are needed for PWID diagnosed at screening, diagnostic or referral agencies versus those diagnosed at inpatient or outpatient settings, especially among young people and blacks diagnosed in early stage infection. Less than half of PWID are retained in care or reach viral suppression indicating the need for continued engagement and return to care activities over the long term. © Karch et al.;Licensee Bentham Open.