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05.11.2015 | Original Paper | Ausgabe 5/2016

AIDS and Behavior 5/2016

Late Diagnosis of HIV Infection in Metropolitan Areas of the United States and Puerto Rico

Zeitschrift:
AIDS and Behavior > Ausgabe 5/2016
Autoren:
H. Irene Hall, Tian Tang, Lorena Espinoza

Abstract

The majority of persons infected with HIV live in large metropolitan areas and many such areas have implemented intensified HIV testing programs. A national indicator of HIV testing outcomes is late diagnosis of HIV infection (stage 3, AIDS). Based on National HIV Surveillance System data, 23.3 % of persons with HIV diagnosed in 2012 had a late diagnosis in large MSAs, 26.3 % in smaller MSAs, and 29.6 % in non-metropolitan areas. In the 105 large MSAs, the percentage diagnosed late ranged from 13.2 to 47.4 %. During 2003–2012, the percentage diagnosed late decreased in large MSAs (32.2–23.3 %), with significant decreases in 41 of 105 MSAs overall and among men who have sex with men. Sustained testing efforts may help to continue the decreasing trend in late-stage HIV diagnosis and provide opportunities for early care and treatment and potential reduction in HIV transmission.

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Zusatzmaterial
Supplementary material 1 (DOCX 40 kb)
10461_2015_1241_MOESM1_ESM.docx
Supplementary material 2 (DOCX 36 kb)
10461_2015_1241_MOESM2_ESM.docx
Supplementary material 3 (DOCX 42 kb)
10461_2015_1241_MOESM3_ESM.docx
Supplementary material 4 (DOCX 34 kb)
10461_2015_1241_MOESM4_ESM.docx
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