Skip to main content
Erschienen in: AIDS and Behavior 5/2016

05.11.2015 | Original Paper

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

verfasst von: H. Irene Hall, Tian Tang, Lorena Espinoza

Erschienen in: AIDS and Behavior | Ausgabe 5/2016

Einloggen, um Zugang zu erhalten

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.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Branson BM, Handsfield HH, Lampe MA, et al. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR. 2006;55(9):1–17.PubMed Branson BM, Handsfield HH, Lampe MA, et al. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR. 2006;55(9):1–17.PubMed
2.
Zurück zum Zitat Moyer VA. U.S. preventive services task force. screening for HIV: U.S. Preventive services task force recommendation statement. Ann Intern Med. 2013;159(1):51–60.PubMed Moyer VA. U.S. preventive services task force. screening for HIV: U.S. Preventive services task force recommendation statement. Ann Intern Med. 2013;159(1):51–60.PubMed
4.
Zurück zum Zitat Centers for Disease Control and Prevention. Expanded testing program—overview. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; August 2011. Centers for Disease Control and Prevention. Expanded testing program—overview. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; August 2011.
7.
Zurück zum Zitat Hutchinson AB, Farnham PG, Duffy N, et al. Return on public health investment: CDC’s expanded HIV testing initiative. J Acquir Immune Defic Syndr. 2012;59(3):281–6.CrossRefPubMed Hutchinson AB, Farnham PG, Duffy N, et al. Return on public health investment: CDC’s expanded HIV testing initiative. J Acquir Immune Defic Syndr. 2012;59(3):281–6.CrossRefPubMed
11.
13.
Zurück zum Zitat Valdiserri RO, Forsyth AD, Yakovchenko V, Koh HK. Measuring what matters: development of standard HIV core indicators across the U.S. Department of Health and Human Services. Public Health Rep. 2013;128(5):354–9.PubMedPubMedCentral Valdiserri RO, Forsyth AD, Yakovchenko V, Koh HK. Measuring what matters: development of standard HIV core indicators across the U.S. Department of Health and Human Services. Public Health Rep. 2013;128(5):354–9.PubMedPubMedCentral
15.
Zurück zum Zitat Selik RM, Mokotoff ED, Branson B, Owen SM, Whitmore S, Hall HI. Revised surveillance case definition for HIV infection—United States, 2014. MMWR. 2014;63(RR03):1–10. Selik RM, Mokotoff ED, Branson B, Owen SM, Whitmore S, Hall HI. Revised surveillance case definition for HIV infection—United States, 2014. MMWR. 2014;63(RR03):1–10.
16.
Zurück zum Zitat Office of Management and Budget. Revised definitions of metropolitan statistical areas, new definitions of micropolitan statistical areas and combined statistical areas, and guidance on uses of the delineations of these areas. OMB Bulletin 13-01. http://go.usa.gov/vSyB. Published February 28, 2013. Accessed December 1, 2014. Office of Management and Budget. Revised definitions of metropolitan statistical areas, new definitions of micropolitan statistical areas and combined statistical areas, and guidance on uses of the delineations of these areas. OMB Bulletin 13-01. http://​go.​usa.​gov/​vSyB. Published February 28, 2013. Accessed December 1, 2014.
17.
Zurück zum Zitat McDavid Harrison K, Kajese T, Hall HI, Song R. Risk factor redistribution of the national HIV/AIDS surveillance data: an alternative approach. Public Health Rep. 2008;123(5):618–27. McDavid Harrison K, Kajese T, Hall HI, Song R. Risk factor redistribution of the national HIV/AIDS surveillance data: an alternative approach. Public Health Rep. 2008;123(5):618–27.
18.
Zurück zum Zitat Hall HI, Song R, Szwarcwald CL, Green T. Time from infection with the human immunodeficiency virus to diagnosis, United States. J Acquir Immune Defic Syndr. 2015;6992:248–51. Hall HI, Song R, Szwarcwald CL, Green T. Time from infection with the human immunodeficiency virus to diagnosis, United States. J Acquir Immune Defic Syndr. 2015;6992:248–51.
19.
Zurück zum Zitat Lesko CR, Cole SR, Zinski A, Poole C, Mugavero MJ. A Systematic review and meta-regression of temporal trends in adult CD4+ cell count at presentation to HIV care, 1992–2011. Clin Infect Dis. 2013;57(7):1027–37.CrossRefPubMed Lesko CR, Cole SR, Zinski A, Poole C, Mugavero MJ. A Systematic review and meta-regression of temporal trends in adult CD4+ cell count at presentation to HIV care, 1992–2011. Clin Infect Dis. 2013;57(7):1027–37.CrossRefPubMed
20.
Zurück zum Zitat Gray KM, Branson B, Donnell DJ, Beauchamp G, Hu X, Wang Z, El Sadr W, Hall HI. HIV testing in six US cities using behavioral surveillance data for the TLC-Plus (HPTN 065) study. XIX International AIDS Conference. Washington, 2012 [abstract TUPE 293]. Gray KM, Branson B, Donnell DJ, Beauchamp G, Hu X, Wang Z, El Sadr W, Hall HI. HIV testing in six US cities using behavioral surveillance data for the TLC-Plus (HPTN 065) study. XIX International AIDS Conference. Washington, 2012 [abstract TUPE 293].
21.
Zurück zum Zitat Centers for Disease Control and Prevention. Results of the expanded HIV testing initiative—25 Jurisdictions, United States, 2007–2010. MMWR. 2011;60(24):805–10. Centers for Disease Control and Prevention. Results of the expanded HIV testing initiative—25 Jurisdictions, United States, 2007–2010. MMWR. 2011;60(24):805–10.
22.
Zurück zum Zitat Cooley LA, Wejnert C, Rose CE, Paz-Bailey G, National HIV. Behavioral surveillance study group. Increases in recent HIV testing among men who have sex with men coincide with the centers for disease control and prevention’s expanded testing initiative. Clin Infect Dis. 2015;60(3):483–5.CrossRefPubMedPubMedCentral Cooley LA, Wejnert C, Rose CE, Paz-Bailey G, National HIV. Behavioral surveillance study group. Increases in recent HIV testing among men who have sex with men coincide with the centers for disease control and prevention’s expanded testing initiative. Clin Infect Dis. 2015;60(3):483–5.CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Burns DN, DeGruttola V, Pilcher CD, et al. Toward an endgame: finding and engaging people unaware of their HIV-1 infection in treatment and prevention. AIDS Res Hum Retrovir. 2014;30(4):217–24.CrossRefPubMedPubMedCentral Burns DN, DeGruttola V, Pilcher CD, et al. Toward an endgame: finding and engaging people unaware of their HIV-1 infection in treatment and prevention. AIDS Res Hum Retrovir. 2014;30(4):217–24.CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Xia Q, Kobrak P, Wiewel EW, Torian LV. The high proportion of late HIV diagnoses in the USA is likely to stay: findings from a mathematical model. AIDS Care. 2015;27(2):206–12.CrossRefPubMed Xia Q, Kobrak P, Wiewel EW, Torian LV. The high proportion of late HIV diagnoses in the USA is likely to stay: findings from a mathematical model. AIDS Care. 2015;27(2):206–12.CrossRefPubMed
25.
Zurück zum Zitat Xia Q, Torian LV, Shepard CW. Limitations of Indicators of HIV case Finding. Epidemiology. 2015;26(1):e6–8.CrossRefPubMed Xia Q, Torian LV, Shepard CW. Limitations of Indicators of HIV case Finding. Epidemiology. 2015;26(1):e6–8.CrossRefPubMed
26.
Zurück zum Zitat Hayek S; Dietz PM, Van Handel M, et al. Centers for Disease Control and Prevention funding for HIV testing associated with higher state percentage of persons tested. J Public Health Manag Pract. 2015 Feb 12. [Epub ahead of print]. Hayek S; Dietz PM, Van Handel M, et al. Centers for Disease Control and Prevention funding for HIV testing associated with higher state percentage of persons tested. J Public Health Manag Pract. 2015 Feb 12. [Epub ahead of print].
Metadaten
Titel
Late Diagnosis of HIV Infection in Metropolitan Areas of the United States and Puerto Rico
verfasst von
H. Irene Hall
Tian Tang
Lorena Espinoza
Publikationsdatum
05.11.2015
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 5/2016
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-015-1241-5

Weitere Artikel der Ausgabe 5/2016

AIDS and Behavior 5/2016 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.