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Jurisdiction level differences in HIV diagnosis, retention in care, and viral suppression in the United States.
J Acquir Immune Defic Syndr ; 65(2): 129-32, 2014 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-24121761
ABSTRACT
Using data from the National HIV Surveillance System, we determined the number of persons diagnosed with HIV and the percentages of persons linked to care, retained in care, and virally suppressed across 19 jurisdictions with complete reporting of CD4 and viral load test results. Reports from these jurisdictions represent 37% of persons diagnosed with HIV infection in the United States in 2011. Although 80% of persons diagnosed in 2011 were linked to HIV medical care within 3 months of diagnosis, half of all persons living with HIV in the 19 jurisdictions were not receiving ongoing care in 2010. In addition, 43% of persons living with HIV by year-end 2009 and alive at year-end 2010 did not have a suppressed viral load, with substantial variability across the 19 jurisdictions. These data highlight the need for improved outcomes along each step of the HIV continuum of care.
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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Infecções por HIV / Carga Viral / Adesão à Medicação Aspecto clínico: Diagnóstico Limite: Humanos País/Região como assunto: América do Norte Idioma: Inglês Revista: J Acquir Immune Defic Syndr Assunto da revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2014 Tipo de documento: Artigo País de afiliação: Gabão