Using the HIV surveillance system to monitor the national HIV/AIDS strategy

K.M. Gray, T. Tang, L. Shouse, J. Li, J. Mermin and H. Irene Hall

American Journal of Public Health, 2013, vol. 103, issue 1, 141-147

Abstract: Objectives. To report on indicators of the National HIV/AIDS Strategy, we analyzed data collected through the national HIV surveillance system. Methods. We analyzed data from adults and adolescents aged 13 years or older diagnosed with HIV in 13 US jurisdictions that have laboratory reporting of CD4+ T-lymphocyte (CD4) and viral load (VL) test results and enter CD4 and VL test results into the national surveillance system. Results. Of 4899 people diagnosed in 2009, 81.7% had at least 1 CD4 or VL test performed within 3 months of diagnosis. A higher proportion of Whites (86.2%) than Blacks (78.4%) and Hispanics (82.6%) had a CD4 or VL test. Of 53 642 people diagnosed through 2008 and living with HIV at the end of 2009 who had a VL test, 69.4% had a most recent VL of 200 copies per milliliter or less. The proportion of people with suppressed VLs differed among Blacks (60.2%), Hispanics (70.3%), and Whites (77.4%) and among people aged 13 to 24 years (44.3%) compared with people aged 65 years or older (84.2%). Of men who have sex with men, 74.2% had a suppressed VL. Conclusions. The findings highlight disparities in access to and success of care. Copyright © 2012 by the American Public Health Association®.

Keywords: adolescent; adult; aged; article; Caucasian; CD4 lymphocyte count; CD4+ T lymphocyte; ethnology; female; health care delivery; health care disparity; health survey; Hispanic; homosexuality; human; Human immunodeficiency virus infection; immunology; male; middle aged; Negro; statistics; United States; virus load, Adolescent; Adult; African Continental Ancestry Group; Aged; CD4 Lymphocyte Count; CD4-Positive T-Lymphocytes; European Continental Ancestry Group; Female; Health Services Accessibility; Healthcare Disparities; Hispanic Americans; HIV Infections; Homosexuality, Male; Humans; Male; Middle Aged; Population Surveillance; United States; Viral Load; Young Adult (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2012.300859_6

DOI: 10.2105/AJPH.2012.300859

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