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01-02-2019 | Original Paper

Assessing Differences in CDC-Funded HIV Testing by Urbanicity, United States, 2016

Authors: Deesha Patel, Nicole Taylor-Aidoo, Angèle Marandet, Janet Heitgerd, Barbara Maciak

Published in: Journal of Community Health | Issue 1/2019

Abstract

HIV prevention efforts have contributed to a decline in annual HIV infections in the United States. However, progress has been uneven and certain groups and geographic areas continue to be disproportionately affected. Subsequent to implementation of CDC’s high-impact HIV prevention approach to reducing new infections, we analyzed national-level CDC-funded HIV test data from 2016 to describe the population being reached in three urbanicity settings (metropolitan: ≥ 1,000,000 population; urban: 50,000–999,999; rural: < 50,000). Over 70% of CDC-funded HIV tests and almost 80% of persons newly diagnosed with HIV as a result of CDC-funded testing occurred in metropolitan areas. Nonetheless, CDC-funded testing efforts are reaching urban and rural areas, especially in the South, providing opportunities to identify persons unaware of their HIV status and link those with newly diagnosed HIV to medical care and prevention services. While CDC-funded testing efforts have continued to focus on population subgroups and geographic areas at greatest risk, efforts should also continue in rural areas and among groups in need with a low national burden.

Centers for Disease Control and Prevention. (2017). HIV Surveillance Report, 2016 (Vol. 28). Retrieved from http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html.

Centers for Disease Control and Prevention. (2018). Estimated HIV incidence and prevalence in the United States, 2010-2015. HIV Surveillance Supplemental Report 2018; 23 (No. 1). Retrieved from https://www.cdc.gov/hiv/library/reports/hiv-surveillance.html.

Centers for Disease Control and Prevention. HIV surveillance in urban and nonurban areas through 2016 (slides). Retrieved from https://www.cdc.gov/hiv/pdf/library/slidesets/cdc-hiv-urban-nonurban-2016.pdf.

Schafer, K. R., Albrecht, H., Dillingham, R., et al. (2017). The continuum of HIV care in rural communities in the United States and Canada: What is known and future research directions. Journal of Acquired Immune Deficiency Syndromes, 75(1), 35–44.CrossRefPubMed

Ohl, M. E., & Perencevich, E. (2011). Frequency of human immunodeficiency virus (HIV) testing in urban vs. rural areas of the United States: Results from a nationally-representative sample. BMC Public Health, 11, 681.CrossRefPubMedPubMedCentral

Hall, H. I., Tang, T., & Espinoza, L. (2015). Late diagnosis of HIV infection in metropolitan areas of the United States and Puerto Rico. AIDS and Behavior, 20(5), 967–972.CrossRef

Trepka, M. J., Fennie, K. P., Sheehan, D. M., Lutfi, K., Maddox, L., & Lieb, S. (2014). Late HIV diagnosis: Differences by urban/rural residence, Florida, 2007–2011. AIDS Patient Care and STDs, 28(4), 188–197.CrossRefPubMedPubMedCentral

Ohl, M., Tate, J., Duggal, M., et al. (2010). Rural residence is associated with delayed care entry and increased mortality among veterans with human immunodeficiency virus infection. Medical Care, 48(12), 1064–1070.CrossRefPubMedPubMedCentral

Weis, K. E., Liese, A. D., Hussey, J., Gibson, J. J., & Duffus, W. A. (2010). Associations of rural residence with timing of HIV diagnosis and stage of disease at diagnosis, South Carolina 2001–2005. The Journal of Rural Health, 26(2), 105–112.CrossRefPubMed

10.

Lopes, B. L. W., Eron, J. J. Jr., Mugavero, M. J., Miller, W. C., & Napravnik, S. (2017). HIV care initiation delay among rural residents in the Southeastern United States, 1996 to 2012. Journal of Acquired Immune Deficiency Syndromes, 76(2), 171–176.CrossRefPubMed

11.

Nelson, J. A., Kinder, A., Johnson, A. S., et al. (2018). Differences in selected HIV care continuum outcomes among people residing in rural, urban, and metropolitan area—28 US jurisdictions. The Journal of Rural Health, 34(1), 63–70.CrossRefPubMed

12.

Albritton, T., Martinez, I., Gibson, C., Angley, M., & Grandelski, V. R. (2017). What about us? Economic and policy changes affecting rural HIV/AIDS services and care. Social Work in Public Health, 32(4), 273–289.CrossRefPubMed

13.

Parks, F. M., Felzien, G. S., & Jue, S. (2017). HIV/AIDS in rural communities: Research, education, and advocacy. Cham: Springer International Publishing AG.CrossRef

14.

Kaufman, B. G., Thomas, S. R., Randolph, R. K., et al. (2016). The rising rate of rural hospital closures. The Journal of Rural Health, 32(1), 35–43.CrossRefPubMed

15.

Iyer, M. (2015). Understanding health care needs of persons living with HIV/AIDS in rural communities. Retrieved from http://www.apa.org/pi/aids/resources/exchange/2015/01/health-hiv-aids.aspx.

16.

Heckman, T. G., Somlai, A. M., Peters, J., et al. (1998). Barriers to care among persons living with HIV/AIDS in urban and rural areas. AIDS Care, 10(30), 365–375.CrossRefPubMed

17.

Van Handel, M. M., Rose, C. E., Hallisey, E. J., et al. (2016). County-level vulnerability assessment for rapid dissemination of HIV or HCV infections among persons who inject drugs, United States. Journal of Acquired Immune Deficiency Syndromes, 73(3), 323–331.CrossRefPubMed

18.

Conrad, C., Bradley, H. M., Broz, D., et al. (2015). Community outbreak of HIV infection linked to injection drug use of oxymorphone—Indiana, 2015. MMWR. Morbidity and Mortality Weekly Report, 64(16), 443–444.PubMedPubMedCentral

19.

Centers for Disease Control and Prevention. (2011). Funding opportunity announcement (FOA) PS12-1201: Comprehensive human immunodeficiency virus (HIV) prevention programs for health departments. Retrieved from https://www.cdc.gov/hiv/funding/announcements/ps12-1201/index.html.

20.

Centers for Disease Control and Prevention. (2015). HIV prevention in the United States: New opportunities, new expectations. Retrieved from https://www.cdc.gov/hiv/pdf/policies/cdc-hiv-prevention-bluebook.pdf.

21.

Centers for Disease Control and Prevention. (2011). High-impact HIV prevention: CDC’s approach to reducing HIV infections in the United States. Retrieved from https://www.cdc.gov/hiv/pdf/policies_NHPC_Booklet.pdf.

22.

Ingram, D. D., & Franco, S. J. (2014). 2013 NCHS urban–rural classification scheme for counties. Vital and Health Statistics, 2(166), 2–3.

23.

U.S. Department of Housing and Urban Development. HUD USPS zip code crosswalk files. Retrieved from https://www.huduser.gov/portal/datasets/usps_crosswalk.html.

24.

Centers for Disease Control and Prevention. (2018). Injection drug use and HIV risk. Retrieved from https://www.cdc.gov/hiv/risk/idu.html.

25.

Reif, S., Safley, D., McAllaster, C., Wilson, E., & Whetten, K. (2017). State of HIV in the US Deep South. Journal of Community Health, 42(5), 844–853.CrossRefPubMed

26.

Southern HIV/AIDS Strategy Initiative. (2015). Deep South needs prevention resources to address high prevalence of undiagnosed HIV in the region. Retrieved from https://southernaidsstrategy.org/2015/07/07/deep-south-needs-prevention-resources-to-address-high-prevalence-of-undiagnosed-hiv-in-the-region/#more-1616.

27.

Southern HIV/AIDS Strategy Initiative. (2015). 25 Bipartisan members of congress urge CDC & white house to expand HIV prevention funding for rural & suburban areas in Deep South. Retrieved from https://southernaidsstrategy.org/2015/10/07/25-bipartisan-members-of-congress-urge-cdc-white-house-to-expand-hiv-prevention-funding-for-rural-suburban-areas-in-deep-south/#more-1662.

28.

Branham, D. K., Borders, T. F., Stewart, K. E., Curran, G. M., & Booth, B. M. (2017). Acceptability of HIV testing sites among rural and urban African Americans who use cocaine. AIDS and Behavior, 21(2), 576–586.CrossRefPubMedCentral

Title: Assessing Differences in CDC-Funded HIV Testing by Urbanicity, United States, 2016
Authors: Deesha Patel
Nicole Taylor-Aidoo
Angèle Marandet
Janet Heitgerd
Barbara Maciak
Publication date: 01-02-2019
Publisher: Springer US
Published in: Journal of Community Health / Issue 1/2019
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-018-0558-1

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Assessing Differences in CDC-Funded HIV Testing by Urbanicity, United States, 2016

Abstract

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Abstract

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