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Published in: AIDS and Behavior 5/2016

01-05-2016 | Original Paper

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

Authors: H. Irene Hall, Tian Tang, Lorena Espinoza

Published in: AIDS and Behavior | Issue 5/2016

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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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Literature
1.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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].
Metadata
Title
Late Diagnosis of HIV Infection in Metropolitan Areas of the United States and Puerto Rico
Authors
H. Irene Hall
Tian Tang
Lorena Espinoza
Publication date
01-05-2016
Publisher
Springer US
Published in
AIDS and Behavior / Issue 5/2016
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-015-1241-5

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