Skip to main content
Top
Published in: AIDS and Behavior 3/2019

01-10-2019 | Human Immunodeficiency Virus | Original Paper

Characteristics of and Trends in HIV Diagnoses in the Deep South Region of the United States, 2012–2017

Authors: Meg Watson, Shacara D. Johnson, Tianchi Zhang, Alexandra M. Oster

Published in: AIDS and Behavior | Special Issue 3/2019

Login to get access

Abstract

HIV prevention goals in the United States include reducing new HIV infections among people in the South Census region (commonly referred as the South). Using data reported to the National HIV Surveillance System, we examined trends in HIV diagnoses in the South, including the Deep South and Other South, during 2012–2017. Although diagnosis rates declined in all regions during the time period, declines were greater in all other regions compared to the Deep South, with the exception of the West region. Moreover, the South continues to have a diagnosis rate 50% higher (65% higher in the Deep South) than that of any other region. Diagnoses in the Deep South increased among some groups, including men who have sex with men, persons aged 25–34 years and Hispanics/Latinos. These findings highlight the need to further strengthen interventions in the South, particularly among communities of color and young adults.
Literature
1.
go back to reference Hall HI, Song R, Tang T, An Q, Prejean J, Dietz P, et al. HIV trends in the United States: diagnoses and estimated incidence. JMIR Public Health Surveill. 2017;3(1):e8.CrossRefPubMedPubMedCentral Hall HI, Song R, Tang T, An Q, Prejean J, Dietz P, et al. HIV trends in the United States: diagnoses and estimated incidence. JMIR Public Health Surveill. 2017;3(1):e8.CrossRefPubMedPubMedCentral
2.
go back to reference Reif S, Safley D, McAllaster C, Wilson E, Whetten K. State of HIV in the US deep south. J Community Health. 2017;42(5):844–53.CrossRef Reif S, Safley D, McAllaster C, Wilson E, Whetten K. State of HIV in the US deep south. J Community Health. 2017;42(5):844–53.CrossRef
3.
go back to reference Gray SC, Massaro T, Chen I, Edholm CJ, Grotheer R, Zheng Y, et al. A county-level analysis of persons living with HIV in the southern United States. AIDS Care. 2016;28(2):266–72.CrossRef Gray SC, Massaro T, Chen I, Edholm CJ, Grotheer R, Zheng Y, et al. A county-level analysis of persons living with HIV in the southern United States. AIDS Care. 2016;28(2):266–72.CrossRef
4.
go back to reference Reif S, Pence BW, Hall I, Hu X, Whetten K, Wilson E. HIV diagnoses, prevalence and outcomes in nine southern states. J Community Health. 2015;40(4):642–51.CrossRef Reif S, Pence BW, Hall I, Hu X, Whetten K, Wilson E. HIV diagnoses, prevalence and outcomes in nine southern states. J Community Health. 2015;40(4):642–51.CrossRef
5.
go back to reference Prejean J, Tang T, Hall HI. HIV diagnoses and prevalence in the southern region of the United States, 2007–2010. J Community Health. 2013;38(3):414–26.CrossRefPubMed Prejean J, Tang T, Hall HI. HIV diagnoses and prevalence in the southern region of the United States, 2007–2010. J Community Health. 2013;38(3):414–26.CrossRefPubMed
6.
go back to reference O’Leary A, Broadwell SD, Yao P, Hasin D. Major depression, alcohol and drug use disorders do not appear to account for the sexually transmitted disease and HIV epidemics in the southern United States. Sex Transm Dis. 2006;33(7 Suppl):S70–7.CrossRefPubMed O’Leary A, Broadwell SD, Yao P, Hasin D. Major depression, alcohol and drug use disorders do not appear to account for the sexually transmitted disease and HIV epidemics in the southern United States. Sex Transm Dis. 2006;33(7 Suppl):S70–7.CrossRefPubMed
7.
go back to reference Rebeiro PF, Gange SJ, Horberg MA, Abraham AG, Napravnik S, Samji H, et al. Geographic variations in retention in care among HIV-infected adults in the United States. PLoS ONE. 2016;11(1):e0146119.CrossRefPubMedPubMedCentral Rebeiro PF, Gange SJ, Horberg MA, Abraham AG, Napravnik S, Samji H, et al. Geographic variations in retention in care among HIV-infected adults in the United States. PLoS ONE. 2016;11(1):e0146119.CrossRefPubMedPubMedCentral
8.
go back to reference Reif S, Mugavero M, Raper J, Thielman N, Leserman J, Whetten K, et al. Highly stressed: stressful and traumatic experiences among individuals with HIV/AIDS in the deep south. AIDS Care. 2011;23(2):152–62.CrossRefPubMedPubMedCentral Reif S, Mugavero M, Raper J, Thielman N, Leserman J, Whetten K, et al. Highly stressed: stressful and traumatic experiences among individuals with HIV/AIDS in the deep south. AIDS Care. 2011;23(2):152–62.CrossRefPubMedPubMedCentral
9.
go back to reference National HIV/AIDS strategy for the United States: Updated to 2020. Washington, DC: The White House; 2015. National HIV/AIDS strategy for the United States: Updated to 2020. Washington, DC: The White House; 2015.
11.
go back to reference Reif SS, Whetten K, Wilson ER, McAllaster C, Pence BW, Legrand S, Gong W. HIV/AIDS in the Southern USA: a disproportionate epidemic. AIDS Care. 2014;26(3):351–9.CrossRefPubMed Reif SS, Whetten K, Wilson ER, McAllaster C, Pence BW, Legrand S, Gong W. HIV/AIDS in the Southern USA: a disproportionate epidemic. AIDS Care. 2014;26(3):351–9.CrossRefPubMed
12.
go back to reference Nelson JA, Kinder A, Johnson AS, Hall HI, Hu X, Sweet D, et al. Differences in selected HIV care continuum outcomes among people residing in rural, urban, and metropolitan areas-28 US jurisdictions. J Rural Health. 2018;34(1):63–70.CrossRefPubMed Nelson JA, Kinder A, Johnson AS, Hall HI, Hu X, Sweet D, et al. Differences in selected HIV care continuum outcomes among people residing in rural, urban, and metropolitan areas-28 US jurisdictions. J Rural Health. 2018;34(1):63–70.CrossRefPubMed
13.
go back to reference Kramer MR, Black NC, Matthews SA, James SA. The legacy of slavery and contemporary declines in heart disease mortality in the U.S. South. SSM Popul Health. 2017;3:609–17.CrossRefPubMedPubMedCentral Kramer MR, Black NC, Matthews SA, James SA. The legacy of slavery and contemporary declines in heart disease mortality in the U.S. South. SSM Popul Health. 2017;3:609–17.CrossRefPubMedPubMedCentral
14.
go back to reference Office of Management and Budget. Revisions to the standards for the classification of federal data on race and ethnicity. Federal Regist. 1997;62:58782–90. Office of Management and Budget. Revisions to the standards for the classification of federal data on race and ethnicity. Federal Regist. 1997;62:58782–90.
16.
go back to reference Harrison KM, 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.CrossRefPubMedPubMedCentral Harrison KM, 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.CrossRefPubMedPubMedCentral
21.
go back to reference Fay MP, Tiwari RC, Feuer EJ, Zou Z. Estimating average annual percent change for disease rates without assuming constant change. Biometrics. 2006;62(3):847–54.CrossRefPubMed Fay MP, Tiwari RC, Feuer EJ, Zou Z. Estimating average annual percent change for disease rates without assuming constant change. Biometrics. 2006;62(3):847–54.CrossRefPubMed
22.
23.
go back to reference Li Z, Purcell DW, Sansom SL, Hayes D, Hall HI. Vital signs: HIV transmission along the continuum of care—United States, 2016. Morb Mortal Wkly Rep. 2019;68(11):267–72.CrossRef Li Z, Purcell DW, Sansom SL, Hayes D, Hall HI. Vital signs: HIV transmission along the continuum of care—United States, 2016. Morb Mortal Wkly Rep. 2019;68(11):267–72.CrossRef
24.
go back to reference Taylor BS, Fornos L, Tarbutton J, Munoz J, Saber JA, Bullock D, et al. Improving HIV care engagement in the south from the patient and provider perspective: the role of stigma, social support, and shared decision-making. AIDS Patient Care STDS. 2018;32(9):368–78.CrossRefPubMedPubMedCentral Taylor BS, Fornos L, Tarbutton J, Munoz J, Saber JA, Bullock D, et al. Improving HIV care engagement in the south from the patient and provider perspective: the role of stigma, social support, and shared decision-making. AIDS Patient Care STDS. 2018;32(9):368–78.CrossRefPubMedPubMedCentral
25.
go back to reference Dailey AF, Hoots BE, Hall HI, Song R, Hayes D, Fulton P Jr, et al. Vital signs: human immunodeficiency virus testing and diagnosis delays—United States. MMWR Morb Mortal Wkly Rep. 2017;66(47):1300–6.CrossRefPubMedPubMedCentral Dailey AF, Hoots BE, Hall HI, Song R, Hayes D, Fulton P Jr, et al. Vital signs: human immunodeficiency virus testing and diagnosis delays—United States. MMWR Morb Mortal Wkly Rep. 2017;66(47):1300–6.CrossRefPubMedPubMedCentral
Metadata
Title
Characteristics of and Trends in HIV Diagnoses in the Deep South Region of the United States, 2012–2017
Authors
Meg Watson
Shacara D. Johnson
Tianchi Zhang
Alexandra M. Oster
Publication date
01-10-2019
Publisher
Springer US
Published in
AIDS and Behavior / Issue Special Issue 3/2019
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-019-02659-6

Other articles of this Special Issue 3/2019

AIDS and Behavior 3/2019 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.