Updated Data on Linkage to Human Immunodeficiency Virus Care and Antiretroviral Treatment Among Men Who Have Sex With Men-20 Cities, United States

Brooke E Hoots, Teresa J Finlayson, Cyprian Wejnert, Gabriela Paz-Bailey, National HIV Behavioral Surveillance (NHBS) Study Group, Brooke E Hoots, Teresa J Finlayson, Cyprian Wejnert, Gabriela Paz-Bailey, National HIV Behavioral Surveillance (NHBS) Study Group

Abstract

We examined differences in prevalence of linkage to care and antiretroviral (ARV) treatment among human immunodeficiency virus (HIV)-positive men who have sex with men (MSM) between 2008 and 2014 in National HIV Behavioral Surveillance. Prevalence of linkage to care increased from 79% in 2008 to 87% in 2014 (prevalence ratio [PR], 1.05; 95% confidence interval [CI], 1.03-1.07). ARV treatment increased from 69% in 2008 to 88% in 2014 (adjusted PR, 1.15; 95% CI, 1.12-1.18). Despite these increases, a large disparity in ARV treatment between white and black MSM remains. Increased resources are needed to support immediate referrals for ARV treatment for all MSM newly diagnosed with HIV.

Keywords: HIV; MSM; United States; antiretroviral; linkage to care.

Conflict of interest statement

Potential conflicts of interest. All authors: No reported conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.

Published by Oxford University Press for the Infectious Diseases Society of America 2017. This work is written by (a) US Government employee(s) and is in the public domain in the US.

References

    1. Reif SS, Whetten K, Wilson ER, et al. HIV/AIDS in the southern USA: a disproportionate epidemic. AIDS Care. 2014;26:351–9.
    1. Centers for Disease Control and Prevention. [Accessed 15 November 2016];HIV Surveillance Report. 2014 26
    1. US Census Bureau. [Accessed 15 November 2016];2010 Census briefs: the black population. 2010 .
    1. Rosenberg ES, Grey JA, Sanchez TH, Sullivan PS. Rates of prevalent HIV infection, prevalent diagnoses, and new diagnoses among men who have sex with Men in US States, metropolitan statistical areas, and counties, 2012–2013. JMIR Public Health Surveill. 2016;2:e22.
    1. White House Office of National AIDS Policy. National HIV/AIDS Strategy for the United States. Washington, DC: White House Office of National AIDS Policy; 2010.
    1. White House Office of National AIDS Policy. National HIV/AIDS Strategy for the United States: updated to 2020. Washington, DC: White House Office of National AIDS Policy; 2015.
    1. Hoots BE, Finlayson TJ, Wejnert C, Paz-Bailey G NHBS Study Group. Early linkage to HIV care and antiretroviral treatment among men who have sex with men–20 cities, United States, 2008 and 2011. PLoS One. 2015;10:e0132962.
    1. Finlayson TJ, Le B, Smith A, et al. Centers for Disease Control and Prevention. HIV risk, prevention, and testing behaviors among men who have sex with men–National HIV Behavioral Surveillance System, 21 U.S. cities, United States, 2008. MMWR Surveill Summ. 2011;60:1–34.
    1. Centers for Disease Control and Prevention. HIV infection, risk, prevention, and testing behaviors among men who have sex with men (MSM)—National HIV Behavioral Surveillance, 20 U.S. cities, 2014. [Accessed 15 November 2016];HIV Surveillance Special Report. :15. .
    1. Beer L, Bradley H, Mattson CL, Johnson CH, Hoots B, Shouse RL Medical Monitoring Project. Trends in racial and ethnic disparities in antiretroviral therapy prescription and viral suppression in the United States, 2009–2013. J Acquir Immune Defic Syndr. 2016;73:446–53.
    1. Pellowski JA. Barriers to care for rural people living with HIV: a review of domestic research and health care models. J Assoc Nurses AIDS Care. 2013;24:422–37.
    1. Vaughan AS, Rosenberg E, Shouse RL, Sullivan PS. Connecting race and place: a county-level analysis of white, black, and Hispanic HIV prevalence, poverty, and level of urbanization. Am J Public Health. 2014;104:e77–84.
    1. Krawczyk CS, Funkhouser E, Kilby JM, Vermund SH. Delayed access to HIV diagnosis and care: special concerns for the Southern United States. AIDS Care. 2006;18(suppl 1):S35–44.
    1. Kates J, Young K, Quinn K, Frazier EL, Skarbinski J. [Accessed 15 July 2016];Assessing the impact of the A ordable Care Act on health insurance coverage of people with HIV.
    1. Snider JT, Juday T, Romley JA, et al. Nearly 60,000 uninsured and low-income people with HIV/AIDS live in states that are not expanding Medicaid. Health Aff (Millwood) 2014;33:386–93.

Source: PubMed

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