One Size Fits (n)One: The Influence of Sex, Age, and Sexual Human Immunodeficiency Virus (HIV) Acquisition Risk on Racial/Ethnic Disparities in the HIV Care Continuum in the United States

Abstract Combating disparities is a crucial goal of ongoing efforts to end the human immunodeficiency virus (HIV) epidemic. In a multivariable analysis of a cohort in the Midwestern United States, racial/ethnic disparities in HIV viral suppression were no longer robust after accounting for other sociodemographic factors. Neighborhood deprivation and low income were independently inversely associated with viral suppression.

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“Ending the Epidemic” Will Not Happen Without Addressing Racial/Ethnic Disparities in the United States Human Immunodeficiency Virus Epidemic

Clinical Infectious Diseases ◽

10.1093/cid/ciaa566 ◽

2020 ◽

Vol 71 (11) ◽

pp. 2968-2971 ◽

Cited By ~ 5

Author(s):

Bohdan Nosyk ◽

Emanuel Krebs ◽

Xiao Zang ◽

Micah Piske ◽

Benjamin Enns ◽

...

Keyword(s):

United States ◽

Human Immunodeficiency Virus ◽

Healthcare Access ◽

Ethnic Disparities ◽

Credible Interval ◽

The United States ◽

Virus Incidence ◽

Immunodeficiency Virus ◽

Rate Ratios ◽

Racial Ethnic

Abstract We estimated human immunodeficiency virus incidence and incidence rate ratios (IRRs) for black and Hispanic vs white populations in 6 cities in the United States (2020–2030). Large reductions in incidence are possible, but without elimination of disparities in healthcare access, we found that wide disparities persisted for black compared with white populations in particular (lowest IRR, 1.69 [95% credible interval, 1.19–2.30]).

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Perinatal HIV Service Coordination: Closing Gaps in the HIV Care Continuum for Pregnant Women and Eliminating Perinatal HIV Transmission in the United States

Public Health Reports ◽

10.1177/0033354918789912 ◽

2018 ◽

Vol 133 (5) ◽

pp. 532-542

Author(s):

Mary-Margaret Andrews ◽

Deborah S. Storm ◽

Carolyn K. Burr ◽

Erika Aaron ◽

Mary Jo Hoyt ◽

...

Keyword(s):

United States ◽

Hiv Transmission ◽

The United States ◽

Comprehensive Care ◽

Hiv Care ◽

Service Coordination ◽

Hiv Care Continuum ◽

Care Continuum ◽

Perinatal Hiv ◽

Childbearing Women

Eliminating perinatal transmission of HIV and improving the care of childbearing women living with HIV in the United States require public health and clinical leadership. The Comprehensive Care Workgroup of the Elimination of Perinatal HIV Transmission Stakeholders Group, sponsored by the Centers for Disease Control and Prevention, developed a concept of perinatal HIV service coordination (PHSC) and identified 6 core functions through (1) semistructured exploratory interviews with contacts in 11 state or city health departments from April 2011 through February 2012, (2) literature review and summary of data on gaps in services and outcomes, and (3) group meetings from August 2010 through June 2017. We discuss leadership strategies for implementing the core functions of PHSC: strategic planning, access to services, real-time case finding, care coordination, comprehensive care, and data and case reviews. PHSC provides a systematic approach to optimize services and close gaps in perinatal HIV prevention and the HIV care continuum for childbearing women that can be individualized for jurisdictions with varying needs.

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Use of Intrauterine Devices and Risk of Human Immunodeficiency Virus Acquisition Among Insured Women in the United States

Clinical Infectious Diseases ◽

10.1093/cid/ciz791 ◽

2019 ◽

Vol 70 (10) ◽

pp. 2221-2223

Author(s):

Julia L Marcus ◽

Jonathan M Snowden ◽

Mara E Murray Horwitz ◽

Sengwee Toh ◽

Casie Horgan ◽

...

Keyword(s):

United States ◽

Human Immunodeficiency Virus ◽

Intrauterine Device ◽

The United States ◽

Hiv Diagnosis ◽

Health Insurance Data ◽

Virus Acquisition ◽

Increased Risk ◽

Immunodeficiency Virus ◽

Hiv Acquisition

Abstract Concerns have been raised about progestin-containing contraceptives and the risk of human immunodeficiency virus (HIV) acquisition. Based on health insurance data from women in the United States with intrauterine device (IUD) insertions during 2011–2018, there was no increased risk of incident HIV diagnosis for levonorgestrel-releasing IUDs versus copper IUDs.

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Challenges in the Evaluation of Interventions to Improve Engagement Along the HIV Care Continuum in the United States: A Systematic Review

AIDS and Behavior ◽

10.1007/s10461-017-1687-8 ◽

2017 ◽

Vol 21 (7) ◽

pp. 2101-2123 ◽

Cited By ~ 18

Author(s):

Kathryn A. Risher ◽

Sunaina Kapoor ◽

Alice Moji Daramola ◽

Gabriela Paz-Bailey ◽

Jacek Skarbinski ◽

...

Keyword(s):

United States ◽

Systematic Review ◽

The United States ◽

Hiv Care ◽

Hiv Care Continuum ◽

Care Continuum

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Progress Along the Human Immunodeficiency Virus (HIV) Care Continuum in a U.S. Sample of HIV-Positive Men Who Have Sex With Men (MSM) Recruited Online

Open Forum Infectious Diseases ◽

10.1093/ofid/ofw172.342 ◽

2016 ◽

Vol 3 (suppl_1) ◽

Author(s):

Richard Teran ◽

Martin Downing ◽

Mary Ann Chiasson ◽

Irene Yoon ◽

Steven Houang ◽

...

Keyword(s):

Human Immunodeficiency Virus ◽

Hiv Care ◽

Hiv Positive ◽

Hiv Care Continuum ◽

Care Continuum ◽

Immunodeficiency Virus ◽

Sex With Men ◽

Hiv Positive Men

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Measuring the HIV Care Continuum Using Public Health Surveillance Data in the United States

JAIDS Journal of Acquired Immune Deficiency Syndromes ◽

10.1097/qai.0000000000000788 ◽

2015 ◽

Vol 70 (5) ◽

pp. 489-494 ◽

Cited By ~ 16

Author(s):

Catherine R. Lesko ◽

Lynne A. Sampson ◽

William C. Miller ◽

Jacquelyn Clymore ◽

Peter A. Leone ◽

...

Keyword(s):

Public Health ◽

United States ◽

Public Health Surveillance ◽

The United States ◽

Health Surveillance ◽

Surveillance Data ◽

Hiv Care ◽

Hiv Care Continuum ◽

Care Continuum ◽

Health Surveillance Data

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Human Immunodeficiency Virus Transmission at Each Step of the Care Continuum in the United States

JAMA Internal Medicine ◽

10.1001/jamainternmed.2014.8180 ◽

2015 ◽

Vol 175 (4) ◽

pp. 588 ◽

Cited By ~ 309

Author(s):

Jacek Skarbinski ◽

Eli Rosenberg ◽

Gabriela Paz-Bailey ◽

H. Irene Hall ◽

Charles E. Rose ◽

...

Keyword(s):

United States ◽

Human Immunodeficiency Virus ◽

Virus Transmission ◽

The United States ◽

Human Immunodeficiency Virus Transmission ◽

Care Continuum ◽

Immunodeficiency Virus

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The Relationship Between the Human Immunodeficiency Virus-1 Transmission Network and the HIV Care Continuum in Los Angeles County

Clinical Infectious Diseases ◽

10.1093/cid/ciaa114 ◽

2020 ◽

Author(s):

Adiba Hassan ◽

Victor De Gruttola ◽

Yunyin W Hu ◽

Zhijuan Sheng ◽

Kathleen Poortinga ◽

...

Keyword(s):

Public Health ◽

Human Immunodeficiency Virus ◽

Los Angeles ◽

Molecular Epidemiology ◽

Los Angeles County ◽

Hiv Care ◽

Hiv Care Continuum ◽

Genetic Transmission ◽

Care Continuum ◽

Immunodeficiency Virus

Abstract Background Public health action combating human immunodeficiency virus (HIV) includes facilitating navigation through the HIV continuum of care: timely diagnosis followed by linkage to care and initiation of antiretroviral therapy to suppress viral replication. Molecular epidemiology can identify rapidly growing HIV genetic transmission clusters. How progression through the care continuum relates to transmission clusters has not been previously characterized. Methods We performed a retrospective study on HIV surveillance data from 5226 adult cases in Los Angeles County diagnosed from 2010 through 2014. Genetic transmission clusters were constructed using HIV-TRACE. Cox proportional hazard models were used to estimate the impact of transmission cluster growth on the time intervals between care continuum events. Gamma frailty models incorporated the effect of heterogeneity associated with genetic transmission clusters. Results In contrast to our expectations, there were no differences in time to the care continuum events among individuals in clusters with different growth dynamics. However, upon achieving viral suppression, individuals in high growth clusters were slower to experience viral rebound (hazard ratio 0.83, P = .011) compared with individuals in low growth clusters. Heterogeneity associated with cluster membership in the timing to each event in the care continuum was highly significant (P < .001), with and without adjustment for transmission risk and demographics. Conclusions Individuals within the same transmission cluster have more similar trajectories through the HIV care continuum than those across transmission clusters. These findings suggest molecular epidemiology can assist public health officials in identifying clusters of individuals who may benefit from assistance in navigating the HIV care continuum.

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