Abstract
We examined three waves of National HIV Behavioral Surveillance surveys of persons who inject drugs (PWID) in San Francisco to assess meeting UNAIDS 90–90–90 targets. Diagnosis of PWID living with HIV increased from 64.4% in 2009 to 80.5% in 2015. Antiretroviral treatment among those diagnosed did not improve (63.8% in 2009, 62.9% in 2015). Programs in San Francisco have not achieved the first two UNAIDS targets for PWID by 2015. In a context of a rising opioid epidemic, there is urgent need for increased case finding of PWID living with HIV who are undiagnosed with rapid linkage to treatment.
Resumen
Examinamos encuestas de comportamiento en personas que se inyectan drogas en San Francisco para evaluar el cumplimiento de los objetivos de ONUSIDA 90-90-90. El diagnóstico en personas que viven con VIH aumentó de 64.4% en 2009 a 80.5% en 2015. El tratamiento antirretroviral no mejoró (63.8% en 2009, 62.9% en 2015). Los programas no han alcanzado los objetivos de ONUSIDA para personas que se inyectan drogas. En un contexto de aumento de la epidemia de opiáceos, existe una necesidad de un mayor esfueurzo de encontrar casos de VIH que no han sido diagnosticados con un vínculo rápido con el tratamiento.
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This study was funded by the Centers for Disease Control and Prevention (grant number 5U1BPS003247).
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Informed consent was obtained from all individual participants included in the study.
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Kim, N., Welty, S., Reza, T. et al. Undiagnosed and Untreated HIV Infection Among Persons Who Inject Drugs: Results of Three National HIV Behavioral Surveillance Surveys, San Francisco, 2009–2015. AIDS Behav 23, 1586–1589 (2019). https://doi.org/10.1007/s10461-018-2284-1
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DOI: https://doi.org/10.1007/s10461-018-2284-1