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HIV Viral Suppression, 37 States and the District of Columbia, 2014

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Abstract

Achieving viral suppression among HIV-positive persons is a critical component of HIV treatment and prevention, because it leads to improved health outcomes for the individual and reduced risk of HIV transmission. There is wide variation in viral suppression across jurisdictions, races/ethnicities, age groups, and transmission risk groups. This analysis uses HIV surveillance data to examine rates of viral suppression among people living with diagnosed HIV (PLWDH) in 38 jurisdictions with complete lab reporting. Among people who received a diagnosis in 2014, the percentage with viral suppression within 12 months of diagnosis and the average time to viral suppression was assessed. Overall, among PLWDH in 2014, 57.9% were virally suppressed, and, among people with HIV diagnosed in 2014, 68.2% were suppressed within 12 months of diagnosis with an average time to suppression of 6.9 months. All outcomes varied by jurisdiction, but most had similar patterns of disparities with a few exceptions. These data highlight the need for tailored interventions at the local level. In addition, jurisdictions with relatively low viral suppression among particular groups could adapt effective interventions from jurisdictions who have higher rates of suppression.

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Funding

All work was supported by the Centers for Disease Control and Prevention.

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The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

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Authors and Affiliations

  1. Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd, MS-E47, Atlanta, GA, 30329, USA

    Kristen L. Hess & H. Irene Hall

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  1. Kristen L. Hess
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  2. H. Irene Hall
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Correspondence to Kristen L. Hess.

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Hess, K.L., Hall, H.I. HIV Viral Suppression, 37 States and the District of Columbia, 2014. J Community Health 43, 338–347 (2018). https://doi.org/10.1007/s10900-017-0427-3

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  • DOI: https://doi.org/10.1007/s10900-017-0427-3

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