title: Jurisdiction level differences in HIV diagnosis, retention in care, and viral suppression in the United States.
abstract: Using data from the National HIV Surveillance System, we determined the number of persons diagnosed with HIV and the percentages of persons linked to care, retained in care, and virally suppressed across 19 jurisdictions with complete reporting of CD4 and viral load test results. Reports from these jurisdictions represent 37% of persons diagnosed with HIV infection in the United States in 2011. Although 80% of persons diagnosed in 2011 were linked to HIV medical care within 3 months of diagnosis, half of all persons living with HIV in the 19 jurisdictions were not receiving ongoing care in 2010. In addition, 43% of persons living with HIV by year-end 2009 and alive at year-end 2010 did not have a suppressed viral load, with substantial variability across the 19 jurisdictions. These data highlight the need for improved outcomes along each step of the HIV continuum of care.
authors.affiliation: Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
authors.forename: Kristen Mahle
authors.initials: KM
authors.lastname: Gray
authors.forename: Stacy M
authors.initials: SM
authors.lastname: Cohen
authors.forename: Xiaohong
authors.initials: X
authors.lastname: Hu
authors.forename: Jianmin
authors.initials: J
authors.lastname: Li
authors.forename: Jonathan
authors.initials: J
authors.lastname: Mermin
authors.forename: H Irene
authors.initials: HI
authors.lastname: Hall
mesh_terms: D018791:CD4 Lymphocyte Count; D015658:HIV Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000276:immunology / Q000821:virology; D006801:Humans; D014481:United States; D019562:Viral Load; D016903:Drug Monitoring