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美国 61 个卫生部门辖区 2012-2014 年黑人女性中的艾滋病毒检测和服务提供情况。

HIV Testing and Service Delivery Among Black Females--61 Health Department Jurisdictions, United States, 2012-2014.

机构信息

Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC.

出版信息

MMWR Morb Mortal Wkly Rep. 2016 Feb 5;65(4):83-5. doi: 10.15585/mmwr.mm6504a3.


DOI:10.15585/mmwr.mm6504a3
PMID:26845101
Abstract

A primary goal of the national human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) Strategy is to reduce HIV-related health disparities (1). Among all HIV diagnoses among women in the United States in 2014, non-Hispanic black or African American (black) women accounted for an estimated 62% of diagnoses, despite constituting only 13% of the female population (2,3). Although HIV diagnoses continue to occur disproportionately among black women, HIV surveillance data indicate a 13.5% decrease in diagnoses from 2012 to 2014 (2,4). However, widespread HIV testing and early linkage to care are critical for persons with HIV to achieve viral suppression and improved health outcomes, and to reduce transmission of HIV to others (5). Analysis of CDC-funded program data on HIV testing services provided to black females and submitted by 61 state and local health departments during 2012-2014 revealed that the number of new HIV diagnoses among black females decreased 17% from 2,177 in 2012 to 1,806 in 2014. Among black females with newly diagnosed HIV infection, the percentage who were linked to HIV medical care within 90 days of diagnosis increased 48.2%, from 33.8% in 2012 to 50.1% in 2014. However, in 2010 the National HIV/AIDS Strategy established a goal to link 85% of persons with newly diagnosed HIV infection to HIV medical care (1). Enhanced efforts to diagnose HIV infection among black females and link them to HIV medical care are critical to address HIV infections in the United States.

摘要

国家人类免疫缺陷病毒/获得性免疫缺陷综合征(HIV/AIDS)战略的一个主要目标是减少与 HIV 相关的健康差异(1)。2014 年,在美国所有女性 HIV 诊断中,非西班牙裔黑人和非洲裔美国女性(黑人)占估计诊断数的 62%,尽管她们只占女性人口的 13%(2,3)。尽管 HIV 诊断继续不成比例地发生在黑人女性中,但 HIV 监测数据表明,2012 年至 2014 年诊断数下降了 13.5%(2,4)。然而,广泛的 HIV 检测和早期与护理机构联系对于 HIV 感染者实现病毒抑制和改善健康结果以及减少 HIV 向他人传播至关重要(5)。对 2012-2014 年期间 61 个州和地方卫生部门提供的针对黑人女性的 HIV 检测服务的 CDC 资助项目数据进行分析显示,黑人女性中新发 HIV 诊断数从 2012 年的 2177 例下降到 2014 年的 1806 例,下降了 17%。在新诊断为 HIV 感染的黑人女性中,90 天内与 HIV 医疗保健机构联系的比例增加了 48.2%,从 2012 年的 33.8%增加到 2014 年的 50.1%。然而,在 2010 年,国家 HIV/AIDS 战略制定了一个目标,即把 85%新诊断为 HIV 感染的人联系到 HIV 医疗保健机构(1)。加强对黑人女性中 HIV 感染的诊断,并将她们与 HIV 医疗保健机构联系起来,对于解决美国的 HIV 感染问题至关重要。

相似文献

[1]
HIV Testing and Service Delivery Among Black Females--61 Health Department Jurisdictions, United States, 2012-2014.

MMWR Morb Mortal Wkly Rep. 2016-2-5

[2]
HIV Testing, Linkage to HIV Medical Care, and Interviews for Partner Services Among Black Men Who Have Sex with Men - Non-Health Care Facilities, 20 Southern U.S. Jurisdictions, 2016.

MMWR Morb Mortal Wkly Rep. 2018-7-20

[3]
Identifying New Positives and Linkage to HIV Medical Care--23 Testing Site Types, United States, 2013.

MMWR Morb Mortal Wkly Rep. 2015-6-26

[4]
HIV Testing Outcomes Among Blacks or African Americans - 50 Local U.S. Jurisdictions Accounting for the Majority of New HIV Diagnoses and Seven States with Disproportionate Occurrences of HIV in Rural Areas, 2017.

MMWR Morb Mortal Wkly Rep. 2020-1-31

[5]
HIV testing and service delivery among Blacks or African Americans--61 health department jurisdictions, United States, 2013.

MMWR Morb Mortal Wkly Rep. 2015-2-6

[6]
Centers for Disease Control and Prevention-Funded Human Immunodeficiency Virus Testing, Positivity, and Service Delivery among Newly Diagnosed Women in 61 Health Department Jurisdictions, United States, 2014.

Womens Health Issues. 2016

[7]
HIV Care Outcomes Among Blacks with Diagnosed HIV - United States, 2014.

MMWR Morb Mortal Wkly Rep. 2017-2-3

[8]
CDC-funded HIV testing, HIV positivity, and linkage to HIV medical care in non-health care settings among young men who have sex with men (YMSM) in the United States.

AIDS Care. 2017-7

[9]
Care Outcomes Among Black or African American Persons with Diagnosed HIV in Rural, Urban, and Metropolitan Statistical Areas - 42 U.S. Jurisdictions, 2018.

MMWR Morb Mortal Wkly Rep. 2021-2-19

[10]
HIV Testing, Linkage to HIV Medical Care, and Interviews for Partner Services Among Women - 61 Health Department Jurisdictions, United States, Puerto Rico, and the U.S. Virgin Islands, 2015.

MMWR Morb Mortal Wkly Rep. 2017-10-20

引用本文的文献

[1]
A Mixed Methods Study of Anticipated and Experienced Stigma in Health Care Settings Among Women Living with HIV in the United States.

AIDS Patient Care STDS. 2019-4

[2]
Effectively Addressing Human Immunodeficiency Virus Disparities Affecting US Black Women.

Health Equity. 2018-11-16

[3]
Exploring Gender Differences in PrEP Interest Among Individuals Testing HIV Negative in an Urban Emergency Department.

AIDS Educ Prev. 2018-10

[4]
Gender Differences in HIV Testing, Diagnosis, and Linkage to Care in Healthcare Settings: Identifying African American Women with HIV in Chicago.

AIDS Patient Care STDS. 2018-10

[5]
Social and structural determinants of HIV treatment and care among black women living with HIV infection: a systematic review: 2005-2016.

AIDS Care. 2018-4

[6]
Trends in Racial/Ethnic Disparities Among Patients Living with HIV in Texas, 1996 to 2013.

J Racial Ethn Health Disparities. 2017-12-21

[7]
Towards an integrated primary and secondary HIV prevention continuum for the United States: a cyclical process model.

J Int AIDS Soc. 2016-11-17

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