Doshi Rupali K, Milberg John, Jumento Theresa, Matthews Tracy, Dempsey Antigone, Cheever Laura W
Rupali K. Doshi (
John Milberg is a health scientist at the Division of Policy and Data, HIV/AIDS Bureau, Health Resources and Services Administration (HRSA), in Rockville, Maryland.
Health Aff (Millwood). 2017 Jan 1;36(1):116-123. doi: 10.1377/hlthaff.2016.0655.
For twenty-five years, the Ryan White HIV/AIDS Program has supported a comprehensive system of health services for vulnerable and under- or uninsured people living with HIV. Using data from the Health Resources and Services Administration about people living with HIV and served by the Ryan White HIV/AIDS Program, we found reductions in disparities in viral suppression rates between 2010 and 2014-with rates for Blacks/African Americans, adolescents and young adults, and people living in the South becoming more similar to rates for Whites, older adults, and people in other regions of the United States, respectively. Although absolute viral suppression rates for people without stable housing and transgender people improved during the same time period, disparities were not reduced between these groups and those with stable housing and nontransgender people, respectively. Addressing persistent disparities through the effective use of this program will be one of the key ways to meet the goals of the National HIV/AIDS Strategy.
二十五年来，瑞安·怀特艾滋病毒/艾滋病项目一直为感染艾滋病毒的弱势群体以及未参保或无保险人群提供全面的医疗服务体系。利用来自卫生资源与服务管理局的关于感染艾滋病毒并接受瑞安·怀特艾滋病毒/艾滋病项目服务人群的数据，我们发现2010年至2014年间病毒抑制率的差距有所缩小——黑人/非裔美国人、青少年和年轻人以及居住在美国南部人群的病毒抑制率分别变得更接近白人、老年人以及美国其他地区人群的病毒抑制率。尽管在同一时期，无稳定住房人群和跨性别者的绝对病毒抑制率有所提高，但这些群体与有稳定住房人群和非跨性别者之间的差距并未缩小。通过有效利用该项目来解决持续存在的差距将是实现《国家艾滋病毒/艾滋病战略》目标的关键途径之一。
