Amy Krueger, Deesha Patel, and Anna Satcher Johnson are with the Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Amy Krueger is also with the School of Health Sciences, University of Tampere, Tampere, Finland. Michelle Van Handel and Patricia M. Dietz are with the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention. Weston O. Williams is with Public Health Analytic Consulting Services Inc, Hillsborough, NC.
Am J Public Health. 2019 Nov;109(11):1589-1595. doi: 10.2105/AJPH.2019.305273. Epub 2019 Sep 19.
To examine state-level factors associated with late-stage HIV diagnoses in the United States. We examined state-level factors associated with late-stage diagnoses by estimating negative binomial regression models. We used 2013 to 2016 data from the National HIV Surveillance System (late-stage diagnoses), the Behavioral Risk Factor Surveillance System (HIV testing), and the American Community Survey (sociodemographics). Among individuals 25 to 44 years old, a 5% increase in the percentage of the state population tested for HIV in the preceding 12 months was associated with a 3% decrease in late-stage diagnoses. Among both individuals 25 to 44 years of age and those aged 45 years and older, a 5% increase in the percentage of the population living in a rural area was associated with a 2% to 3% increase in late-stage diagnoses. Increasing HIV testing may lower late-stage HIV diagnoses among younger individuals. Increasing HIV-related services may benefit both younger and older people in rural areas.
为了研究与美国晚期 HIV 诊断相关的州级因素。我们通过估计负二项回归模型来研究与晚期诊断相关的州级因素。我们使用了来自国家艾滋病毒监测系统（晚期诊断）、行为风险因素监测系统（艾滋病毒检测）和美国社区调查（社会人口统计学）的 2013 年至 2016 年的数据。在 25 至 44 岁的人群中，在前 12 个月中接受 HIV 检测的州人口比例增加 5%，与晚期诊断减少 3%相关。在 25 至 44 岁的人群和 45 岁及以上的人群中，居住在农村地区的人口比例增加 5%，与晚期诊断增加 2%至 3%相关。增加 HIV 检测可能会降低年轻人中的晚期 HIV 诊断率。增加与 HIV 相关的服务可能会使农村地区的年轻人和老年人受益。
