Bureau of HIV, New York City Department of Health and Mental Hygiene, Queens, NY, USA.
Public Health Rep. 2023 Jan-Feb;138(1):14-18. doi: 10.1177/00333549211061325. Epub 2021 Dec 30.
Antiretroviral treatment has greatly improved the survival of people living with diagnosed HIV (PLWDH), but little information is available on the time since diagnosis among them. Using New York City HIV surveillance data, we described the trend in the number of years since diagnosis among PLWDH during 2010-2019 and reported the mean, median, and interquartile range (IQR) of years since diagnosis among PLWDH in New York City in 2019, overall and by gender, race and ethnicity, and transmission risk. The median number of years since diagnosis among PLWDH in New York City increased from 10.5 years (IQR, 6.3-15.6) in 2010 to 16.3 years (IQR, 8.9-22.1) in 2019. By gender, transgender people had the shortest time since diagnosis, with a median of 11.4 years (IQR, 5.6-17.9), compared with men (median = 15.2 years; IQR, 8.1-21.6) and women (median, 18.5 years; IQR, 12.0-23.0). By race and ethnicity, non-Hispanic White people had been living with the diagnosis for the longest time (median = 17.4 years; IQR, 9.5-23.5), and Asian/Pacific Islander people had been living with the diagnosis for the shortest time (median = 10.1 years; IQR, 4.7-17.0). With an expected and continuing increase in the number of years since HIV diagnosis among PLWDH, programs that provide treatment and support services will need to be expanded, updated, and improved.
抗逆转录病毒治疗极大地提高了已诊断 HIV 感染者（PLWDH）的生存率，但关于他们的诊断后时间信息却很少。利用纽约市 HIV 监测数据，我们描述了 2010 年至 2019 年期间 PLWDH 诊断后时间的数量趋势，并报告了 2019 年纽约市 PLWDH 诊断后时间的平均值、中位数和四分位距（IQR），总体和按性别、种族和民族以及传播风险分类。2019 年，纽约市 PLWDH 的诊断后时间中位数从 2010 年的 10.5 年（IQR，6.3-15.6）增加到 16.3 年（IQR，8.9-22.1）。按性别划分，跨性别者的诊断后时间最短，中位数为 11.4 年（IQR，5.6-17.9），而男性（中位数为 15.2 年；IQR，8.1-21.6）和女性（中位数为 18.5 年；IQR，12.0-23.0）。按种族和民族划分，非西班牙裔白人的诊断后时间最长（中位数为 17.4 年；IQR，9.5-23.5），而亚洲/太平洋岛民的诊断后时间最短（中位数为 10.1 年；IQR，4.7-17.0）。随着 PLWDH 诊断后时间的预期和持续增加，提供治疗和支持服务的项目将需要扩大、更新和改进。
