Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
Ann Epidemiol. 2022 Jul;71:15-22. doi: 10.1016/j.annepidem.2022.04.011. Epub 2022 May 4.
HIV disparities continue to persist in the southern United States and among some populations. Early HIV diagnosis, prompt linkage to care, and viral suppression among persons with HIV in the South, in particular the Deep South, are critical to reduce disparities and achieve national prevention goals.
Estimated annual percent changes were calculated to assess trends during 2015-2019 in percentage distributions for stage of disease at the time of diagnosis, linkage to HIV medical care, and viral suppression.
Among 95,488 persons with HIV diagnosed in the South (Deep South: 81,848; Other South:13,640), the overall percentage that received a diagnosis classified as stage 0 increased 9.0%, stages 1-2 increased 1.8%, linkage to HIV care increased 2.9%, and viral suppression increased 5.9%. Changes in care outcomes among American Indian/Alaska Native persons and persons with infection attributed to injection drug use were minimal.
To reach the goals of Ending the HIV Epidemic (EHE) and other federal initiatives, efforts need to focus on prevention and care among persons residing in the South. Addressing factors such as stigma and discrimination and elimination of barriers to HIV testing, care, and treatment are needed to effectively address these disparities in HIV-related care outcomes.
在美国南部和某些人群中，艾滋病毒的差异仍然存在。在南部，特别是在深南部，早期诊断艾滋病毒、及时将艾滋病毒感染者与医疗保健机构联系起来以及实现病毒抑制，对于减少差异和实现国家预防目标至关重要。
计算了估计的年百分变化率，以评估 2015 年至 2019 年期间，在诊断时疾病阶段、与艾滋病毒医疗保健机构联系以及病毒抑制方面的分布百分比的趋势。
在南部（深南部：81848 例；其他南部：13640 例）诊断出的 95488 例艾滋病毒感染者中，总体上被诊断为 0 期的比例增加了 9.0%，1-2 期的比例增加了 1.8%，与艾滋病毒护理机构的联系增加了 2.9%，病毒抑制增加了 5.9%。美国印第安人/阿拉斯加原住民和因注射毒品感染艾滋病毒的人在护理结果方面的变化微乎其微。
为了实现终结艾滋病毒流行（EHE）和其他联邦倡议的目标，需要在南部地区的居民中专注于预防和护理工作。需要解决污名化和歧视等因素，并消除艾滋病毒检测、护理和治疗的障碍，以有效解决与艾滋病毒相关的护理结果方面的差异。
