Using the HIV Surveillance System to Monitor the National HIV/AIDS Strategy
Using the HIV Surveillance System to Monitor the National HIV/AIDS Strategy
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DOI：
10.2105/ajph.2012.300859
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发表时间：
2013-01-01
影响因子：
12.7
通讯作者：
Hall, H. Irene
中科院分区：
文献类型：
--
作者：
Gray, Kristen Mahle;Tang, Tian;Hall, H. Irene
目标。为了报告国家艾滋病毒/艾滋病战略的指标，我们分析了通过国家艾滋病毒监测系统收集的数据。方法。我们分析了美国 13 个辖区中诊断出 HIV 的成人和 13 岁以上青少年的数据，这些辖区有 CD4+ T 淋巴细胞 (CD4) 和病毒载量 (VL) 检测结果的实验室报告，并将 CD4 和 VL 检测结果输入国家监测系统。在 2009 年诊断的 4899 人中，81.7% 在诊断后 3 个月内至少进行过 1 次 CD4 或 VL 检测。进行 CD4 或 VL 测试的白人 (86.2%) 比例高于黑人 (78.4%) 和西班牙裔 (82.6%)。截至 2008 年，共有 53 642 名艾滋病毒感染者进行了 VL 检测，其中 69.4% 的人最近的 VL 为 200 拷贝/毫升或更少。黑人 (60.2%)、西班牙裔 (70.3%) 和白人 (77.4%) 以及 13 至 24 岁人群 (44.3%) VL 受到抑制的比例与 65 岁或以上人群 (84.2%) 之间存在差异。在男男性行为者中，74.2% 的 VL 受到抑制。结论。调查结果凸显了获得护理和成功护理方面的差异。 （美国公共卫生杂志。2013；103：141-147。doi：10.2105/AJPH.2012.300859）
Objectives. To report on indicators of the National HIV/AIDS Strategy, we analyzed data collected through the national HIV surveillance system.Methods. We analyzed data from adults and adolescents aged 13 years or older diagnosed with HIV in 13 US jurisdictions that have laboratory reporting of CD4+ T-lymphocyte (CD4) and viral load (VL) test results and enter CD4 and VL test results into the national surveillance system.Results. Of 4899 people diagnosed in 2009, 81.7% had at least 1 CD4 or VL test performed within 3 months of diagnosis. A higher proportion of Whites (86.2%) than Blacks (78.4%) and Hispanics (82.6%) had a CD4 or VL test. Of 53 642 people diagnosed through 2008 and living with HIV at the end of 2009 who had a VL test, 69.4% had a most recent VL of 200 copies per milliliter or less. The proportion of people with suppressed VLs differed among Blacks (60.2%), Hispanics (70.3%), and Whites (77.4%) and among people aged 13 to 24 years (44.3%) compared with people aged 65 years or older (84.2%). Of men who have sex with men, 74.2% had a suppressed VL.Conclusions. The findings highlight disparities in access to and success of care. (Am J Public Health. 2013;103:141-147. doi:10.2105/AJPH.2012.300859)