The South Carolina HIV Cascade of Care
The South Carolina HIV Cascade of Care
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DOI：
10.14423/smj.0000000000000368
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发表时间：
2015-11-01
影响因子：
1.1
通讯作者：
Weissman, Sharon
中科院分区：
文献类型：
--
作者：
Edun, Babatunde;Iyer, Medha;Weissman, Sharon
近年来，人类免疫缺陷病毒（HIV）级联护理描述了从诊断到病毒学抑制的艾滋病毒护理范围，已被广泛用于确定控制艾滋病毒流行的公共卫生工作的进展和成功。十多年来，南卡罗莱纳一直是美国获得性免疫缺陷综合症发病率最高的10个州之一，这表明晚期诊断和护理的问题。本研究的主要目的是为国家发展艾滋病毒级联护理，这可能有助于确定未来适当干预的机会。方法使用南卡罗来纳增强的HIV/AIDS报告系统数据库来开发HIV级联治疗，表明使用疾病控制和预防中心推荐的标准化指标与治疗相关，接受任何治疗，保留治疗并实现病毒学抑制的诊断个体的百分比。样本包括2011年12月31日之前在南卡罗来纳被诊断出感染艾滋病毒的所有人，这些人在2012年底还活着。结果2012年底，在14523名南卡罗莱纳艾滋病毒感染者中，64%接受过艾滋病毒治疗，53%继续接受治疗，48%在2012年得到病毒学抑制。这是南卡罗来纳的第一个HIV级联护理模型。需要努力改进公共卫生举措，将艾滋病毒感染者联系起来，让他们参与并保持他们的护理。
Objectives In recent years, the human immunodeficiency virus (HIV) cascade of care describing the spectrum of engagement in HIV care from diagnosis to virologic suppression has been used widely in determining the progress and success in public health efforts to control the HIV epidemic. For more than a decade South Carolina consistently ranked among the top10 states in the United States with the highest acquired immunodeficiency syndrome case rates, suggesting late diagnoses and issues with retention in care. The primary objective of this study was to develop an HIV cascade of care for the state that may help identify opportunities for appropriate future interventions.Methods The South Carolina Enhanced HIV/AIDS Reporting System database was used to develop the HIV cascade of care indicating the percentages of the diagnosed individuals who were linked to care, received any care, were retained in care, and achieved virologic suppression using standardized metrics recommended by the Centers for Disease Control and Prevention. The sample included all individuals in South Carolina who were diagnosed as having HIV by December 31, 2011 and who were alive at the end of 2012.Results Of the 14,523 South Carolinians living with HIV at the end of 2012, 64% had received any HIV care, 53% were retained in care, and 48% were virologically suppressed during 2012.Conclusions This is the first HIV cascade of care model for South Carolina. Efforts are needed to improve public health initiatives to link, engage, and retain individuals with HIV in care.