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Jurisdiction Level Differences in HIV Diagnosis, Retention in Care, and Viral Suppression in the United States

Gray, Kristen Mahle MPH; Cohen, Stacy M. MPH; Hu, Xiaohong MS; Li, Jianmin DPE; Mermin, Jonathan MD, MPH; Hall, H. Irene PhD

JAIDS Journal of Acquired Immune Deficiency Syndromes: February 1st, 2014 - Volume 65 - Issue 2 - p 129–132
doi: 10.1097/QAI.0000000000000028
Rapid Communication

Abstract: Using data from the National HIV Surveillance System, we determined the number of persons diagnosed with HIV and the percentages of persons linked to care, retained in care, and virally suppressed across 19 jurisdictions with complete reporting of CD4 and viral load test results. Reports from these jurisdictions represent 37% of persons diagnosed with HIV infection in the United States in 2011. Although 80% of persons diagnosed in 2011 were linked to HIV medical care within 3 months of diagnosis, half of all persons living with HIV in the 19 jurisdictions were not receiving ongoing care in 2010. In addition, 43% of persons living with HIV by year-end 2009 and alive at year-end 2010 did not have a suppressed viral load, with substantial variability across the 19 jurisdictions. These data highlight the need for improved outcomes along each step of the HIV continuum of care.

Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA.

Correspondence to: Kristen Mahle Gray, MPH, MS E-47, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333 (e-mail:

Supported by US Government.

The authors have no conflicts of interest to disclose.

The findings and conclusions in this study are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

Received October 04, 2013

Accepted October 04, 2013

© 2014 by Lippincott Williams & Wilkins