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HIV Care Continuum, District 10 Northeast (Athens), Georgia, 2012.

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Presentation on theme: "HIV Care Continuum, District 10 Northeast (Athens), Georgia, 2012."— Presentation transcript:

1 HIV Care Continuum, District 10 Northeast (Athens), Georgia, 2012

2 HIV Care Continuum Methodology, District 10 Northeast (Athens), Georgia, 2012 Adults and adolescents are those aged >= 13 years Diagnosed by 12/31/2011, living as of 12/31/2012, including those missing race, sex, and/or risk behavior Current address within District 10 Northeast (Athens), Georgia Linked to care = CD4 or viral load (VL) within 3 months of diagnosis date including the day of diagnosis for those diagnosed between 01/01/2011 and 12/31/2011, inclusively Any care >= 1 CD4 or VL in 2012 Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml in most recent VL in 2012 Each bar in the continuum is independent of those preceding it; all percentages are of the total number of persons (N) diagnosed with HIV in each category

3 Caveats and clarifications The number of individuals (N) in some sub-populations is small. Use caution in interpretation. It is possible for a person to be NOT linked to care within 3 months and/or NOT retained in care (> 2 CD4 or VL in 12 months) yet be in “any care” (> 1 CD4 or VL in the previous 12 months) and virally suppressed. Methodology for the care continuum and completeness of HIV data varies among jurisdictions, thus limiting direct comparisons with other states or the national continuum. The Georgia DPH HIV/AIDS Epidemiology Program has used the same methodology for the care continuum for all Georgia Health Districts. Monitoring trends over time within a District, or comparisons between Districts, can be meaningful. Missing information on race, sex and/or transmission category reflects missing data on case report forms that remains unresolved.

4 Adults and Adolescents Living with HIV, District 10 Northeast (Athens), Georgia, 2012 N= 879 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 10 Northeast (Athens), Georgia Linked to care= CD4 or VL within 3 months of diagnosis, among those diagnosed 01/01/11-12/31/11 (N= 45) Any care>= 1 CD4 or VL in 2012 Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012 N=45 All Georgia VS 41%

5 Adults and Adolescents Living with HIV, District 10 Northeast (Athens), Georgia, 2012, by Sex N= 617 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 10 Northeast (Athens), Georgia Linked to care= CD4 or VL within 3 months of diagnosis, among those diagnosed 01/01/11-12/31/11 (N= 45) Any care >= 1 CD4 or VL in 2012 Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012 N= 259 N=32 N=13

6 Adults and Adolescents Living with HIV, District 10 Northeast (Athens), Georgia, 2012, by Race/Ethnicity N= 540 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 10 Northeast (Athens), Georgia Linked to care = CD4 or VL within 3 months of diagnosis, among those diagnosed 01/01/11-12/31/11 (N= 45) *Number diagnosed in this category <=5 and so not depicted in linkage Any care>= 1 CD4 or VL in 2012 Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

7 Adults and Adolescents Living with HIV, District 10 Northeast (Athens), Georgia, 2012, by Current Age (in Years) N= 208 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 10 Northeast (Athens), Georgia Linked to care= CD4 or VL within 3 months of diagnosis for those diagnosed 01/01/11-12/31/11 (N= 45) *Number diagnosed in this category <=5 and so not depicted in linkage Any care >= 1 CD4 or VL in 2012 Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012 N= 279 N= 239

8 Transmission category definitions Multiple imputation was used to assign transmission category where missing MSM = Male to male sexual contact IDU = Injection drug use MSM/IDU = Male to male sexual contact and injection drug use HET = Heterosexual contact with a person known to have, or to be at high risk for, HIV infection Other = hemophilia, blood transfusion, perinatal exposure, and risk factor not reported or not identified (majority of “Other”)

9 Adult and Adolescent Males Living with HIV, District 10 Northeast (Athens), Georgia, 2012, by Transmission Category N=348 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 10 Northeast (Athens), Georgia Linked to care= CD4 or VL within 3 months of diagnosis for those diagnosed 01/01/11 - 12/31/11 (N= 45) *Number diagnosed in this category <=5 and so not depicted in linkage Engaged in care >= 1 CD4 or VL in 2012 Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012 N=37 N= 31 N=19* * * N=9

10 Adult and Adolescent Females Living with HIV, District 10 Northeast (Athens), Georgia, 2012, by Transmission Category Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 10 Northeast (Athens), Georgia Linked to care= CD4 or VL within 3 months of diagnosis for those diagnosed 01/01/11 - 12/31/11 (N= 45) *Number diagnosed in this category <=5 and so not depicted in linkage Any care >= 1 CD4 or VL in 2012 Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

11 Viral Suppression Among Those Retained in Care District 10 Northeast (Athens), Georgia, 2012, by Sex N= 244N= 125 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 10 Northeast (Athens), Georgia Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

12 Viral Suppression Among Those Retained in Care District 10 Northeast (Athens), Georgia, 2012, by Race/Ethnicity N= 218 N= 36N= 100 N= 15 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 10 Northeast (Athens), Georgia Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

13 Viral Suppression Among Those Retained in Care District 10 Northeast (Athens), Georgia, 2012, by Current Age (in Years) N= 65 N= 108N= 113 N= 60 N= 23 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 10 Northeast (Athens), Georgia Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

14 Viral Suppression Among Males Retained in Care District 10 Northeast (Athens), Georgia, 2012, by Transmission Category N= 143 N= 12N= 10N= 15 N= 64 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 10 Northeast (Athens), Georgia Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

15 Viral Suppression Among Females Retained in Care District 10 Northeast (Athens), Georgia, 2012, by Transmission Category N= 47N= 13 N= 65 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 10 Northeast (Athens), Georgia Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012


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