Human Immunodeficiency Virus Transmission at Each Step of the Care Continuum in the United States

Skarbinski, Jacek; Rosenberg, Eli S.; Paz–Bailey, Gabriela; Hall, H. Irene; Rose, Charles E.; Viall, Abigail H.; Fagan, Jennifer; Lansky, Amy; Mermin, Jonathan

doi:10.1001/jamainternmed.2014.8180

Cited by 489 publications

(342 citation statements)

References 36 publications

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“…The presentation of people diagnosed with HIV to care in a timely fashion is critical to improve their health outcomes [1] and to reduce the risks associated with possible transmission of HIV [39]. Our findings can be applied to guide targeted interventions, such as same day testing and initiation of treatment among both, inpatients and outpatient settings [40], contacting people diagnosed with HIV to promote presentation to care [41], or using mobile apps to connect people newly diagnosed with HIV with support programs in their community [42].…”

Section: Resultsmentioning

confidence: 99%

Assessing Timely Presentation to Care Among People Diagnosed with HIV During Hospital Admission: A Population-Based Study in Ontario, Canada

et al. 2018

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Timely presentation to care for people newly diagnosed with HIV is critical to optimize health outcomes and reduce onward HIV transmission. Studies describing presentation to care following diagnosis during a hospital admission are lacking. We sought to assess the timeliness of presentation to care and to identify factors associated with delayed presentation. We conducted a population-level study using health administrative databases. Participants were all individuals older than 16 and newly diagnosed with HIV during hospital admission in Ontario, Canada, between April 1, 2007 and March 31, 2015. We used modified Poisson regression models to derive relative risk ratios for the association between sociodemographic and clinical variables and the presentation to out-patient HIV care by 90 days following hospital discharge. Among 372 patients who received a primary HIV diagnosis in hospital, 83.6% presented to care by 90 days. Following multivariable analysis, we did not find associations between patient sociodemographic or clinical characteristics and presentation to care by 90 days. In a secondary analysis of 483 patients diagnosed during hospitalization but for whom HIV was not recorded as the principal reason for admission, 73.1% presented to care by 90 days. Following multivariable adjustment, we found immigrants from countries with generalized HIV epidemics (RR 1.265, 95% CI 1.133-1.413) were more likely to present to care, whereas timely presentation was less likely for people with a mental health diagnosis (RR 0.817, 95% CI 0.742-0.898) and women (RR 0.748, 95% CI 0.559-1.001). Future work should evaluate mechanisms to facilitate presentation to care among these populations.

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Section: Resultsmentioning

confidence: 99%

Assessing Timely Presentation to Care Among People Diagnosed with HIV During Hospital Admission: A Population-Based Study in Ontario, Canada

et al. 2018

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“…A recent study determined that 91.5% of new HIV infections are attributable to persons with HIV who are not in HIV medical care and underscores the importance of early diagnosis and ongoing care and treatment (8). Early linkage to care is critical because it leads to improved health outcomes and survival for the person living with HIV (5).…”

Section: Discussionmentioning

confidence: 99%

HIV Testing and Service Delivery Among Black Females — 61 Health Department Jurisdictions, United States, 2012–2014

Stein

Pierce²,

Hollis³

et al. 2016

MMWR Morb. Mortal. Wkly. Rep.

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“…Timely diagnosis has been recognised as the initial key component in the HIV care continuum to reduce HIV-related illness and death, and prevent transmission of the virus. 2 The results of this review are of particular importance for those people living with HIV who are, as yet, unaware that they have the infection. Recent studies have shown that HIV testing is feasible and acceptable to patients, and the results from a trial of rapid HIV testing in primary care (RHIVA2) demonstrated that GPs can play an important role in increased and early diagnosis of HIV.…”

Section: Introductionmentioning

confidence: 97%

Does general practice deliver safe primary care to people living with HIV? A case-notes review

et al. 2015

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Human Immunodeficiency Virus Transmission at Each Step of the Care Continuum in the United States

Cited by 489 publications

References 36 publications

Assessing Timely Presentation to Care Among People Diagnosed with HIV During Hospital Admission: A Population-Based Study in Ontario, Canada

Assessing Timely Presentation to Care Among People Diagnosed with HIV During Hospital Admission: A Population-Based Study in Ontario, Canada

HIV Testing and Service Delivery Among Black Females — 61 Health Department Jurisdictions, United States, 2012–2014

Does general practice deliver safe primary care to people living with HIV? A case-notes review

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