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HIV Testing, Linkage to HIV Medical Care, and Interviews for Partner Services Among Youths - 61 Health Department Jurisdictions, United States, Puerto Rico, and the U.S. Virgin Islands, 2015.

Abstract Identifying persons living with human immunodeficiency virus (HIV) who are unaware of their infection, linking them to HIV medical care, and reducing health disparities are important national goals (1). Of the 8,841 teens and young adults aged 13-24 years (collectively referred to as youths in this report) who received a diagnosis of HIV in 2014, 70% were young men who have sex with men (MSM) (2). In the same year, an estimated 52% of young MSM living with HIV were unaware of their infection compared with 15% among all persons living with HIV (3). An average of 22% of high school students who have had sexual intercourse and 33% of young adults (persons aged 18-24 years) reported ever receiving an HIV test (4). CDC recommends screening all persons aged 13-64 years, with annual rescreening for persons at high risk for HIV infection (5). Analysis of CDC-funded program data for youths submitted by 61 health departments in 2015 revealed that young MSM, who accounted for 83% of new diagnoses among all youths in non-health care facilities, received 28% of HIV tests.* The 2020 national goal is to link at least 85% of HIV-positive persons to HIV medical care within 30 days of diagnosis. In this analysis, 66% of youths who received positive test results for HIV infection were linked to care within 90 days of diagnosis. Increasing the number of youths at risk for HIV infection who are tested for HIV on a regular basis and ensuring that youths who receive positive test results for HIV are rapidly linked to and retained in appropriate medical care, including early initiation of antiretroviral therapy, are essential steps for reducing HIV infection in this vulnerable population.
PMID
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Authors

Mayor MeshTerms

Sexual Partners

Keywords
Journal Title mmwr. morbidity and mortality weekly report
Publication Year Start




PMID- 28640800
OWN - NLM
STAT- MEDLINE
DA  - 20170622
DCOM- 20170623
LR  - 20170623
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 66
IP  - 24
DP  - 2017 Jun 23
TI  - HIV Testing, Linkage to HIV Medical Care, and Interviews for Partner Services
      Among Youths - 61 Health Department Jurisdictions, United States, Puerto Rico,
      and the U.S. Virgin Islands, 2015.
PG  - 629-635
LID - 10.15585/mmwr.mm6624a2 [doi]
AB  - Identifying persons living with human immunodeficiency virus (HIV) who are
      unaware of their infection, linking them to HIV medical care, and reducing health
      disparities are important national goals (1). Of the 8,841 teens and young adults
      aged 13-24 years (collectively referred to as youths in this report) who received
      a diagnosis of HIV in 2014, 70% were young men who have sex with men (MSM) (2).
      In the same year, an estimated 52% of young MSM living with HIV were unaware of
      their infection compared with 15% among all persons living with HIV (3). An
      average of 22% of high school students who have had sexual intercourse and 33% of
      young adults (persons aged 18-24 years) reported ever receiving an HIV test (4). 
      CDC recommends screening all persons aged 13-64 years, with annual rescreening
      for persons at high risk for HIV infection (5). Analysis of CDC-funded program
      data for youths submitted by 61 health departments in 2015 revealed that young
      MSM, who accounted for 83% of new diagnoses among all youths in non-health care
      facilities, received 28% of HIV tests.* The 2020 national goal is to link at
      least 85% of HIV-positive persons to HIV medical care within 30 days of
      diagnosis. In this analysis, 66% of youths who received positive test results for
      HIV infection were linked to care within 90 days of diagnosis. Increasing the
      number of youths at risk for HIV infection who are tested for HIV on a regular
      basis and ensuring that youths who receive positive test results for HIV are
      rapidly linked to and retained in appropriate medical care, including early
      initiation of antiretroviral therapy, are essential steps for reducing HIV
      infection in this vulnerable population.
FAU - Stein, Renee
AU  - Stein R
AD  - Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis,
      STD, and TB Prevention, CDC.
FAU - Song, Wei
AU  - Song W
AD  - Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis,
      STD, and TB Prevention, CDC.
FAU - Marano, Mariette
AU  - Marano M
AD  - Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis,
      STD, and TB Prevention, CDC.
FAU - Patel, Heta
AU  - Patel H
AD  - Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis,
      STD, and TB Prevention, CDC.
FAU - Rao, Shubha
AU  - Rao S
AD  - Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis,
      STD, and TB Prevention, CDC.
FAU - Morris, Elana
AU  - Morris E
AD  - Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis,
      STD, and TB Prevention, CDC.
LA  - eng
PT  - Journal Article
DEP - 20170623
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
SB  - IM
MH  - Adolescent
MH  - Continuity of Patient Care/*statistics & numerical data
MH  - Female
MH  - HIV Infections/*diagnosis/*therapy
MH  - Health Facilities/*statistics & numerical data
MH  - Humans
MH  - Interviews as Topic/*utilization
MH  - Male
MH  - Mass Screening/*statistics & numerical data
MH  - Puerto Rico
MH  - *Sexual Partners
MH  - United States
MH  - United States Virgin Islands
MH  - Young Adult
EDAT- 2017/06/24 06:00
MHDA- 2017/06/24 06:01
CRDT- 2017/06/23 06:00
AID - 10.15585/mmwr.mm6624a2 [doi]
PST - epublish
SO  - MMWR Morb Mortal Wkly Rep. 2017 Jun 23;66(24):629-635. doi:
      10.15585/mmwr.mm6624a2.