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PMID- 29389918
OWN - NLM
STAT- MEDLINE
DCOM- 20180208
LR  - 20180208
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 67
IP  - 4
DP  - 2018 Feb 2
TI  - Racial and Ethnic Disparities in Sustained Viral Suppression and Transmission
      Risk Potential Among Persons Receiving HIV Care - United States, 2014.
PG  - 113-118
LID - 10.15585/mmwr.mm6704a2 [doi]
AB  - Non-Hispanic blacks/African Americans (blacks) represent 12% of the U.S.
      POPULATION: * However, in 2014 an estimated 43% (471,500) of persons living with 
      diagnosed and undiagnosed human immunodeficiency virus (HIV) infection were
      blacks (1). In 2016, blacks accounted for 44% of all new HIV diagnoses (2).
      Although antiretroviral therapy (ART) prescriptions among persons in HIV care
      increased overall from 89% in 2009 to 94% in 2013, fewer blacks than Hispanics or
      Latinos (Hispanics) and non-Hispanic whites (whites) were on ART and had a
      suppressed viral load (<200 HIV RNA copies/mL) in their most recent viral load
      test result (3). Blacks also might be less likely to have sustained viral
      suppression over time and to experience longer periods with viral loads >1,500
      HIV RNA copies/mL, a level that increases the risk for transmitting HIV (4-7).
      National HIV Surveillance System (NHSS) data are among those used to monitor
      progress toward reaching the national goal of reducing health disparities. CDC
      analyzed NHSS data to describe sustained viral suppression and transmission risk 
      potential by race/ethnicity. Among 651,811 persons with HIV infection diagnosed
      through 2013 and who were alive through 2014 in 38 jurisdictions with complete
      laboratory reporting, a lower percentage of blacks had sustained viral
      suppression (40.8%), than had Hispanics (50.1%) and whites (56.3%). Among persons
      who were in care (i.e., had at least one viral load test in 2014) and had not
      achieved sustained viral suppression in 2014, blacks experienced longer periods
      (52.1% of the 12-month period) with viral loads >1,500 copies/mL, than did
      Hispanics (47.2%) and white (40.8%). Blacks aged 13-24 years had the lowest
      prevalence of sustained viral suppression, a circumstance that might increase
      transmission risk potential. Strengthening interventions that improve access to
      ART, promote adherence, and address barriers to clinical care and supportive
      services for all persons with diagnosed HIV infection is important for achieving 
      the national goal of reducing health disparities.
FAU - Crepaz, Nicole
AU  - Crepaz N
AD  - Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD
      and TB Prevention, CDC.
FAU - Dong, Xueyuan
AU  - Dong X
AD  - Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD
      and TB Prevention, CDC.
FAU - Wang, Xiao
AU  - Wang X
AD  - Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD
      and TB Prevention, CDC.
FAU - Hernandez, Angela L
AU  - Hernandez AL
AD  - Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD
      and TB Prevention, CDC.
FAU - Hall, H Irene
AU  - Hall HI
AD  - Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD
      and TB Prevention, CDC.
LA  - eng
PT  - Journal Article
DEP - 20180202
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Continental Population Groups/*statistics & numerical data
MH  - Ethnic Groups/*statistics & numerical data
MH  - Female
MH  - HIV Infections/*ethnology/therapy/transmission
MH  - *Health Status Disparities
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Risk
MH  - *Sustained Virologic Response
MH  - United States
MH  - Young Adult
COIS- No conflicts of interest were reported.
EDAT- 2018/02/02 06:00
MHDA- 2018/02/02 06:00
CRDT- 2018/02/02 06:00
PHST- 2018/02/02 06:00 [entrez]
PHST- 2018/02/02 06:00 [pubmed]
PHST- 2018/02/02 06:00 [medline]
AID - 10.15585/mmwr.mm6704a2 [doi]
PST - epublish
SO  - MMWR Morb Mortal Wkly Rep. 2018 Feb 2;67(4):113-118. doi: 10.15585/mmwr.mm6704a2.