Only 28% of people with HIV in the US had an undetectable viral load.
Article Type: Report
Subject: HIV (Viruses) (Care and treatment)
HIV (Viruses) (Prevention)
HIV (Viruses) (Statistics)
HIV (Viruses) (Risk factors)
Viremia (Measurement)
Viremia (Statistics)
Pub Date: 05/01/2012
Publication: Name: Reproductive Health Matters Publisher: Elsevier Science Publishers Audience: General Format: Magazine/Journal Subject: Family and marriage; Health; Women's issues/gender studies Copyright: COPYRIGHT 2012 Reproductive Health Matters ISSN: 0968-8080
Issue: Date: May, 2012 Source Volume: 20 Source Issue: 39
Topic: Event Code: 680 Labor Distribution by Employer
Geographic: Geographic Scope: United States Geographic Code: 1USA United States
Accession Number: 296571610
Full Text: A study in the US using state-specific HIV surveillance data estimated the percentage of HIV-infected adults, eligible and enrolled for antiretroviral therapy, who achieved viral suppression and received prevention counselling. A fifth of HIV infections in the country were undiagnosed. Of the people with HIV who were aware of their infection, approximately 77% were linked to care but only 51% continued to regularly access medical care. Use of antiretroviral therapy among patients remaining in care was high (89%) and 77% of these patients achieved viral suppression (viral load below 200 copies/ml). Among those in care, only 45% received prevention counselling. There were disparities based on race, age and HIV risk group. White patients were most likely to be treated with anti-HIV drugs (92%) and achieve viral suppression (84% of those on treatment), Hispanic patients were less likely and black patients even less likely (86% received anti-HIV drugs and 70% achieved suppressed viral load). Almost three quarters of patients aged 18-24 years received prevention counselling, but only 36% of those aged over 55. More men who have sex with men received counselling than men reporting sex with a woman (50% vs. 39%). The high rate of undiagnosed infections and the large proportion of patients dropping out of care meant that only 28% of all HIV-positive patients in the US had an undetectable viral load. This has significant implications for the focus on HIV treatment as prevention. Treatment must be accompanied by additional HIV prevention counselling at all stages of testing and care. (1)

(1.) Cohen SM, Van Handel MM, Branson BM, et al. Vital Signs: HIV prevention through care and treatment United States. Morbidity & Mortality Weekly Report 2011:60(47);1618-23.

Doi: 10.1016/S0968-8080(12)39622-5
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