ArticleAIDS (London, England)2012
Population-based metrics for the timing of HIV diagnosis, engagement in HIV care, and virologic suppression.
Article in AIDS (London, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.
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Who cites it
48 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The HIV care cascade: a systematic review of data sources, methodology and comparability.Journal of the International AIDS Society · 2015Pooled it
- Housing insecurity, migration and HIV among sexual minority men in the U.S.BMC research notes · 2026Article
- HIV Care Linkage and Initial Viral Suppression Among Persons Newly Diagnosed With HIV in North Carolina Before and After the Start of the COVID-19 Pandemic.American journal of public health · 2025Article
- Virological treatment failure and associated factors among adults on first-line antiretroviral therapy in West Hararghe, Ethiopia.Frontiers in public health · 2025Article
- The Impact of HIV-Related Stigma on Racial/Ethnic Disparities in Retention in HIV Care Among Adults Living with HIV in Florida.Journal of racial and ethnic health disparities · 2024Article
- The Impact of Churn on HIV Outcomes in a Southern United States Clinical Cohort.Open forum infectious diseases · 2022Article
- Estimates of the Time From Seroconversion to Antiretroviral Therapy Initiation Among People Newly Diagnosed With Human Immunodeficiency Virus From 2006 to 2015, New York City.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020Article
- Health Care Provider Utilization and Cost of an mHealth Intervention in Vulnerable People Living With HIV in Vancouver, Canada: Prospective Study.JMIR mHealth and uHealth · 2018Article
- Defining Care Patterns and Outcomes Among Persons Living with HIV in Washington, DC: Linkage of Clinical Cohort and Surveillance Data.JMIR public health and surveillance · 2018Article
- Trends in HIV Continuum of Care Outcomes over Ten Years of Follow-Up at a Large HIV Primary Medical Home in the Southeastern United States.AIDS research and human retroviruses · 2017Observational
- How Do Social Capital and HIV/AIDS Outcomes Geographically Cluster and Which Sociocontextual Mechanisms Predict Differences Across Clusters?Journal of acquired immune deficiency syndromes (1999) · 2017Article
- The RSVP Project: Factors Related to Disengagement From Human Immunodeficiency Virus Care Among Persons in San Francisco.JMIR public health and surveillance · 2017Article
- Association between engagement in-care and mortality in HIV-positive persons.AIDS (London, England) · 2017Observational
- Neighborhood Social Capital in Relation to Late HIV Diagnosis, Linkage to HIV Care, and HIV Care Engagement.AIDS and behavior · 2017Article
- "Out of Care" HIV Case Investigations: A Collaborative Analysis Across 6 States in the Northwest US.Journal of acquired immune deficiency syndromes (1999) · 2017Article
- Disparities in Retention in HIV Care Among HIV-Infected Young Men Who Have Sex with Men in the District of Columbia, 2013.LGBT health · 2017Article
- Measuring the HIV Care Continuum Using Public Health Surveillance Data in the United States.Journal of acquired immune deficiency syndromes (1999) · 2015Article
- Outcomes of a Clinic-Based Surveillance-Informed Intervention to Relink Patients to HIV Care.Journal of acquired immune deficiency syndromes (1999) · 2015Article
- Implementation and Operational Research: Engagement in HIV Care Among Persons Enrolled in a Clinical HIV Cohort in Ontario, Canada, 2001-2011.Journal of acquired immune deficiency syndromes (1999) · 2015Article
- A population-based study evaluating family physicians' HIV experience and care of people living with HIV in Ontario.Annals of family medicine · 2015Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo compare population-based metrics for assessing progress toward the US National HIV/AIDS Strategy (NHAS) goals.
designAnalysis of surveillance data from persons living with HIV/AIDS (PLWHA) in King County, Washington, USA, 2005-2009.
methodsWe examined indicators of the timing of HIV diagnosis [intertest interval, CD4 cell count at diagnosis, and AIDS ≤ 1 year of diagnosis (late diagnosis)]; linkage to initial care (CD4 or viral load report ≤3 months after diagnosis) and sustained care (a laboratory report 3-9 months after linkage); engagement in continuous care in 2009 (at least two laboratory reports ≥3 months apart); and virologic suppression.
resultsThirty-two percent of persons had late HIV diagnoses, 31% of whom reported testing HIV negative in the 2 years preceding their HIV diagnoses. Linkage to sustained care, but not linkage to initial care, was significantly associated with subsequent virologic suppression. Among 6070 PLWHA in King County, 65% of those with at least one viral load reported in 2009 and 53% of all PLWHA had virologic suppression. Although only 66% of all PLWHA were engaged in continuous care, 81% were defined as engaged using the denominator proposed in the NHAS (at least one laboratory result reported in 2009 excluding persons establishing care in the second half of the year).
conclusionsProposed metrics for monitoring the HIV care continuum may not accurately measure late diagnoses or linkage to sustained care and are sensitive to assumptions about the size of the population of PLWHA. Monitoring progress toward achievement of NHAS goals will require improvements in HIV surveillance data and refinement of care metrics.
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