ArticleAmerican journal of public health2017
Sustained Reduction in HIV Diagnoses in Massachusetts, 2000-2014.
Article in American journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Brief Report: Transition Preparation and Post-Transition Evaluation Practices at Adult Clinics That Care for Young Adults With Perinatally Acquired HIV in Massachusetts, United States.Journal of acquired immune deficiency syndromes (1999) · 2025Article
- Predictors of HIV Care Outcomes among Recently Out-of-Care Individuals in The Massachusetts Cooperative Re-engagement Controlled Trial Cohort.AIDS and behavior · 2024Article
- The impact of Medicaid expansion under the Affordable Care Act on HIV care continuum outcomes across the United States.Health affairs scholar · 2024Article
- A qualitative study of service engagement and unmet needs among unstably housed people who inject drugs in Massachusetts.Journal of substance abuse treatment · 2022Article
- 1981-2021: HIV and Our World.American journal of public health · 2021Article
- Stigma, discrimination, and substance use among an urban sample men who have sex with men in Massachusetts.AIDS care · 2020Article
- Notes from the Field: HIV Diagnoses Among Persons Who Inject Drugs - Northeastern Massachusetts, 2015-2018.MMWR. Morbidity and mortality weekly report · 2019Article
- The Impact of ACA and Medicaid Expansion on Progress Toward UNAIDS 90-90-90 Goals.Current HIV/AIDS reports · 2019Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe secular trends in reported HIV diagnoses in Massachusetts concurrent with treatment access expansion.
methodsWe characterized cases of HIV infection reported to the Massachusetts HIV/AIDS Surveillance Program between 2000 and 2014 by sex, age, race/ethnicity, and exposure mode. We used Poisson regression to test the statistical significance of trends in diagnoses.
resultsBetween 2000 and 2014, annual new HIV infections diagnosed in Massachusetts decreased by 47% (P < .001 for trend). We observed significant reductions in diagnoses among women (58% when comparing 2000 with 2014), men (42%), Whites (54%), Blacks (51%), and Hispanics (35%; P < .001 for trend). New diagnoses decreased significantly among men who have sex with men (19%), persons who inject drugs (91%), and heterosexuals (86%; P < .001 for trend). We saw statistically significant downward trends among all men by race/ethnicity, but the trend among Black men who have sex with men was nonsignificant.
conclusionsSustained reduction in new HIV diagnoses was concurrent with Massachusetts's Medicaid expansion, state health care reform, and public health strategies to improve care access. A contributory effect of expanded HIV treatment and population-level viral suppression is hypothesized for future research.
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