Evidence map›Paper›PMID 32045344›Full record

ArticleJMIR public health and surveillance2020

Time From HIV Diagnosis to Viral Suppression: Survival Analysis of Statewide Surveillance Data in Alabama, 2012 to 2014.

D Scott Batey, Xueyuan Dong, Richard P Rogers, Anthony Merriweather, Latesha Elopre, Aadia I Rana, H Irene Hall, Michael J Mugavero

Abstract read
In one paragraph

Article in JMIR public health and surveillance, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

D Scott Batey *Department of Social Work, University of Alabama at Birmingham, Birmingham, AL, United States.ORCID 0000-0002-2422-5787
Xueyuan Dong *ICF International, Fairfax, VA, United States.ORCID 0000-0003-0819-667X
Richard P Rogers *Division of STD Prevention and Control, Alabama Department of Public Health, Montgomery, AL, United States.
Anthony Merriweather *Division of STD Prevention and Control, Alabama Department of Public Health, Montgomery, AL, United States.ORCID 0000-0003-2717-4679
Latesha Elopre *Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.ORCID 0000-0002-3332-2300
Aadia I Rana *Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.ORCID 0000-0002-1963-528X
H Irene Hall *Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States.ORCID 0000-0003-0470-8746
Michael J Mugavero *Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.ORCID 0000-0001-6916-6701

Funding

Geographic Variability in Time from HIV Diagnosis to Viral Suppression in the Deep South: A Roadmap to Accelerated Treatment InitiationR01AI142690 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BATEY, DAVID S., RANA, AADIA · 2019 to 2023
$2.4M
Improving Retention in Care Among Postpartum HIV-infected Women in MississippiK23MH100955 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI RANA, AADIA · 2014 to 2018
$890k
NIAID NIH HHS R01 AI142690NIMH NIH HHS K23 MH100955
6 · The paper itself

Abstract

backgroundEvaluation of the time from HIV diagnosis to viral suppression (VS) captures the collective effectiveness of HIV prevention and treatment activities in a given locale and provides a more global estimate of how effectively the larger HIV care system is working in a given geographic area or jurisdiction.

objectiveThis study aimed to evaluate temporal and geographic variability in VS among persons with newly diagnosed HIV infection in Alabama between 2012 and 2014.

methodsWith data from the National HIV Surveillance System, we evaluated median time from HIV diagnosis to VS (<200 c/mL) overall and stratified by Alabama public health area (PHA) among persons with HIV diagnosed during 2012 to 2014 using the Kaplan-Meier approach.

resultsAmong 1979 newly diagnosed persons, 1181 (59.67%) achieved VS within 12 months of diagnosis; 52.6% (353/671) in 2012, 59.5% (377/634) in 2013, and 66.9% (451/674) in 2014. Median time from HIV diagnosis to VS was 8 months: 10 months in 2012, 8 months in 2013, and 6 months in 2014. Across 11 PHAs in Alabama, 12-month VS ranged from 45.8% (130/284) to 84% (26/31), and median time from diagnosis to VS ranged from 5 to 13 months.

conclusionsTemporal improvement in persons achieving VS following HIV diagnosis statewide in Alabama is encouraging. However, considerable geographic variability warrants further evaluation to inform public health action. Time from HIV diagnosis to VS represents a meaningful indicator that can be incorporated into public health surveillance and programming.

Indexed as

Survival AnalysisSustained Virologic ResponseTime FactorsAdolescentAdultAgedAlabamaFemaleHIV InfectionsHumansMaleMiddle AgedPopulation SurveillanceHIVpublic health surveillancesustained viral suppression

Identifiers

PMID32045344
PMCPMC7275256

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.