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Trends in Unsuppressed HIV RNA After Linkage to Care Among Key Populations
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Reported by Jules Levin
CROI 2018
Fidel A. Desir1, Catherine R. Lesko1, Richard D. Moore1, Michael A. Horberg2, Peter F. Rebeiro3, Michael John Gill4, Mari Kitahata5, Michael J. Silverberg6,
Julie H. Levison7, Marina Klein8, Angel Mayor9, Amy C. Justice10, and Keri N. Althoff1, for the North American AIDS Cohort Collaboration on Research
and Design (NA-ACCORD) of IeDEA
1Johns Hopkins University, Baltimore, MD; 2Kaiser Permanente Mid-Atlantic States, Rockville, MD; 3Vanderbilt University School of Medicine, Nashville, TN; 4University of Calgary, Calgary, AB, Canada; 5University of Washington, Seattle, WA; 6Kaiser
Permanente Northern California, Oakland, CA; 7Harvard University, Cambridge, MA; 8McGill University Health Centre Research Institute, Montreal, QC, Canada; 9Universidad Central del Caribe, Bayamon, PR; 10VA Connecticut Healthcare System, West Haven, CT
IAC/Durban/2016:Adherence With Combination Antiretroviral Therapy (cART): Do Challenges Still Persist? "31% non-adherent" - (08/03/16).....- Approximately 68.8% of participants were adherent with their HIV medications and 31.2% were non-adherent
CDC: Racial and Ethnic Disparities in Sustained Viral Suppression and Transmission Risk Potential Among Persons Receiving HIV Care - United States, 2014
CROi 2017 - Viral Load Dynamics Among Persons with Diagnosed HIV: United States, 2014 - (02/16/17)
CDC: Clinical outcomes of US young black men with HIV receiving medical care, 2009-2014 - More ART for Young Black Men in US, But Adherence and Suppression Flat - (03/23/18)......The CDC investigators stressed that "multifaceted interventions are needed to increase ART adherence and address the social determinants of health that influence poor HIV clinical outcomes" in young black men. They suggested raising awareness of and access to supportive services like those provided by the Ryan White program. Some of these outcomes proved significantly worse in certain subgroups, including men who were homeless, currently depressed, or living below the poverty level, as well as smokers and drug users. For example, 52.3% of men living below the poverty level versus 66.8% of others had current viral suppression. Current suppression rates for smokers and nonsmokers were 52% and 64%. Only 22.5% of homeless men had durable viral suppression versus 37.5% of men with homes. Durable HIV suppression rates for drug users and non-drug users were 28% and 42%. ART adherence rates measured 53.1% in men with depression versus 77.6% in men without depression (P < 0.05 for all comparisons).
LONGITUDINAL VIRAL TRAJECTORY AMONG WOMEN IN THE WOMEN'S INTERAGENCY HIV STUDY - (02/26/17)
Time spent with HIV viral load >1500 copies/mL among patients in HIV care, 2000-2014....viral suppression and early HAART start are top federal priority - (02/26/17)
Viral Suppression in NYC, NYS, and LA - (02/26/17)
Reported by Jules Levin
CROI 2018
Fidel A. Desir1, Catherine R. Lesko1, Richard D. Moore1, Michael A. Horberg2, Peter F. Rebeiro3, Michael John Gill4, Mari Kitahata5, Michael J. Silverberg6, Julie H. Levison7, Marina Klein8, Angel Mayor9, Amy C. Justice10, and Keri N. Althoff1, for the North American AIDS Cohort Collaboration on Research
and Design (NA-ACCORD) of IeDEA
1Johns Hopkins University, Baltimore, MD; 2Kaiser Permanente Mid-Atlantic States, Rockville, MD; 3Vanderbilt University School of Medicine, Nashville, TN; 4University of Calgary, Calgary, AB, Canada; 5University of Washington, Seattle, WA; 6Kaiser
Permanente Northern California, Oakland, CA; 7Harvard University, Cambridge, MA; 8McGill University Health Centre Research Institute, Montreal, QC, Canada; 9Universidad Central del Caribe, Bayamon, PR; 10VA Connecticut Healthcare System, West Haven, CT
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