Contributions of the Community-Based Organization Program Funded by the Centers for Disease Control and Prevention to Linkage to HIV Medical Care.

IF 3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Reports Pub Date : 2024-11-01 Epub Date: 2024-05-31 DOI:10.1177/00333549241252579

Mariette Marano-Lee, Weston Williams, Songli Xu, Jonny Andia, Ekaterine Shapatava

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引用次数: 0

Abstract

Objective: Linkage to HIV medical care is important in the continuum of HIV care and health outcomes for people with HIV. The objective of this analysis was to identify how the community-based organization (CBO) program contributes to linkage to HIV medical care among people with newly diagnosed HIV in the Centers for Disease Control and Prevention's (CDC's) HIV testing program.

Methods: We analyzed HIV linkage-to-care data submitted to CDC from 2019 through 2021. Linkage was defined as confirmation that an individual attended their first HIV medical care appointment within 30 days of their HIV test date. We included in the analysis data submitted from the health department (HD) program that included 61 state and local HDs in the United States, Puerto Rico, and the US Virgin Islands and the CBO program that included 150 CBOs.

Results: The CBO program linked a higher proportion of people to HIV medical care within 30 days of diagnosis (86.7%) than the HD program (73.7%). By population group, the proportion linked in the CBO program was higher than the proportion linked in the HD program among men who have sex with men (prevalence ratio [PR] = 1.13; P < .001), men who have sex with men/people who inject drugs (PR = 1.29; P < .001), transgender people (PR = 1.28; P < .001), and those reporting no sexual contact or injection drug use (PR = 1.34; P < .001). In the Cox proportional hazards model, time to linkage in the CBO program was significantly shorter than in the HD program (hazard ratio = 0.63; P < .001).

Conclusion: This analysis shows that the CBO program fills a vital need in linking newly diagnosed HIV-positive people to HIV medical care, which is important in the HIV care continuum and for viral suppression.

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由美国疾病控制和预防中心资助的社区组织计划对艾滋病医疗服务链接的贡献。

目的：与 HIV 医疗护理的衔接对于 HIV 护理的连续性和 HIV 感染者的健康结果非常重要。本分析旨在确定社区组织（CBO）计划如何促进美国疾病控制和预防中心（CDC）HIV 检测计划中新确诊的 HIV 感染者与 HIV 医疗护理的联系：我们分析了从 2019 年到 2021 年提交给疾病预防控制中心的 HIV 链接到护理数据。联系被定义为确认患者在 HIV 检测日期后 30 天内参加了首次 HIV 医疗护理预约。我们在分析中纳入了卫生部门（HD）计划（包括美国、波多黎各和美属维尔京群岛的 61 个州和地方卫生部门）和 CBO 计划（包括 150 个 CBO）提交的数据：结果：CBO 计划在确诊后 30 天内为艾滋病患者提供医疗服务的比例（86.7%）高于 HD 计划（73.7%）。按人群划分，在男男性行为者中，CBO 计划的联系比例高于 HD 计划的联系比例（流行率 [PR] = 1.13；P P P P P 结论：这项分析表明，CBO 计划满足了将新诊断出的 HIV 阳性者与 HIV 医疗护理联系起来的重要需求，这对于 HIV 护理的连续性和病毒抑制非常重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health Reports 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.00

自引率

6.10%

发文量

164

审稿时长

6-12 weeks

期刊介绍： Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.