Abstract
The Centers for Disease Control and Prevention recommends routine HIV screening in health care settings. Using national surveillance data, we assessed trends in HIV diagnoses and testing frequency in youth aged 13–24 diagnosed with HIV in 2005–2008. Diagnosis rates increased among black (17.0% per year), Hispanic (13.5%), and white males (8.8%), with increases driven by men who have sex with men (MSM). A higher percentage of white males and MSM had previously been tested than their counterparts. No increases in diagnoses or differences in testing were observed among females. Intensified interventions are needed to reduce HIV infections and racial/ethnic disparities.
Resumen
Los Centros para el Control y la Prevención de Enfermedades recomiendan que las pruebas de detección del VIH sean parte de la rutina del cuidado médico. Usando datos de vigilancia nacional, evaluamos la tendencia en los diagnósticos y la frecuencia de las pruebas del VIH en jóvenes entre las edades de 13–24 años diagnosticados con el VIH entre 2005 y 2008. La tasa de diagnóstico aumentó en los hombres afroamericanos (17.0% por año), Hispanos (13.5%), y blancos (8.8%), con incrementos principalmente en los hombres que tienen relaciones sexuales con hombres (HSH). Comparado con sus homólogos, un mayor porcentaje de hombres blancos y HSH se hicieron pruebas del VIH antes del diagnostico. No se observaron incrementos en los diagnósticos ni diferencias en las pruebas entre las mujeres. Es necesario intensificar las intervenciones para reducir las infecciones por el VIH y las disparidades raciales y étnicas.
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Acknowledgements
The Centers for Disease Control and Prevention (CDC) funds all states and the District of Columbia to conduct HIV surveillance and selected areas to perform HIV incidence surveillance and provides technical assistance to all funded areas. All participating investigators and contributors are CDC employees or contractors.
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The findings and conclusions in this study are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.
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Hall, H.I., Walker, F., Shah, D. et al. Trends in HIV Diagnoses and Testing Among U.S. Adolescents and Young Adults. AIDS Behav 16, 36–43 (2012). https://doi.org/10.1007/s10461-011-9944-8
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DOI: https://doi.org/10.1007/s10461-011-9944-8