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A picture is worth a thousand words: maps of HIV indicators to inform research, programs, and policy from NA-ACCORD and CCASAnet clinical cohorts

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dc.contributor.author Althoff, Keri-N.
dc.contributor.author Rebeiro, Peter-F.
dc.contributor.author Hanna, David-B.
dc.contributor.author Padgett, Denis
dc.contributor.author Horberg, Michael-A.
dc.contributor.author Grinsztejn, Beatriz
dc.contributor.author Abraham, Alison-G.
dc.contributor.author Hogg, Robert
dc.contributor.author Gill, M. John
dc.contributor.author Wolff, Marcelo-J.
dc.contributor.author Mayor, Angel
dc.contributor.author Rachlis, Anita
dc.contributor.author Williams, Carolyn
dc.contributor.author Sterling, Timothy-R.
dc.contributor.author Kitahata, Mari-M.
dc.contributor.author Buchacz, Kate
dc.contributor.author Thorne, Jennifer-E.
dc.contributor.author Cesar, Carina
dc.contributor.author Cordero, Fernando-M.
dc.contributor.author Rourke, Sean-B.
dc.contributor.author Sierra-Madero, Juan
dc.contributor.author Pape, Jean-W.
dc.contributor.author Cahn, Pedro
dc.contributor.author McGowan, Catherine
dc.date.accessioned 2019-02-06T14:51:16Z
dc.date.available 2019-02-06T14:51:16Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5187
dc.description.abstract INTRODUCTION: Maps are powerful tools for visualization of differences in health indicators by geographical region, but multi-country maps of HIV indicators do not exist, perhaps due to lack of consistent data across countries. Our objective was to create maps of four HIV indicators in North, Central, and South American countries. METHODS: Using data from the North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD) and the Caribbean, Central, and South America network for HIV epidemiology (CCASAnet), we mapped median CD4 at presentation for HIV clinical care, proportion retained in HIV primary care, proportion prescribed antiretroviral therapy (ART), and the proportion with suppressed plasma HIV viral load (VL) from 2010 to 2012 for North, Central, and South America. The 15 Canadian and US clinical cohorts and 7 clinical cohorts in Argentina, Brazil, Chile, Haiti, Honduras, Mexico, and Peru represented approximately 2-7% of persons known to be living with HIV in these countries. RESULTS: Study populations were selected for each indicator: median CD4 at presentation for care was estimated among 14,811 adults; retention was estimated among 87,979 adults; ART use was estimated among 84,757 adults; and suppressed VL was estimated among 51,118 adults. Only three US states and the District of Columbia had a median CD4 at presentation >350 cells/mm(3). Haiti, Mexico, and several states had >85% retention in care; lower (50-74%) retention in care was observed in the US West, South, and Mid-Atlantic, and in Argentina, Brazil, and Peru. ART use was highest (90%) in Mexico. The percentages of patients with suppressed VL in the US South and Northeast were lower than in most of Central and South America. CONCLUSIONS: These maps provide visualization of gaps in the quality of HIV care and allow for comparison between and within countries as well as monitoring policy and programme goals within geographical boundaries. en_US
dc.language.iso eng
dc.publisher Wiley
dc.relation.ispartofseries Journal of the International AIDS Society
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adult en_US
dc.subject antiretroviral therapy en_US
dc.subject CD4 Lymphocyte Count en_US
dc.subject CD4 T-lymphocyte count en_US
dc.subject Central America en_US
dc.subject Cohort Studies en_US
dc.subject Cooperative Behavior en_US
dc.subject Cross-Sectional Studies en_US
dc.subject Female en_US
dc.subject Health Policy en_US
dc.subject HIV indicators en_US
dc.subject HIV Infections/drug therapy/epidemiology/immunology en_US
dc.subject HIV RNA suppression en_US
dc.subject Humans en_US
dc.subject implementation science en_US
dc.subject Male en_US
dc.subject Map en_US
dc.subject Middle Aged en_US
dc.subject North America en_US
dc.subject Research Design en_US
dc.subject retention in care en_US
dc.subject South America en_US
dc.title A picture is worth a thousand words: maps of HIV indicators to inform research, programs, and policy from NA-ACCORD and CCASAnet clinical cohorts en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.7448/IAS.19.1.20707
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.08
dc.relation.issn 1758-2652


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