HIV Care Continuum, District 8- 2 Southwest (Albany), Georgia, 2012.

HIV Care Continuum, District 8-2 Southwest (Albany), Georgia,

2012

HIV Care Continuum Methodology, District 8-2 Southwest (Albany), Georgia, 2012

• Adults and adolescents are those aged >= 13 years• Diagnosed by 12/31/2011, living as of 12/31/2012, including

those missing race, sex, and/or risk behavior• Current address within District 8-2 Southwest (Albany), Georgia• Linked to care = CD4 or viral load (VL) within 3 months of

diagnosis date including the day of diagnosis for those diagnosed between 01/01/2011 and 12/31/2011, inclusively

• Any care >= 1 CD4 or VL in 2012• Retained in care >= 2 CD4 or VL at least 3 months apart in 2012• Viral suppression (VS) = VL<200 copies/ml in most recent VL in

2012• Each bar in the continuum is independent of those

preceding it; all percentages are of the total number of persons (N) diagnosed with HIV in each category

Caveats and clarifications

• The number of individuals (N) in some sub-populations is small. Use caution in interpretation.

• It is possible for a person to be NOT linked to care within 3 months and/or NOT retained in care (> 2 CD4 or VL in 12 months) yet be in “any care” (> 1 CD4 or VL in the previous 12 months) and virally suppressed.

• Methodology for the care continuum and completeness of HIV data varies among jurisdictions, thus limiting direct comparisons with other states or the national continuum.

• The Georgia DPH HIV/AIDS Epidemiology Program has used the same methodology for the care continuum for all Georgia Health Districts.

• Monitoring trends over time within a District, or comparisons between Districts, can be meaningful.

• Missing information on race, sex and/or transmission category reflects missing data on case report forms that remains unresolved.

Caveat for District 8-2, Southwest (Albany)

• Because of a systems error in which some laboratory facilities were not reporting some laboratory values, the Care Continuum methodology used here generates an artificially low retention in care measurement.

• Retention in care is thus excluded from all but the first slide

Adults and Adolescents Living with HIV, District 8-2 Southwest (Albany),

Georgia, 2012

Series10%

20%

40%

60%

80%

100%86%

59%

25%36%

Linked to care within 3 months Any care Retained in care

Perc

en

t

N= 1886

Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012Current address in District 8-2 Southwest (Albany), GeorgiaLinked to care= CD4 or VL within 3 months of diagnosis, among those diagnosed 01/01/11-12/31/11 (N= 105)Any care>= 1 CD4 or VL in 2012Retained in care >= 2 CD4 or VL at least 3 months apart in 2012Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

N=105

All Georgia VS 41%


Georgia, 2012, by Sex

Male Female0%

20%

40%

60%

80%

100%86% 85%

59% 56%

35% 38%

Linked to care within 3 months Any care Viral Suppression (VS)

Perc

en

t

N= 1299

Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012Current address in District 8-2 Southwest (Albany), Georgia; Excludes 4 persons for whom sex is unknownLinked to care= CD4 or VL within 3 months of diagnosis, among those diagnosed 01/01/11-12/31/11 (N=105)Any care >= 1 CD4 or VL in 2012Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

N= 583

Adults and Adolescents Living with HIV,

District 8-2 Southwest (Albany), Georgia, 2012, by Race/Ethnicity

Black Hispanic/Latino White Other/Unknown0%

20%

40%

60%

80%

100%84%

100%

67%

100%

57%50% 50% 53%

29%33% 37% 35%


Perc

en

t

N= 90 N= 297 N= 104 N= 1395

Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012Current address in District 8-2 Southwest (Albany), GeorgiaLinked to care = CD4 or VL within 3 months of diagnosis, among those diagnosed 01/01/11-12/31/11 (N=105)Any care>= 1 CD4 or VL in 2012Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012


Georgia, 2012, by Current Age (in Years)

13-24 25-34 35-44 45-54 55+0%

20%

40%

60%

80%

100% 92%

83%78%

86% 89%

55% 53% 56% 57%51%

30% 33%40% 43%

39%

Linked to care within 3 months Any care Viral Suppression

Perc

en

t

N= 251 N= 80N= 432

Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012Current address in District 8-2 Southwest (Albany), GeorgiaLinked to care= CD4 or VL within 3 months of diagnosis for those diagnosed 01/01/11-12/31/11 (N=105)Any care >= 1 CD4 or VL in 2012Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

N= 617 N= 506

Transmission category definitions

Multiple imputation was used to assign transmission category where missing• MSM = Male to male sexual contact• IDU = Injection drug use• MSM/IDU = Male to male sexual contact and injection drug

use• HET = Heterosexual contact with a person known to have,

or to be at high risk for, HIV infection• Other = hemophilia, blood transfusion, perinatal exposure,

and risk factor not reported or not identified (majority of “Other”)

Adult and Adolescent Males Living with HIV,

District 8-2 Southwest (Albany), Georgia, 2012,

by Transmission Category

MSM IDU MSM/IDU HET Other/Unknown

0%

20%

40%

60%

80%

100%84%

67%

89%

55%

40%

52% 52% 54%

37%29%

35%32% 33%


Perc

en

t

N= 79 N= 367N= 741

Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 8-2 Southwest (Albany), Georgia; Excludes 4 persons for whom sex is unknownLinked to care= CD4 or VL within 3 months of diagnosis for those diagnosed 01/01/11-12/31/11 (N= 71)* Number of new diagnoses in 2011 was <=5 so linked is not depictedAny care >= 1 CD4 or VL in 2012Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

N= 58 N= 54 * *

Adult and Adolescent Females Living with HIV,


by Transmission Category

HET IDU Other/Unknown0%

20%

40%

60%

80%

100%83% 85%

55%

38%

57%

40%

27%

56%


Perc

en

t

N= 318N= 239

Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012Current address in District 8-2 Southwest (Albany), Georgia; Excludes 4 persons for whom sex is unknownLinked to care= CD4 or VL within 3 months of diagnosis for those diagnosed 01/01/11-12/31/11 (N= 34)* Number of new diagnoses in 2011 was <=5 so linked is not depictedAny care >= 1 CD4 or VL in 2012Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

N= 26 *

Viral Suppression Among Those Retained in Care


by Sex

Male Female0%

20%

40%

60%

80%

100%

71% 68%

Perc

en

t

N= 356 N= 121

Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012Current address in District 8-2 Southwest (Albany), GeorgiaRetained in care >= 2 CD4 or VL at least 3 months apart in 2012Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

Viral Suppression Among Those Retained in Care District 8-2 Southwest (Albany), Georgia, 2012,

by Race/Ethnicity

Black Hispanic White Other/Unknown

0%

20%

40%

60%

80%

100%

66%71%

85%

71%

Perc

en

t

N= 340 N= 28 N= 81 N= 28


Viral Suppression Among Those Retained in Care


by Current Age (in Years)

13-24 25-34 35-44 45-54 55+0%

20%

40%

60%

80%

100%

65% 67%75% 77%

82%

Perc

en

t

N= 127 N= 175 N= 116 N= 48 N= 11


Viral Suppression Among Males Retained in Care, District 8-2 Southwest (Albany), Georgia, 2012, by Transmission Category

MSM IDU MSM/IDU HET Other/Unknown

0%

20%

40%

60%

80%

100%

71% 73%77%

72%68%

Perc

en

t

N= 230 N= 11 N= 13 N= 18 N= 84


Viral Suppression Among Females Retained in Care, District 8-2 Southwest (Albany), Georgia, 2012, by Transmission

Category

HET IDU Other/Unknown0%

20%

40%

60%

80%

100%

74% 78%

53%

Perc

en

t

N= 74 N= 9 N= 38


HIV Care Continuum, District 8- 2 Southwest (Albany), Georgia, 2012.

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