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. 2019 Nov;109(11):1589-1595.
doi: 10.2105/AJPH.2019.305273. Epub 2019 Sep 19.

HIV Testing, Access to HIV-Related Services, and Late-Stage HIV Diagnoses Across US States, 2013-2016

Amy Krueger  1 , Michelle Van Handel  1 , Patricia M Dietz  1 , Weston O Williams  1 , Deesha Patel  1 , Anna Satcher Johnson  1
Affiliations

HIV Testing, Access to HIV-Related Services, and Late-Stage HIV Diagnoses Across US States, 2013-2016

Amy Krueger et al. Am J Public Health. 2019 Nov.

Abstract

Objectives. To examine state-level factors associated with late-stage HIV diagnoses in the United States.Methods. We examined state-level factors associated with late-stage diagnoses by estimating negative binomial regression models. We used 2013 to 2016 data from the National HIV Surveillance System (late-stage diagnoses), the Behavioral Risk Factor Surveillance System (HIV testing), and the American Community Survey (sociodemographics).Results. Among individuals 25 to 44 years old, a 5% increase in the percentage of the state population tested for HIV in the preceding 12 months was associated with a 3% decrease in late-stage diagnoses. Among both individuals 25 to 44 years of age and those aged 45 years and older, a 5% increase in the percentage of the population living in a rural area was associated with a 2% to 3% increase in late-stage diagnoses.Conclusions. Increasing HIV testing may lower late-stage HIV diagnoses among younger individuals. Increasing HIV-related services may benefit both younger and older people in rural areas.

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Comment in

  • Complexities in Late-Stage HIV Diagnoses.
    Adams LM, Hunt AD. Adams LM, et al. Am J Public Health. 2019 Nov;109(11):1486-1487. doi: 10.2105/AJPH.2019.305322. Am J Public Health. 2019. PMID: 31577504 Free PMC article. No abstract available.

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