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. 2023 Jan 30:151:e45.
doi: 10.1017/S0950268823000043.

HIV care continuum outcomes among recently diagnosed people with HIV (PWH) in Washington, DC

Maria Jaurretche  1 , Morgan Byrne  1 , Lindsey Powers Happ  1 , Matt Levy  2 , Michael Horberg  3 , Alan Greenberg  1 , Amanda D Castel  1 , Anne K Monroe  1 ; DC Cohort Executive Committee
Affiliations

HIV care continuum outcomes among recently diagnosed people with HIV (PWH) in Washington, DC

Maria Jaurretche et al. Epidemiol Infect. .

Abstract

The Ending the HIV Epidemic initiative aims to decrease new HIV infections and promote test-and-treat strategies. Our aims were to establish a baseline of HIV outcomes among newly diagnosed PWH in Washington, DC (DC), a 'hotspot' for the HIV epidemic. We also examined sociodemographic and clinical factors associated with retention in care (RIC), antiretroviral therapy (ART) initiation and viral suppression (VS) among newly diagnosed PWH in the DC Cohort from 2011-2016. Among 455 newly diagnosed participants, 92% were RIC at 12 months, ART was initiated in 65% at 3 months and 91% at 12 months, VS in at least 17% at 3 months and 82% at 12 months and 55% of those with VS at 12 months had sustained VS for an additional 12 months. AIDS diagnosis was associated with RIC (aOR 2.99; 1.13-2.28), ART initiation by 3 months (aOR 2.58; 1.61-4.12) and VS by 12 months (aOR4.87; 1.69-14.03). This analysis contributes to our understanding of the HIV treatment dynamics of persons with recently diagnosed HIV infection in a city with a severe HIV epidemic.

Keywords: AIDS; ART initiation; HIV; care continuum; cohort; late diagnosis; retention in care; test and treat; viral suppression.

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Conflict of interest statement

The authors have no relevant financial or non-financial interests to disclose.

Figures

Fig. 1.
Fig. 1.
Proportion of newly diagnosed PWH achieving HIV care continuum outcomes, DC Cohort, 2011–2016, n = 455.
See this image and copyright information in PMC

References

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