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The HIV Care Cascade Measured Over Time and by Age, Sex, and Race in a Large National Integrated Care System

HIV care cascades can evaluate programmatic success over time. However, methodologies for estimating cascade stages vary, and few have evaluated differences by demographic subgroups. We examined cascade performance over time and by age, sex, and race/ethnicity in , providing HIV care in eight US states and Washington, DC. We created cascades for HIV+ members’ age ?13 for 2010-2012. We measured “linkage” (a visit/CD4 within 90 days of being diagnosed for new patients; ?1 medical visit/year if established); “retention” (?2 medical visits ?60 days apart); filled ART (filled ?3 months of combination ART); and viral suppression (HIV RNA <200 copies/mL last measured in year). The cascades were stratified by calendar year, sex, age, and race/ethnicity. We found men had statistically (p?

Authors: Horberg MA; Silverberg MJ; et al.

AIDS Patient Care STDS. 2015 Nov;29(11):582-90.

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