HIV PREVENTION PRACTICES AND NON-FEDERAL FUNDING AMONG U.S STATES AND NON-STATE REGIONS: A SURVEY OF HIV/AIDS DIRECTORS

被引:1
|
作者
Hattis, Ronald P. [1 ,2 ]
Strydom, Richel Y. [1 ,2 ]
Gaio, Josileide [1 ]
Stover, Deanna C. [1 ,3 ]
机构
[1] Beyond AIDS Fdn, Loma Linda, CA USA
[2] Loma Linda Univ, Loma Linda, CA 92350 USA
[3] Community Hlth Assoc Inland Southern Reg, San Bernardino, CA USA
关键词
HIV; public health; outreach; funding; surveillance; standardization; CARE;
D O I
10.1521/aeap.2019.31.1.82
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
We surveyed U.S. HIV/AIDS directors or designees in states and non-state regions, regarding factors influencing HIV viral suppression: (1) non-federal prevention funding; (2) contacting newly reported patients and providers, for care linkage and partner services; (3) follow-up of non-received viral load reports, to identify untreated patients; and (4) genotype/phenotype surveillance, to monitor drug resistance. The survey was conducted April-July 2015; 50 (87.7%) participated. Eighty percent of jurisdictions contacted all newly reported patients; 60% contacted all providers. HIV resistance tests were reportable in 38%; 66% contacted providers and/or patients about missed viral loads. Non-federal funding was significantly associated with annual diagnoses (p = .0001) and population (p = .0002), but not with other factors studied. Many jurisdictions lacked non-federal funding (28%), or experienced unrestored reductions since 2008 (33%). Jurisdictions' funding and preventive practices varied greatly. HIV viral suppression could be enhanced by restoring (or establishing) non-federal prevention funding, and by more standardized surveillance/outreach practices.
引用
收藏
页码:82 / 94
页数:13
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