Introduction
HIV testing is key to achieving the National HIV/AIDS Strategy goals. A new diagnosis
metric evaluated whether testing services are reaching the remaining undiagnosed people
living with HIV (PLWH), by subpopulation.
Methods
Centers for Disease Control and Prevention surveillance data from 2008 to 2013 were
obtained for: (1) new HIV diagnoses; (2) HIV prevalence; and (3) percentage of PLWH
aware of serostatus. The number of new HIV diagnoses in a given year divided by the
number of undiagnosed PLWH in the previous year was determined. Trends were evaluated
by calculating net percentage change in this measure from 2009 to 2013 for all new
diagnoses and stratified by subpopulation. Analyses were conducted during 2015–2016.
Results
The proportion of all undiagnosed PLWH who achieve serostatus awareness was 26.0%,
25.9%, 26.1%, 27.7%, and 30.4% from 2009 to 2013, respectively. The absolute net change
was 4.3% (5.2% for men and 0.5% for women). There was an absolute net change of 5.0%,
3.1%, and 5.5% for the black, Hispanic, and men who have sex with men communities,
respectively. An absolute net change >10% was observed only for those aged 13–24 years
(10.9%) and ≥65 years (17.8%), and for men who inject drugs (11.7%).
Conclusions
The proportion of undiagnosed PLWH who achieve serostatus awareness increased minimally
from 2009 to 2013, especially for blacks, Hispanics, and men who have sex with men.
Redirecting HIV testing efforts and funds to disproportionately affected communities
is essential.
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Article info
Publication history
Published online: August 26, 2016
Identification
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© 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
