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Georgia HIV Care Continuum Update: Persons Living with HIV, and Persons Diagnosed with HIV, 2017

Explore the data of persons living with HIV in Georgia, focusing on care continuum utilization and outcomes for 2017. Understand patterns by gender, age, race/ethnicity, and transmission category.

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Georgia HIV Care Continuum Update: Persons Living with HIV, and Persons Diagnosed with HIV, 2017

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  1. Georgia HIV Care Continuum Update: Persons Living with HIV, and Persons Diagnosed with HIV, 2017 HIV Epidemiology Section, Georgia Department of Public Health

  2. Persons Living with HIV Care Continuum Methodology, Georgia, 2017 • Adults and adolescents are those aged >= 13 years • Diagnosed with HIV by 12/31/2016, living as of 12/31/2017 • Last address in 2017 within Georgia • Any care >= 1 CD4 or VL in 2017 • Retained in care >= 2 CD4 or VL at least 3 months apart in 2017 • Viral suppression (VS) = VL<200 copies/ml in most recent VL in 2017 • Each bar in the continuum is independent of those preceding it; all percentages are of the total number of persons (N) diagnosed with HIV in each category

  3. Adults and Adolescents Living with Diagnosed HIV, Georgia, 2017 N=55,513 Adults and adolescents >= age 13, diagnosed by 12/31/2016, living as of 12/31/2017 Current address Georgia Any care >= 1 CD4 or VL in 2017 Retained in care >= 2 CD4 or VL at least 3 months apart in 2017 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2017

  4. Adults and Adolescents Living with Diagnosed HIV, by Gender, Georgia, 2017 Adults and adolescents >= age 13, diagnosed by 12/31/2016, living as of 12/31/2017 Current address Georgia Any care >= 1 CD4 or VL in 2017 Retained in care >= 2 CD4 or VL at least 3 months apart in 2017 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2017

  5. Adults and Adolescents Living with Diagnosed HIV, by Current Age (in Years), Georgia, 2017 Adults and adolescents >= age 13, diagnosed by 12/31/2016, living as of 12/31/2017 Current address Georgia Any care >= 1 CD4 or VL in 2017 Retained in care >= 2 CD4 or VL at least 3 months apart in 2017 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2017

  6. Adults and Adolescents Living with Diagnosed HIV, by Race/Ethnicity, Georgia, 2017 Adults and adolescents >= age 13, diagnosed by 12/31/2016, living as of 12/31/2017 Current address Georgia Any care >= 1 CD4 or VL in 2017 Retained in care >= 2 CD4 or VL at least 3 months apart in 2017 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2017

  7. Adults and Adolescents Living with Diagnosed HIV, by Race/Ethnicity, Georgia, 2017 Adults and adolescents >= age 13, diagnosed by 12/31/2016, living as of 12/31/2017 Current address Georgia Any care >= 1 CD4 or VL in 2017 Retained in care >= 2 CD4 or VL at least 3 months apart in 2017 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2017

  8. Transmission category definitions • Multiple imputation was used to assign transmission category where missing • MSM = Male to male sexual contact • IDU = Injection drug use • MSM/IDU = Male to male sexual contact and injection drug use • HET = Heterosexual contact with a person known to have, or to be at high risk for, HIV infection • Other = hemophilia, blood transfusion, perinatal exposure

  9. Adults and Adolescents Living with Diagnosed HIV, by Transmission Category, Georgia, 2017 Adults and adolescents >= age 13, diagnosed by 12/31/2016, living as of 12/31/2017 Current address Georgia Any care >= 1 CD4 or VL in 2017 Retained in care >= 2 CD4 or VL at least 3 months apart in 2017 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2017

  10. Viral suppression among adults and adolescents retained in care, Georgia, 2014-2017 N = number retained in care Adults and adolescents >= age 13 Diagnosed by 12/31 of previous year, living as of 12/31 of reporting year, Georgia Retained in care >= 2 CD4 or VL at least 3 months apart in reporting year Viral suppression (VS) = VL<200 copies/ml

  11. New HIV Diagnoses Care Continuum Methodology, Georgia, 2017 • Adults and adolescents are those aged >= 13 years • Diagnosed in 2017, living as of 12/31/2018, • Address at HIV diagnosis within Georgia • Linked to care = CD4 or viral load (VL) within 30 days of diagnosis date, including the day of diagnosis

  12. New HIV Diagnoses Care Continuum Methodology, Georgia, 2017, continued • Any care >= 1 CD4 or VL during time period spanning 30 days to 13 months after diagnosis date • Retained in care >= 2 CD4 or VL at least 3 months apart during time period spanning 30 days to 13 months after diagnosis date • Viral suppression (VS) = VL<200 copies/ml in most recent VL during time period spanning 30 days to 13 months after diagnosis date • Each bar in the continuum is independent of those preceding it; all percentages are of the total number of persons (N) diagnosed with HIV in each category • Note: this methodology is different from past slide sets which examined care received during calendar year after diagnosis year.

  13. Caveats and clarifications • Missing laboratory data may result in underestimating care continuum outcomes • The number of individuals (N) in some sub-populations is small. Use caution in interpretation • Methodology for the care continuum and completeness of HIV data varies among jurisdictions, thus limiting direct comparisons with other states or the national continuum • Missing information on race, sex and/or transmission category reflects missing data on case report forms that remains unresolved

  14. Adults and Adolescents Newly Diagnosed with HIV, Georgia, 2017 Adults and adolescents >= age 13, diagnosed 01/01/15-12/31/17, living as of 12/31/2018 Address at HIV diagnosis Georgia Linked to care = CD4 or VL within 30 days of diagnosis Any care >= 1 CD4 or VL during 30 days to 13 months after diagnosis; Retained in care >= 2 CD4 or VL at least 3 months apart during 30 days to 13 months after diagnosis Viral suppression (VS) = VL<200 copies/ml on most recent viral load during 30 days to 13 months after diagnosis

  15. Adults and Adolescents Newly Diagnosed with HIV, by Gender, Georgia, 2017 Adults and adolescents >= age 13, diagnosed 01/01/15-12/31/17, living as of 12/31/2018 Address at HIV diagnosis Georgia Linked to care = CD4 or VL within 30 days of diagnosis Any care >= 1 CD4 or VL during 30 days to 13 months after diagnosis; Retained in care >= 2 CD4 or VL at least 3 months apart during 30 days to 13 months after diagnosis Viral suppression (VS) = VL<200 copies/ml on most recent viral load during 30 days to 13 months after diagnosis

  16. Adults and Adolescents Newly Diagnosed with HIV, by Race/Ethnicity, Georgia, 2017 Adults and adolescents >= age 13, diagnosed 01/01/15-12/31/17, living as of 12/31/2018 Address at HIV diagnosis Georgia Linked to care = CD4 or VL within 30 days of diagnosis Any care >= 1 CD4 or VL during 30 days to 13 months after diagnosis; Retained in care >= 2 CD4 or VL at least 3 months apart during 30 days to 13 months after diagnosis Viral suppression (VS) = VL<200 copies/ml on most recent viral load during 30 days to 13 months after diagnosis

  17. Adults and Adolescents Newly Diagnosed with HIV, by Race/Ethnicity, Georgia, 2017 AI/AN = American Indian/Alaska Native; NHOPI = Native Hawaiian or Other Pacific Islander Adults and adolescents >= age 13, diagnosed 01/01/15-12/31/17, living as of 12/31/2018 Address at HIV diagnosis Georgia Linked to care = CD4 or VL within 30 days of diagnosis; Any care >= 1 CD4 or VL during 30 days to 13 months after diagnosis; Retained in care >= 2 CD4 or VL at least 3 months apart during 30 days to 13 months after diagnosis Viral suppression (VS) = VL<200 copies/ml on most recent viral load during 30 days to 13 months after diagnosis

  18. Adults and Adolescents Newly Diagnosed with HIV, by Current Age (in Years), Georgia, 2017 Adults and adolescents >= age 13, diagnosed 01/01/15-12/31/17, living as of 12/31/2018 Address at HIV diagnosis Georgia Linked to care = CD4 or VL within 30 days of diagnosis Any care >= 1 CD4 or VL during 30 days to 13 months after diagnosis; Retained in care >= 2 CD4 or VL at least 3 months apart during 30 days to 13 months after diagnosis Viral suppression (VS) = VL<200 copies/ml on most recent viral load during 30 days to 13 months after diagnosis

  19. Adults and Adolescents Newly Diagnosed with HIV, by Transmission Category, Georgia, 2017 Adults and adolescents >= age 13, diagnosed 01/01/15-12/31/17, living as of 12/31/2018 Address at HIV diagnosis Georgia Linked to care = CD4 or VL within 30 days of diagnosis Any care >= 1 CD4 or VL during 30 days to 13 months after diagnosis; Retained in care >= 2 CD4 or VL at least 3 months apart during 30 days to 13 months after diagnosis Viral suppression (VS) = VL<200 copies/ml on most recent viral load during 30 days to 13 months after diagnosis

  20. Viral suppression among newly diagnosed adults and adolescents retained in care, Georgia, 2014-2017 N = number retained in care Adults and adolescents >= age 13 Diagnosed in reporting year, living as of 12/31 of following year, Georgia Retained in care >= 2 CD4 or VL at least 3 months apart in reporting year Viral suppression (VS) = VL<200 copies/ml

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