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State of the State

State of the State. Ann Robbins HIV/STD Prevention and Care Branch August 6, 2012. National HIV/AIDS Strategy. Reduc ing new HIV infections Increasing access to care and improving health outcomes for people living with HIV Reducing HIV-related health disparities

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State of the State

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  1. State of the State Ann Robbins HIV/STD Prevention and Care Branch August 6, 2012

  2. National HIV/AIDS Strategy • Reducing new HIV infections • Increasing access to care and improving health outcomes for people living with HIV • Reducing HIV-related health disparities • Coordinating activities for HIV prevention and care

  3. Support Participation in Care Public Awareness Full Diagnosis Targeted Prevention Successful Linkage Medical Adherence

  4. Texas 2010 Engagement in HIV Care Cascade

  5. Texas Newly Diagnosed HIV Cases, Deaths, and People Living with HIV: 1980-2011 Living with HIV New HIV Cases Deaths Among Cases Newly diagnosed HIV infection includes all new HIV cases regardless of disease status. 2009-2010 death data are provisional.

  6. Who is being diagnosed?

  7. Texas 2011 New Diagnoses by Race/Ethnicity N=4,402

  8. Texas New Diagnoses Rate by Race/Ethnicity, 2002-2011

  9. Texas 2011 New Diagnoses by Imputed Risk Category N=4,379

  10. Texas New Diagnoses by Imputed Risk Category 2002-2011

  11. Texas 2011 New Diagnosis Rate by Selected Characteristics ^Denominator estimate based on: LiebS, et al. Estimating Populations of Men Who Have Sex with Men in the Southern United States. Journal of Urban Health. 2009 Nov;86(6):887-901

  12. 2011 New Diagnosis Rate by Race Among MSM1 1Denominator estimate based on: LiebS, et al. Estimating Populations of Men Who Have Sex with Men in the Southern United States. Journal of Urban Health. 2009 Nov;86(6):887-901

  13. Number of New Diagnoses by Age Group, 2002-2011

  14. Texas New Diagnoses Rate by Age Group and Imputed Risk Category, 2002-2011

  15. New Diagnoses by Age Group Among MSM 2002-2011

  16. Groups with linkage to care rates below the state average level (69% of new diagnoses) • Blacks (65%), driven by low linkage-to-care among Black MSM (63%) and IDU (57%) • People ages 13-24 (64%) • People in the IDU (60%) or MSM/IDU (64%) categories • Newly diagnosed individuals from the Houston EMA region (65%)

  17. Groups with retention rates below the state average level (56% of living cases) • Blacks (52%) and other racial/ethnic minority groups (48%) • The 13-24 (53%), 25-34 (50%), and the 35-44 (55%) age groups • IDU (48%) and MSM/IDU (51%)  • PLWH with a history of tuberculosis as a co-morbid condition (53%)

  18. PLWH and Co-Infections by Imputed Risk Category

  19. Thank You! Ann Robbins 512-533-3099 ann.robbins@dshs.state.tx.us

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