Open AccessHIV Testing, Access to HIV-Related Services, and Late-Stage HIV Diagnoses Across US States, 2013–2016
Author(s) -
Amy Krueger,
Michelle Van Handel,
Patricia M. Dietz,
W. Jon Williams,
Deesha A. Patel,
Anna Satcher Johnson
Publication year - 2019
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2019.305273
Subject(s) - medicine , medical diagnosis , demography , population , human immunodeficiency virus (hiv) , gerontology , environmental health , family medicine , pathology , sociology
Objectives. To examine state-level factors associated with late-stage HIV diagnoses in the United States. Methods. We examined state-level factors associated with late-stage diagnoses by estimating negative binomial regression models. We used 2013 to 2016 data from the National HIV Surveillance System (late-stage diagnoses), the Behavioral Risk Factor Surveillance System (HIV testing), and the American Community Survey (sociodemographics). Results. Among individuals 25 to 44 years old, a 5% increase in the percentage of the state population tested for HIV in the preceding 12 months was associated with a 3% decrease in late-stage diagnoses. Among both individuals 25 to 44 years of age and those aged 45 years and older, a 5% increase in the percentage of the population living in a rural area was associated with a 2% to 3% increase in late-stage diagnoses. Conclusions. Increasing HIV testing may lower late-stage HIV diagnoses among younger individuals. Increasing HIV-related services may benefit both younger and older people in rural areas.