CDC Releases New Report on Characteristics of Persons Receiving Medical Care for HIV

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e-HAP FYI: What's New in CDC HIV — Information from CDC's Division of HIV/AIDS Prevention

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June 19, 2014

CDC Releases New Report Providing a Closer Look into Behavioral and Clinical Characteristics of Persons Receiving Medical Care for HIV

Today, CDC published new 2009 data from the Medical Monitoring Project (MMP) in the Morbidity and Mortality Weekly Report (MMWR) revealing some encouraging findings in regards to clinical care outcomes for HIV-infected persons, as well as some concerning signs including unmet needs for supportive services and sexual risk behaviors among this population. MMP is a surveillance system that assesses behaviors and clinical characteristics of HIV-infected persons who have received outpatient medical care in the United States.

This new report highlights behavioral and clinical characteristics of the estimated 421,186 adults who received outpatient medical care for HIV infection in the United States and Puerto Rico during January–April 2009. Among the encouraging findings related to clinical characteristics of the patients surveyed: most patients (88.7%) living with HIV who received medical care in 2009 were prescribed antiretroviral therapy (ART) and 71.6% had a documented HIV viral load that was undetectable or ≤200 copies/mL at their most recent test. In addition, most patients (81.1%) had medical coverage including through Medicaid (40.3%), through private health insurance (30.6%), and through Medicare (25.7%).

However, the data also showed unmet supportive service needs were prevalent among some patients with an estimated 22.8% in need of dental care and 12.0% in need of public benefits including Social Security Income or Social Security Disability Insurance.

Among the report’s key findings related to the risk characteristics of those surveyed: nearly 13 percent (12.9%) of patients engaged in unprotected sex with a partner of negative or unknown HIV status, which increases the risk for transmitting HIV to sex partners; fewer than half of patients (44.8%) reported receiving HIV and sexually transmitted disease prevention counseling from a health-care provider. Among sexually active patients, 55.0% had documentation in their medical records of being tested for syphilis, 23.2% for gonorrhea, and 23.9% for chlamydia.

MMP data were collected through interviews using a standard questionnaire and also through medical record abstractions for persons who were receiving HIV medical care in 23 MMP-funded project areas within 16 U.S. states and Puerto Rico.1

MMP provides critical information regarding behavioral and clinical characteristics among persons receiving medical care for HIV infection—adding critical information to what is gathered through the National HIV Surveillance System to inform prevention planning and ultimately reduce HIV-related morbidity and mortality, and HIV transmission.

MMP is the only supplemental surveillance system providing nationally representative estimates in regards to the characteristics of persons receiving medical care for HIV infection. These new findings may be beneficial to local and state health departments and federal agencies as a guide for their HIV prevention program planning and helping to determine allocation of services and resources.

MMP is supported by CDC in collaboration with several government agencies including the National Institutes of Health (NIH), the Health Resources and Services Administration (HRSA), and state and local health departments who conduct MMP surveillance activities across the nation. Through ongoing data collection, CDC will continue to use MMP data to monitor met and unmet needs for HIV care and prevention services.


1 MMP-funded project areas: CA, DE, FL, GA, IL, IN, MI, MS, NJ, NY, NC, OR, PA, TX, VA, and WA

 

 


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