Improving HIV Care Outcomes Among Persons Newly Diagnosed with HIV in the New York City Department of Health & Mental Hygiene Sexually Transmitted Disease Clinics, 2010 & 2011

Blank, Susan

Tuesday, June 10, 2014: 3:10 PM

Pine

Susan Blank, MD, MPH¹, Selam Seyoum, MPH², Sarah Braunstein, PhD, MPH³, Preeti Pathela, DrPH, MPH¹, Denis Nash, PhD, MPH⁴ and Julia Schillinger, MD, MSc⁵, 1Bureau of STD Control and Prevention, New York City Department of Health and Mental Hygiene, Long Island City, NY, 2HIV Epidemiology and Field Services Program, New York City Department of Health and Mental Hygiene, Bureau of HIV, Queens, NY, 3HIV Epidemiology and Field Services, New York City Department of Health and Mental Hygiene, Long Island City, NY, 4Department of Epidemiology, CUNY School of Public Health at Hunter, New York, NY, 5Bureau of Sexually Transmitted Disease Control, NYC Department of Health & Mental Hygiene, Division of Sexually Transmitted Disease Prevention, Centers for Disease Control and Prevention, Queens, NY

Background: Viral suppression is an important goal of HIV care. Annually, New York City (NYC) Sexually Transmitted Disease (STD) Clinics identify ~10% of all newly diagnosed HIV cases citywide, and facilitate timely linkage to HIV primary care. We sought to quantify HIV care linkage and viral suppression (VS) outcomes using population-based HIV surveillance data for HIV cases diagnosed in NYC STD clinics.

Methods: Using the NYC HIV/AIDS Registry (HARS), which contains mandated reports of HIV diagnoses and related tests, we identified persons newly diagnosed with HIV at NYC STD clinics in 2010 and 2011. We compared care linkage (HIV-related laboratory test within 90 days of diagnosis) and VS (viral load<200 copies/ml) at 6 and 12 months after diagnosis among cohorts of persons with HIV newly diagnosed in NYC STD clinics in 2010 and 2011, and to all other newly diagnosed persons in NYC in 2011. Z tests were used to assess differences among cohorts.

Results: In 2010, among 406 HIV cases diagnosed in NYC STD clinics, 251/406 (62%) had timely care linkages; 88/406 (22%) and 159/406 (39%) achieved VS at 6 and 12 months, respectively. In 2011, among 376 HIV cases diagnosed in NYC STD clinics, 244/376 (65%) had timely care linkages; 106/376 (28%) and 191/376 (51%) achieved VS at 6 and 12 months. VS at 12 months was higher in 2011 (p=.002). In 2011, 3098 HIV cases were diagnosed in NYC settings other than NYC STD clinics; 2101 (68%) had timely care linkages; 1122 (36%) and 1680 (54%) achieved VS within 6 and 12 months, respectively.

Conclusions: HIV care outcomes for persons newly diagnosed with HIV in NYC STD clinics improved from 2010 to 2011, but remain suboptimal. Future analyses will examine factors associated with failure to engage in care and achieve VS to inform future interventions to improve the HIV care outcomes.

2F 2 Improving HIV Care Outcomes Among Persons Newly Diagnosed with HIV in the New York City Department of Health & Mental Hygiene Sexually Transmitted Disease Clinics, 2010 & 2011