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Adults Aged ≥50 Years Reached by the Centers for Disease Control and Prevention's HIV Testing Programs in the United

Mariette Marano-Lee1, Weston Williams2, Taoying Huang3

  • 1Translation and Evaluation Branch, Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Public Health Reports (Washington, D.C. : 1974)
|August 26, 2022
PubMed

Insights

Older adults (≥50 years) represent 16.8% of HIV tests. While many newly diagnosed older adults linked to care, improved early diagnosis and partner services are crucial for this growing demographic.

Area of Science:

  • Public Health
  • Epidemiology
  • Gerontology

Background:

  • Older adults (≥50 years) constitute a significant and growing proportion of individuals living with Human Immunodeficiency Virus (HIV) in the United States.
  • This demographic faces unique challenges, including potentially faster disease progression and higher rates of morbidity and mortality.

Purpose of the Study:

  • To analyze HIV testing patterns, demographic characteristics, and risk factors among older adults reached by Centers for Disease Control and Prevention (CDC)-funded testing programs in 2019.
  • To assess linkage to care and partner services for older adults diagnosed with HIV.

Main Methods:

  • Data were collected from 101 CDC-funded community-based organizations and 61 health departments nationwide.
  • Multivariable robust Poisson regression was employed to identify factors associated with new HIV diagnoses.
  • Program service data, including linkage to care and partner services, were analyzed.

Main Results:

  • In 2019, 16.8% of CDC-funded HIV tests were administered to older adults.
  • Among newly diagnosed older adults, 68.4% were linked to HIV medical care within 30 days, and 72.1% received partner services.
  • Nearly half (46.2%) of previously diagnosed older adults tested reported not being in HIV medical care; 49.9% of these were linked to care within 30 days.

Conclusions:

  • The findings highlight the need for targeted interventions to ensure early HIV diagnosis among older adults.
  • Prompt linkage to HIV medical care and comprehensive partner services are essential for improving health outcomes in this population.
  • Continued support for CDC-funded testing programs is vital for addressing the HIV epidemic in older adults.
Abstract

Keywords:
HIV preventionHIV testingolder adults

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