Unmet HIV Service Needs Among Hispanic Men who Have Sex with Men in the United States
Autor: | David Holtgrave, Robert Bonacci |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male Health Services Needs and Demand 030505 public health Models Statistical Social Psychology Anti-HIV Agents Cost-Benefit Analysis Public Health Environmental and Occupational Health AIDS Serodiagnosis HIV Infections Hispanic or Latino Viral Load United States 03 medical and health sciences 0302 clinical medicine Infectious Diseases Risk-Taking Humans Mass Screening 030212 general & internal medicine Quality-Adjusted Life Years Homosexuality Male 0305 other medical science |
Zdroj: | AIDS and behavior. 20(10) |
ISSN: | 1573-3254 |
Popis: | The National HIV/AIDS Strategy (NHAS) originally issued in 2010 targets the reduction of HIV-related health disparities. Hispanic men who have sex with men (MSM) have the third highest burden of incident HIV in the US, but there are no estimates of the unmet HIV service needs for Hispanic MSM. We estimate that of approximately 204,800 Hispanic MSM living with HIV, roughly 46,900 were undiagnosed. 157,900 were diagnosed, and of those, 75,700 were not linked to care and 82,200 were linked. Among diagnosed individuals, 48,800 had undetectable viral loads, and 109,100 had detectable viral loads. An estimated 30,000 of diagnosed Hispanic MSM engage in unprotected, serodiscordant risk behaviors. Total cost to meet service needs and achieve NHAS goals is ~$2.511 billion in 2011 US dollars. Transmission rate modeling suggests this investment would avert 3656 new HIV infections at an economically favorable cost of $61,202 per quality-adjusted life year saved. |
Databáze: | OpenAIRE |
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