Clinical and behavioral characteristics of adults receiving medical care for HIV infection --- Medical Monitoring Project, United States, 2007.

摘要: Problem As of December 31, 2008, an estimated 663,084 persons were living with a diagnosis human immunodeficiency virus (HIV) infection in the 40 U.S. states that have had confidential name-based HIV reporting since at least January 2006. Although surveillance programs United States collect information about who received and acquired syndrome (AIDS), supplemental projects are needed to care-seeking behaviors, health-care use, other behaviors among HIV. Data on clinical behavioral characteristics receiving medical care for critical reduce HIV-related morbidity mortality program planning allocate services resources, guide prevention planning, assess unmet ancillary service needs, help develop intervention health policies local, state, national levels. Reporting period covered collected during June 2007-September 2008 patients 2007 (sampled from 1-April 30). Description system The Medical Monitoring Project (MMP) is ongoing, multisite project assesses characteristics, quality HIV-infected care. Participants must be aged ≥ 18 years sampled facilities provide within participating MMP areas. Self-reported selected data using in-person interview. A total 26 areas 19 Puerto Rico funded collection cycle. Results results cycle indicated 3,643 participants, 3,040 (84%) some form insurance or coverage 12 months before interview; these, 45% reported having Medicaid, 37% private through maintenance organization, 30% Medicare. 3,091 (85%) participants currently taking antiretroviral medications. Among 3,609 ever CD4 T-lymphocyte test, 2,996 (83%) three more tests 3,567 viral load 2,946 case management, 33% mental counseling, 32% assistance finding dental 8%, 13%, 25% these services, respectively, not by time Noninjection drugs used nonmedical purposes 1,117 (31%) interview, 122 (3%) injection purposes. Unprotected anal intercourse was 527 (54%) 970 men sex man vaginal 176 (32%) 553 woman 216 (42%) 516 women Interpretation findings this report indicate 2007, most therapy coverage; however, such as management services. In addition, engaged unprotected sex, increase risk transmitting sexual partners, noninjection purposes, which might decrease adherence health-risk behaviors. Public actions can monitor HIV/AIDS strategy goal increasing access optimizing outcomes Persons infected highlight missed opportunities supportive advocate additional resources. Drug use underscores continued need substance abuse treatment population. number engaging sex. included epidemiologic profiles shared community stakeholders. representative all individual areas, future cycles expected yield weighted estimates representing States.