Table 2: Linkage to care among persons aged ≥13 years with HIV diagnosed during 2012-2015, by race, sex and selected characteristics – 17 US jurisdictionsa.
Characteristic |
Total |
Linked to careb for persons diagnosed in the year |
Trends from 2012 - 2015 |
2012 |
2013 |
2014 |
2015 |
EAPC |
95% CI |
P-value |
(N=20,876) |
(N=19,887) |
(N=20,467) |
(N=19,944) |
No. |
(%) |
No. |
(%) |
No. |
(%) |
No. |
(%) |
Lower |
Upper |
Black Males |
|
|
|
|
|
|
|
|
|
|
|
|
|
Age group at diagnosis
|
|
|
|
|
|
|
|
|
|
|
|
|
|
13-24 |
8,002 |
1,442 |
70.5 |
1,482 |
74.7 |
1,541 |
75.0 |
1,511 |
78.8 |
3.4 |
1.1 |
5.8 |
0.004 |
25-34 |
7,513 |
1,242 |
73.5 |
1,356 |
75.4 |
1,591 |
80.4 |
1,594 |
77.9 |
2.3 |
0.0 |
4.7 |
0.054 |
35-44 |
3,612 |
747 |
75.9 |
705 |
78.4 |
721 |
82.2 |
683 |
80.2 |
2.2 |
-1.1 |
5.5 |
0.198 |
45-54 |
3,090 |
692 |
76.8 |
631 |
79.4 |
571 |
82 |
569 |
81.5 |
2.2 |
-1.3 |
5.8 |
0.227 |
55+ |
1,890 |
384 |
79.7 |
374 |
78.2 |
404 |
82.6 |
364 |
82.5 |
1.6 |
-2.9 |
6.3 |
0.485 |
Stage at diagnosis
|
|
|
|
|
|
|
|
|
|
|
|
|
|
HIV infection stage 3(AIDS) |
4,808 |
1,304 |
98.4 |
1,171 |
99.3 |
1,208 |
99.5 |
1,085 |
99.5 |
0.4 |
-2.1 |
3.0 |
0.774 |
Not known to be HIV infection stage 3 |
19,299 |
3,203 |
67.1 |
3,377 |
70.7 |
3,620 |
74.1 |
3,636 |
74.8 |
3.8 |
2.2 |
5.3 |
<.001 |
Transmission Categoryc
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Male-to-male sexual contact |
19,012 |
3,463 |
73.9 |
3,562 |
76.7 |
3,876 |
79.1 |
3,790 |
79.3 |
2.4 |
1.0 |
3.9 |
0.001 |
Injection drug use |
1,212 |
284 |
75.2 |
216 |
72.2 |
204 |
76.6 |
202 |
75.4 |
0.6 |
-5 |
6.5 |
0.841 |
Male-to-male sexual contact and injection drug use |
603 |
102 |
69.0 |
116 |
67.3 |
124 |
79.5 |
95 |
75.6 |
4.8 |
-3.9 |
14.3 |
0.292 |
Heterosexual contactd
|
3,229 |
647 |
74.1 |
644 |
77.9 |
615 |
81.0 |
625 |
81.1 |
3.1 |
-0.4 |
6.8 |
0.08 |
Othere
|
51 |
11 |
65.6 |
10 |
89.2 |
9 |
72.5 |
8 |
72.2 |
1.6 |
-23 |
34.1 |
0.911 |
Subtotal
|
24,107 |
4,507 |
73.9 |
4,548 |
76.4 |
4,828 |
79.2 |
4,721 |
79.3 |
2.5 |
1.2 |
3.8 |
<.001 |
Black Females |
|
|
|
|
|
|
|
|
|
|
|
|
|
Age group at diagnosis
|
|
|
|
|
|
|
|
|
|
|
|
|
|
13-24 |
1,479 |
311 |
76.4 |
307 |
80.4 |
279 |
79.9 |
286 |
83.9 |
2.8 |
-2.3 |
8.1 |
0.289 |
25-34 |
2,364 |
512 |
80.8 |
470 |
82.6 |
493 |
84 |
480 |
83.6 |
1.2 |
-2.7 |
5.3 |
0.541 |
35-44 |
2,111 |
448 |
79.3 |
441 |
83.8 |
455 |
84.1 |
400 |
83.5 |
1.7 |
-2.5 |
6.0 |
0.446 |
45-54 |
1,827 |
458 |
84.0 |
384 |
84.2 |
357 |
85.0 |
355 |
87.4 |
1.3 |
-3.1 |
5.8 |
0.6 |
55+ |
1,228 |
263 |
81.9 |
248 |
82.9 |
274 |
89.0 |
264 |
88.0 |
2.9 |
-2.5 |
8.6 |
0.302 |
Stage at diagnosis
|
|
|
|
|
|
|
|
|
|
|
|
|
|
HIV infection stage 3(AIDS) |
2,092 |
573 |
99.1 |
501 |
98.8 |
529 |
99.2 |
472 |
99.6 |
0.2 |
-3.6 |
4.1 |
0.932 |
Not known to be HIV infection stage 3 |
6,917 |
1,419 |
74.9 |
1,349 |
78.2 |
1,329 |
79.5 |
1,313 |
80.8 |
2.5 |
0.1 |
4.9 |
0.045 |
Transmission Categoryc
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Injection drug use |
948 |
236 |
76.8 |
184 |
80.0 |
165 |
78.3 |
161 |
80.2 |
1.2 |
-5.0 |
7.8 |
0.715 |
Heterosexual contactd
|
8,017 |
1,746 |
81.1 |
1,653 |
83.2 |
1,689 |
85 |
1,615 |
85.5 |
1.8 |
-0.3 |
4 |
0.097 |
Othere
|
43 |
10 |
89.4 |
13 |
88.6 |
4 |
54.2 |
9 |
93.1 |
-2.1 |
-27.1 |
31.4 |
0.887 |
Subtotal
|
9,009 |
1,992 |
80.6 |
1,850 |
82.9 |
1,858 |
84.3 |
1,785 |
85.0 |
1.8 |
-0.2 |
3.9 |
0.083 |
Hispanic/Latino Males |
|
|
|
|
|
|
|
|
|
|
|
|
|
Age group at diagnosis
|
|
|
|
|
|
|
|
|
|
|
|
|
|
13-24 |
4,586 |
864 |
75.0 |
848 |
79.8 |
940 |
79.5 |
992 |
83.4 |
3.2 |
0.3 |
6.2 |
0.033 |
25-34 |
7,532 |
1,507 |
80.1 |
1,497 |
80.5 |
1,568 |
81.9 |
1,555 |
82.8 |
1.2 |
-1.1 |
3.5 |
0.301 |
35-44 |
4,334 |
860 |
80.2 |
879 |
86.0 |
942 |
82.8 |
930 |
84.3 |
1.1 |
-1.8 |
4.1 |
0.459 |
45-54 |
2,519 |
550 |
84.6 |
512 |
85.3 |
529 |
85.6 |
547 |
84.0 |
-0.2 |
-3.8 |
3.6 |
0.925 |
55+ |
996 |
217 |
87.1 |
203 |
85.3 |
208 |
86.7 |
227 |
84.4 |
-0.8 |
-6.5 |
5.2 |
0.784 |
Stage at diagnosis
|
|
|
|
|
|
|
|
|
|
|
|
|
|
HIV infection stage 3(AIDS) |
4,667 |
1,201 |
98.4 |
1,171 |
99.0 |
1,129 |
98.8 |
1,110 |
99.0 |
0.2 |
-2.4 |
2.8 |
0.906 |
Not known to be HIV infection stage 3 |
15,300 |
2,797 |
73.9 |
2,768 |
76.9 |
3,058 |
77.5 |
3,141 |
79.1 |
2.1 |
0.5 |
3.8 |
0.01 |
Transmission Categoryc
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Male-to-male sexual contact |
17,246 |
3,398 |
79.5 |
3,348 |
82.1 |
3,644 |
82.1 |
3,721 |
83.4 |
1.4 |
0.0 |
2.9 |
0.056 |
Injection drug use |
782 |
175 |
77.7 |
153 |
81.3 |
145 |
81.0 |
145 |
76.6 |
-0.3 |
-7.0 |
6.8 |
0.924 |
Male-to-male sexual contact and injection drug use |
743 |
178 |
83.7 |
144 |
79.2 |
145 |
81.6 |
145 |
84.5 |
0.4 |
-6.4 |
7.7 |
0.903 |
Heterosexual contactd
|
1,175 |
244 |
84.3 |
290 |
88.2 |
250 |
85.5 |
235 |
88.8 |
1.2 |
-4.3 |
7.1 |
0.671 |
Othere
|
21 |
3 |
63.0 |
4 |
84.8 |
4 |
83.0 |
5 |
91.4 |
11.2 |
-27.0 |
69.1 |
0.622 |
Subtotal
|
19,967 |
3,998 |
79.9 |
3,939 |
82.4 |
4,187 |
82.2 |
4,251 |
83.5 |
1.3 |
-0.1 |
2.7 |
0.059 |
Hispanic/Latino Females |
|
|
|
|
|
|
|
|
|
|
|
|
|
Age group at diagnosis
|
|
|
|
|
|
|
|
|
|
|
|
|
|
13-24 |
465 |
88 |
75.2 |
86 |
81.1 |
111 |
83.5 |
87 |
79.8 |
2.2 |
-6.8 |
12.0 |
0.646 |
25-34 |
729 |
147 |
76.6 |
134 |
78.4 |
149 |
77.6 |
136 |
78.2 |
0.5 |
-6.6 |
8.2 |
0.886 |
35-44 |
674 |
149 |
87.1 |
147 |
86.0 |
153 |
86.4 |
133 |
85.8 |
-0.4 |
-7.5 |
7.2 |
0.914 |
45-54 |
550 |
115 |
85.8 |
129 |
87.8 |
112 |
82.4 |
120 |
90.2 |
0.9 |
-7.0 |
9.4 |
0.834 |
55+ |
366 |
80 |
84.2 |
76 |
88.4 |
95 |
95.0 |
75 |
88.2 |
2.3 |
-7.2 |
12.8 |
0.649 |
Stage at diagnosis
|
|
|
|
|
|
|
|
|
|
|
|
|
|
HIV infection stage 3(AIDS) |
699 |
175 |
97.8 |
174 |
98.3 |
177 |
98.9 |
164 |
100.0 |
0.7 |
-5.8 |
7.7 |
0.831 |
Not known to be HIV infection stage 3 |
2,085 |
404 |
76.2 |
398 |
79.0 |
443 |
79.2 |
387 |
78.7 |
1 |
-3.3 |
5.5 |
0.654 |
Transmission Categoryc
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Injection drug use |
370 |
69 |
74.8 |
74 |
74.8 |
77 |
80.1 |
66 |
79.7 |
2.7 |
-7.7 |
14.2 |
0.623 |
Heterosexual contactd
|
2,408 |
508 |
82.7 |
497 |
85.5 |
542 |
84.6 |
484 |
84.7 |
0.6 |
-3.3 |
4.6 |
0.762 |
Othere
|
7 |
2 |
85.0 |
2 |
90.0 |
1 |
100.0 |
1 |
63.6 |
-4.3 |
-56.2 |
109.3 |
0.912 |
Subtotal
|
2,784 |
579 |
81.7 |
572 |
84.0 |
620 |
84.0 |
551 |
84.0 |
0.9 |
-2.8 |
4.6 |
0.646 |
White Males |
|
|
|
|
|
|
|
|
|
|
|
|
|
Age group at diagnosis
|
|
|
|
|
|
|
|
|
|
|
|
|
|
13-24 |
2,444 |
483 |
81.6 |
494 |
84.2 |
548 |
83.3 |
538 |
88.6 |
2.4 |
-1.5 |
6.5 |
0.23 |
25-34 |
5,364 |
1,134 |
84.6 |
1,060 |
84.6 |
1,132 |
84.1 |
1,222 |
85.8 |
0.4 |
-2.2 |
3.0 |
0.789 |
35-44 |
3,896 |
916 |
85.1 |
831 |
86.6 |
859 |
87.7 |
799 |
90.8 |
2.1 |
-1.0 |
5.2 |
0.184 |
45-54 |
3,832 |
977 |
89.7 |
834 |
87.9 |
823 |
88.8 |
778 |
89.7 |
0.1 |
-2.9 |
3.1 |
0.972 |
55+ |
2,073 |
448 |
90.0 |
505 |
86.9 |
461 |
89.7 |
432 |
90.0 |
0.4 |
-3.7 |
4.6 |
0.867 |
Stage at diagnosis
|
|
|
|
|
|
|
|
|
|
|
|
|
|
HIV infection stage 3(AIDS) |
4,008 |
1,046 |
98.8 |
1,020 |
98.5 |
961 |
98.9 |
934 |
99.3 |
0.2 |
-2.6 |
3.0 |
0.898 |
Not known to be HIV infection stage 3 |
13,601 |
2,912 |
82.4 |
2,704 |
82.1 |
2,862 |
82.9 |
2,835 |
85.4 |
1.2 |
-0.5 |
2.9 |
0.156 |
Transmission Categoryc
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Male-to-male sexual contact |
15,056 |
3,428 |
86.3 |
3,197 |
86.2 |
3,305 |
86.7 |
3,159 |
88.6 |
0.8 |
-0.7 |
2.4 |
0.281 |
Injection drug use |
775 |
119 |
83.0 |
134 |
80.4 |
157 |
83.5 |
231 |
83.5 |
0.6 |
-6.1 |
7.8 |
0.859 |
Male-to-male sexual contact and injection drug use |
1,109 |
262 |
85.4 |
244 |
87.9 |
224 |
84.7 |
230 |
88.3 |
0.6 |
-4.9 |
6.4 |
0.828 |
Heterosexual contactd
|
639 |
140 |
85.8 |
143 |
85.0 |
133 |
86.2 |
144 |
94.7 |
3.2 |
-4.2 |
11.2 |
0.406 |
Othere
|
30 |
9 |
93.8 |
6 |
79.0 |
4 |
58.6 |
5 |
96.1 |
-4.6 |
-34.0 |
37.8 |
0.802 |
Subtotal
|
17,609 |
3,958 |
86.1 |
3,724 |
86 |
3,823 |
86.4 |
3,769 |
88.5 |
0.8 |
-0.6 |
2.3 |
0.242 |
White Females |
|
|
|
|
|
|
|
|
|
|
|
|
|
Age group at diagnosis
|
|
|
|
|
|
|
|
|
|
|
|
|
|
13-24 |
277 |
62 |
77.5 |
42 |
73.7 |
64 |
86.5 |
60 |
90.9 |
6.4 |
-5.1 |
19.2 |
0.289 |
25-34 |
623 |
123 |
81.5 |
108 |
84.4 |
134 |
81.7 |
145 |
80.6 |
-0.7 |
-7.9 |
7.2 |
0.866 |
35-44 |
555 |
110 |
79.1 |
113 |
81.3 |
102 |
81.6 |
125 |
82.2 |
1.2 |
-6.7 |
9.7 |
0.776 |
45-54 |
473 |
92 |
88.5 |
99 |
86.8 |
108 |
90.0 |
118 |
87.4 |
0 |
-8.3 |
8.9 |
0.995 |
55+ |
288 |
63 |
87.5 |
68 |
84.0 |
54 |
90.0 |
63 |
84.0 |
-0.6 |
-11.0 |
11.0 |
0.918 |
Stage at diagnosis
|
|
|
|
|
|
|
|
|
|
|
|
|
|
HIV infection stage 3(AIDS) |
509 |
156 |
98.7 |
121 |
98.4 |
112 |
100.0 |
116 |
100.0 |
0.5 |
-6.9 |
8.5 |
0.893 |
Not known to be HIV infection stage 3 |
1,707 |
294 |
75.8 |
309 |
78.0 |
350 |
81.2 |
395 |
80.3 |
2.1 |
-2.7 |
7 |
0.398 |
Transmission Categoryc
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Injection drug use |
644 |
109 |
77.4 |
114 |
79.0 |
102 |
80.9 |
187 |
80.7 |
1.4 |
-5.9 |
9.2 |
0.715 |
Heterosexual contactd
|
1,560 |
338 |
84.2 |
315 |
84.6 |
358 |
86.4 |
322 |
86.2 |
0.9 |
-3.8 |
5.9 |
0.704 |
Othere
|
12 |
3 |
79.5 |
1 |
46.2 |
2 |
75.0 |
2 |
66.7 |
-3.2 |
-47.5 |
78.6 |
0.918 |
Subtotal
|
2,216 |
450 |
82.4 |
430 |
82.9 |
462 |
85.1 |
511 |
84.0 |
0.8 |
-3.1 |
5.0 |
0.687 |
Total |
81,174 |
16,670 |
79.9 |
16,197 |
81.4 |
16,959 |
82.9 |
16,695 |
83.7 |
1.6 |
0.9 |
2.3 |
<.001 |
Abbreviations: HIV= Human Immunodeficiency Virus, EAPC=Estimated Annual Percent.
Note: The denominator for each characteristic for each year are not presented.
aJurisdictions include California, District of Columbia, Hawaii, Iowa, Illinois, Indiana, Louisiana, Maryland, Michigan, Missouri, New Hampshire, New York, North Dakota, South Carolina, Texas, Utah, and West Virginia.
bDefined as one or more CD4+ T-lymphocyte or viral load test within 1 month after HIV diagnosis.
cData statistically adjusted to account for missing transmission categories.
dHeterosexual contact with a person known to have, or to be at high risk for, HIV infection.
eIncludes hemophilia, blood transfusion, perinatal exposure and risk factor not reported or not identified.