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1277 Results
Background Over 1,200 government and private healthcare facilities provide free HIV services under Universal Health Coverage (UHC) for >90% of persons living with HIV (PLHIV) in Thailand. The National AIDS Program (NAP) extracted death information from the National Death Registration System for all PLHIV since 2005. We analyzed mortality trends and causes among reported PLHIV…
Background In Arizona, the Hispanic population faces significant barriers to accessing HIV testing services due to stigma, cultural insensitivity, and limited healthcare access. These challenges have led to low testing rates in Hispanic communities. To address this, we implemented a status-neutral HIV screening service integrated into routine health screenings offered by Mobile Health Units (MHUs)…
Background In Thailand, cause of death is stored in free text format on death certificates and classified manually based on clinical expertise, Thai HIV surveillance definitions, and WHO clinical staging guidelines. Limitations, particularly in extracting and categorizing causes of death from text-based records in the Ministry of Interior’s death registry, are significant obstacles in monitoring…
Background Timely diagnosis of HIV is crucial for effective treatment and prevention of transmission. In Thailand, despite advancements in HIV prevention and treatment, delays in diagnosis remain a significant challenge. We estimated delays in diagnosis (time from infection to diagnosis) and identified factors associated with the delay. Methods Data on newly reported treatment-naïve people living with…
Background Advanced HIV disease (AHD) is defined by WHO as CD4 count <200 cells/ µL or WHO stage 3-4, triggering a series of interventions to identify and treat opportunistic infections (OIs) and rapidly initiate ART. Access to CD4 count testing is declining as a ‘test and treat’ approach to HIV is adopted, and clinical features…
Background Approximately 13% of people with HIV are unaware of their HIV status. Distribution of HIV self-tests (HIVSTs) to populations most affected by HIV increases awareness of infection, and may facilitate initiation of treatment. Previous work has described HIVST distribution programs, but not confirmation of diagnosis or engagement in antiretroviral therapy (ART). Methods A national…
Background Understanding preferences for HIV testing technologies could increase uptake. We conducted a mixed-methods study to explore testing preferences among participants in the GAIN Study. Methods Between June 2023-May 2024, we enrolled a convenience sample of persons seeking HIV testing, post-exposure prophylaxis, or pre-exposure prophylaxis (PrEP) care at a community testing site or HIV clinic…
Background The Together TakeMeHome program (TTMH) provides free HIV self-test kits (HIVSTs) by mail, allowing people at least 17 years old who may experience barriers to accessing other HIV testing services to test privately on their own time. Users can order one or two HIVSTs. Our goal was to use nationally representative survey data to…
Background The COVID-19 pandemic has caused major disruptions to healthcare globally, potentially affecting the delivery of HIV care and prevention services. Using data from the National COVID Cohort Collaborative (N3C), this study aimed to provide a comprehensive analysis of HIV testing rates and trends before, during, and after the COVID-19 pandemic, highlighting geographic and racial/ethnic…
Background The rising incidence of STIs and HIV in Japan necessitates comprehensive testing strategies. This study analyzed syphilis testing, subsequent HIV screening, and HIV diagnosis patterns across age groups using a sampling dataset from the National Database of Health Insurance Claims (NDB), which represents 1% of all outpatient Japanese health insurance claims, and AIDS Surveillance…