Abstract:
:Objectives. To examine state-level factors associated with late-stage HIV diagnoses in the United States.Methods. We examined state-level factors associated with late-stage diagnoses by estimating negative binomial regression models. We used 2013 to 2016 data from the National HIV Surveillance System (late-stage diagnoses), the Behavioral Risk Factor Surveillance System (HIV testing), and the American Community Survey (sociodemographics).Results. Among individuals 25 to 44 years old, a 5% increase in the percentage of the state population tested for HIV in the preceding 12 months was associated with a 3% decrease in late-stage diagnoses. Among both individuals 25 to 44 years of age and those aged 45 years and older, a 5% increase in the percentage of the population living in a rural area was associated with a 2% to 3% increase in late-stage diagnoses.Conclusions. Increasing HIV testing may lower late-stage HIV diagnoses among younger individuals. Increasing HIV-related services may benefit both younger and older people in rural areas.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Krueger A,Van Handel M,Dietz PM,Williams WO,Patel D,Johnson ASdoi
10.2105/AJPH.2019.305273subject
Has Abstractpub_date
2019-11-01 00:00:00pages
1589-1595issue
11eissn
0090-0036issn
1541-0048journal_volume
109pub_type
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