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HIV care cascade at Kaiser Permanente varies by sex and age
Theo Smart, 2014-10-23 08:00:00
there has been improving performance of healthcare delivery at each point of
the HIV care cascade, from linkage to care through viral suppression,
"success varies significantly by age and gender, even in an integrated
care system with equal access to care,” Michael Horberg of the Mid-Atlantic
Permanente Research Institute reported earlier this month at IDWeek 2014 in
Philadelphia, United States.
presented the results of an analysis evaluating the care received over a three-year
period by all people with HIV enrolled in the Kaiser Permanente (KP) integrated
healthcare system, which operates in nine US states and the District of
found that during the first two years of the study, the percentage of women who
were linked to care after diagnosis was significantly lower compared with men,
even though their retention once in care was higher. Likewise, a statistically
lower percentage of women were taking antiretroviral therapy (ART) and
maintaining viral suppression. However, these differences were not observed in
2012, the final year of the study – suggesting that quality improvement
initiatives may be addressing gender differences.
even though there was no difference in linkage to care after receiving an HIV
diagnosis by age bracket (13-34, 35-54, and 55+), the increase in age was
associated with significantly better retention, higher rates of ART
prescription, and viral suppression.