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Missouri HIV Care Continuum 2015 PDF

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Engagement in HIV Care, Missouri, 2015 Total and By Sex By Selected Age Group 12,172 persons living with HIV disease,M issouri, 2015*: Living with HIV disease,M issouri, 2015*: -2,102 females -553 persons 13-24 years old -10,070 males -4,580 persons 25-44 years old -7,008 persons 45+ years old 100% 100% 90% 85% 84% 84% 85% 87% 80% 80% 60% 60% 11% 12% 11% 13% 13% 10% 40% 73% 77% 72% 40% 66% 73% 82% 20% 52%44% 54%46% 52%43% 20% 53%40% 48%41% 54%46% 0% 0% Total Female Male 13-24 years old 25-44 years old 45+ years old By Selected Race/Ethnicity By Selected Transmission Category Living with HIV disease,M issouri, 2015*: Living with HIV disease,M issouri, 2015*: -5,550 blacks/African Americans (AA) -1,743 heterosexual contact (HRH) -523 Hispanics -670 injection drug use (IDU) -5,856 whites -7,598 men who have sex with men (MSM) 100% 95% 100% 88% 86% 90% 86% 82% 80% 80% 60% 60% 11% 11% 12% 11% 40% 69% 86% 10% 75% 40% 70% 80% 8% 73% 20% 53%43% 40%34% 53%45% 20% 54%46% 51%41% 52%44% 0% 0% Black/AA Hispanic White HRH IDU MSM ■ LinkedtoCareWithin ■ LinkedtoCareWithin ■ RetainedinCare¥ ■ Retained in Care, Virally ■ Not Retained in Care, 30 Dayst 90 Dayst Suppressed£ Virally SuppresseclO This figure provides estimates of engagement in HIV care among persons diagnosed and living with HIV whose most recent diagnosis of HIV or stage 3 (AIDS) occurred in Missouri. Data presented may change if methods to generate the estimates are altered. Data columns for diagnosed, linked to care, retained in care, and virally suppressed are calculated independently, and therefore should not be interpreted as related measures. Extreme caution should be used when comparing with data from other jurisdictions as the populations included and methods used to calculate the various measures may vary significantly. Prepared by: Missouri Department of Health and Senior Services (DHSS), Bureau of Reportable Disease Informatics *Number of adults and adolescents (i.e., 13 years of age or older) who resided in Missouri at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were known to be living at the end of 2015. Source: DHSS. Annual enhanced HIV/AIDS Reporting System (eHARS) datasets frozen 2/28/17. ‡Derived from adults and adolescents newly diagnosed with HIV disease in Missouri in 2015 with a CD4 or viral load lab result within one month of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/17. †Derived from adults and adolescents newly diagnosed with HIV disease in Missouri in 2015 with a CD4 or viral load lab result within three months of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/17. ¥Derived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in Missouri at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who had at least two CD4 or viral load lab results in 2015 which were collected at least three months apart. Source: DHSS. Annual eHARS dataset frozen 2/28/17. £Derived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in Missouri at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were considered to be retained in care and whose most recent viral load lab result in 2015 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/17. ΩDerived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in Missouri at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were not considered to be retained in care, but whose most recent viral load lab result in 2015 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/17. X Presence of an X above a bar indicates that the measurement should be interpreted with extreme caution as the measurement was calculated among fewer than 20 cases in the denominator. Bars and percentages are not shown if there were no cases in the denominator. § Engagement in HIV Care, Central HIV Care Region , 2015 Total and By Sex By Selected Age Group 661 persons living with HIV disease, Living with HIV disease,C entral HIV Care Region, 2015*: Central HIV Care Region, 2015*: -22 persons 13-24 years old -143 females -258 persons 25-44 years old -518 males -375 persons 45+ years old 100% 91% 100% 90% 100% 90% 100% 78% X 80% 80% 60% 60% 5% 40% 82% 11% 13% 83% 11% 40% 90% 12% 11% 86% 48% 75% 50% 57%52% 46% 67%48% 20% 39% 39%37% 40% 20% 40% 38% 0% 0% Total Female Male 13-24 years old 25-44 years old 45+ years old By Selected Race/Ethnicity By Selected Transmission Category Living with HIV disease,C entral HIV Care Region, 2015*: Living with HIV disease,C entral HIV Care Region, 2015*: -207 blacks/African Americans (AA) -122 heterosexual contact (HRH) -31 Hispanics -52 injection drug use (IDU) -415 whites -333 men who have sex with men (MSM) X X 100% 100% 90% 100% 100% 100% 91% 89% 80% 80% 60% 60% 40% 89% 9% 100% 7% 76% 13% 40% 16% 100% 6% 87% 9% 20% 48%34% 34%31% 48%42% 20% 67%36%32% 51%41% 52%42% 0% 0% Black/AA Hispanic White HRH IDU MSM ■ LinkedtoCareWithin ■ LinkedtoCareWithin ■ RetainedinCare¥ ■ Retained in Care, Virally ■ Not Retained in Care, 30 Dayst 90 Dayst Suppressed£ Virally SuppresseclO This figure provides estimates of engagement in HIV care among persons diagnosed and living with HIV whose most recent diagnosis of HIV or stage 3 (AIDS) occurred in the Central HIV Care Region. Data presented may change if methods to generate the estimates are altered. Data columns for diagnosed, linked to care, retained in care, and virally suppressed are calculated independently, and therefore should not be interpreted as related measures. Extreme caution should be used when comparing with data from other jurisdictions as the populations included and methods used to calculate the various measures may vary significantly. Prepared by: Missouri Department of Health and Senior Services (DHSS), Bureau of Reportable Disease Informatics §See Appendix for a map of counties included in the HIV Care Region. *Number of adults and adolescents (i.e., 13 years of age or older) who resided in the Central HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were known to be living at the end of 2015. Source: DHSS. Annual enhanced HIV/AIDS Reporting System (eHARS) datasets frozen 2/28/17. ‡Derived from adults and adolescents newly diagnosed with HIV disease in the Central HIV Care Region in 2015 with a CD4 or viral load lab result within one month of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/17. †Derived from adults and adolescents newly diagnosed with HIV disease in the Central HIV Care Region in 2015 with a CD4 or viral load lab result within three months of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/17. ¥Derived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the Central HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who had at least two CD4 or viral load lab results in 2015 which were collected at least three months apart. Source: DHSS. Annual eHARS dataset frozen 2/28/17. £Derived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the Central HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were considered to be retained in care and whose most recent viral load lab result in 2015 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/17. ΩDerived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the Central HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were not considered to be retained in care, but whose most recent viral load lab result in 2015 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/17. X Presence of an X above a bar indicates that the measurement should be interpreted with extreme caution as the measurement was calculated among fewer than 20 cases in the denominator. Bars and percentages are not shown if there were no cases in the denominator. § Engagement in HIV Care, Kansas City HIV Care Region , 2015 Total and By Sex By Selected Age Group 3,617 persons living with HIV disease, Living with HIV disease, Kansas City HIV Care Region, 2015*: Kansas City HIV Care Region, 2015*: -128 persons 13-24 years old -552 females -1,288 persons 25-44 years old -3,065 males -2,194 persons 45+ years old 100% 92% 100% 91% 100% 94% 90% 91% 80% 80% 60% 60% 13% 15% 91% 40% 78% 12% 75% 79% 12% 40% 73% 76% 14% 11% 20% 46%34% 48%40% 45%33% 20% 51%39% 40%32% 49%36% 0% 0% Total Female Male 13-24 years old 25-44 years old 45+ years old By Selected Race/Ethnicity By Selected Transmission Category Living with HIV disease, Kansas City HIV Care Region, 2015*: Living with HIV disease, Kansas City HIV Care Region, 2015*: -1,462 blacks/African Americans (AA) -337 heterosexual contact (HRH) -243 Hispanics -184 injection drug use (IDU) -1,815 whites -2,468 men who have sex with men (MSM) 100% 91% 100% 92% 100% 100% 100% 94% 80% 80% 60% 60% 91% 14% 100% 40% 84% 12% 11% 74% 12% 40% 78% 10% 81% 12% 20% 46%35% 38%32% 46%34% 20% 48%41% 48%35% 46%34% 0% 0% Black/AA Hispanic White HRH IDU MSM ■ LinkedtoCareWithin ■ LinkedtoCareWithin ■ RetainedinCare¥ ■ Retained in Care, Virally ■ Not Retained in Care, 30 Dayst 90 Dayst Suppressed£ Virally SuppresseclO This figure provides estimates of engagement in HIV care among persons diagnosed and living with HIV whose most recent diagnosis of HIV or stage 3 (AIDS) occurred in the Kansas City HIV Care Region. Data presented may change if methods to generate the estimates are altered. Data columns for diagnosed, linked to care, retained in care, and virally suppressed are calculated independently, and therefore should not be interpreted as related measures. Extreme caution should be used when comparing with data from other jurisdictions as the populations included and methods used to calculate the various measures may vary significantly. Prepared by: Missouri Department of Health and Senior Services (DHSS), Bureau of Reportable Disease Informatics §See Appendix for a map of counties included in the HIV Care Region. *Number of adults and adolescents (i.e., 13 years of age or older) who resided in the Kansas City HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were known to be living at the end of 2015. Source: DHSS. Annual enhanced HIV/AIDS Reporting System (eHARS) datasets frozen 2/28/17. ‡Derived from adults and adolescents newly diagnosed with HIV disease in the Kansas City HIV Care Region in 2015 with a CD4 or viral load lab result within one month of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/17. †Derived from adults and adolescents newly diagnosed with HIV disease in the Kansas City HIV Care Region in 2015 with a CD4 or viral load lab result within three months of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/17. ¥Derived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the Kansas City HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who had at least two CD4 or viral load lab results in 2015 which were collected at least three months apart. Source: DHSS. Annual eHARS dataset frozen 2/28/17. £Derived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the Kansas City HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were considered to be retained in care and whose most recent viral load lab result in 2015 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/17. ΩDerived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the Kansas City HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were not considered to be retained in care, but whose most recent viral load lab result in 2015 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/17. X Presence of an X above a bar indicates that the measurement should be interpreted with extreme caution as the measurement was calculated among fewer than 20 cases in the denominator. Bars and percentages are not shown if there were no cases in the denominator. § Engagement in HIV Care, Northwest HIV Care Region , 2015 Total and By Sex By Selected Age Group 139 persons living with HIV disease, Living with HIV disease,N orthwest HIV Care Region, 2015*: Northwest HIV Care Region, 2015*: -5 persons 13-24 years old -27 females -50 persons 25-44 years old -112 males -84 persons 45+ years old X XXX 100% 100% 100% 100% 0% 100% 80% 67% 80% 50% 60% 60% 9% 10% 16% 8% 100% 100% 100% 100% 12% 40% 40% 100% 67%62%51% 50%56%48% 63%51% 0% 52% 66%55% 20% 20% 40% 0% 0% 0% Total Female Male 13-24 years old 25-44 years old 45+ years old By Selected Race/Ethnicity By Selected Transmission Category Living with HIV disease,N orthwest HIV Care Region, 2015*: Living with HIV disease,N orthwest HIV Care Region, 2015*: -36 blacks/African Americans (AA) -24 heterosexual contact (HRH) -4 Hispanics -15 injection drug use (IDU) -98 whites -69 men who have sex with men (MSM) 100% 100% 100% 80% 80% 50% 50% 14% 7% 60% 9% 9% 60% 9% 100% 40% 40% 50%59%53% 66%53% 50%64%59% 67%60% 64%51% 20% 20% 0% 25% 0% X 0% 0% 0% 0% Black/AA Hispanic White HRH IDU MSM ■ LinkedtoCareWithin ■ LinkedtoCareWithin ■ RetainedinCare¥ ■ Retained in Care, Virally ■ Not Retained in Care, 30 Dayst 90 Dayst Suppressed£ Virally SuppresseclO This figure provides estimates of engagement in HIV care among persons diagnosed and living with HIV whose most recent diagnosis of HIV or stage 3 (AIDS) occurred in the Northwest HIV Care Region. Data presented may change if methods to generate the estimates are altered. Data columns for diagnosed, linked to care, retained in care, and virally suppressed are calculated independently, and therefore should not be interpreted as related measures. Extreme caution should be used when comparing with data from other jurisdictions as the populations included and methods used to calculate the various measures may vary significantly. Prepared by: Missouri Department of Health and Senior Services (DHSS), Bureau of Reportable Disease Informatics §See Appendix for a map of counties included in the HIV Care Region. *Number of adults and adolescents (i.e., 13 years of age or older) who resided in the Northwest HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were known to be living at the end of 2015. Source: DHSS. Annual enhanced HIV/AIDS Reporting System (eHARS) datasets frozen 2/28/17. ‡Derived from adults and adolescents newly diagnosed with HIV disease in the Northwest HIV Care Region in 2015 with a CD4 or viral load lab result within one month of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/17. †Derived from adults and adolescents newly diagnosed with HIV disease in the Northwest HIV Care Region in 2015 with a CD4 or viral load lab result within three months of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/17. ¥Derived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the Northwest HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who had at least two CD4 or viral load lab results in 2015 which were collected at least three months apart. Source: DHSS. Annual eHARS dataset frozen 2/28/17. £Derived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the Northwest HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were considered to be retained in care and whose most recent viral load lab result in 2015 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/17. ΩDerived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the Northwest HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were not considered to be retained in care, but whose most recent viral load lab result in 2015 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/17. X Presence of an X above a bar indicates that the measurement should be interpreted with extreme caution as the measurement was calculated among fewer than 20 cases in the denominator. Bars and percentages are not shown if there were no cases in the denominator. § Engagement in HIV Care, St. Louis HIV Care Region , 2015 Total and By Sex By Selected Age Group 5,921 persons living with HIV disease, Living with HIV disease, St. Louis HIV Care Region, 2015*: St. Louis HIV Care Region, 2015*: -328 persons 13-24 years old -1,054 females -2,255 persons 25-44 years old -4,867 males -3,324 persons 45+ years old 100% 100% 88% 83% 79% 78% 77% 80% 80% 80% 60% 60% 11% 11% 11% 13% 9% 13% 2400%% 68%55%49% 79%59%50% 65%54%48% 2400%% 58%53%38% 71%52%45% 76%58%52% 0% 0% Total Female Male 13-24 years old 25-44 years old 45+ years old By Selected Race/Ethnicity By Selected Transmission Category Living with HIV disease, St. Louis HIV Care Region, 2015*: Living with HIV disease, St. Louis HIV Care Region, 2015*: -3,283 blacks/African Americans (AA) -969 heterosexual contact (HRH) -163 Hispanics -221 injection drug use (IDU) -2,369 whites -3,808 men who have sex with men (MSM) 100% 86% 100% 78% 82% 83% 71% 79% 80% 80% X 60% 60% 11% 10% 10% 10% 11% 40% 86% 10% 40% 20% 64%56%47% 43%37% 71%55%51% 20% 70%58%50% 57%58%48% 66%55%49% 0% 0% Black/AA Hispanic White HRH IDU MSM ■ LinkedtoCareWithin ■ LinkedtoCareWithin ■ RetainedinCare¥ ■ Retained in Care, Virally ■ Not Retained in Care, 30 Dayst 90 Dayst Suppressed£ Virally SuppresseclO This figure provides estimates of engagement in HIV care among persons diagnosed and living with HIV whose most recent diagnosis of HIV or stage 3 (AIDS) occurred in the St. Louis HIV Care Region. Data presented may change if methods to generate the estimates are altered. Data columns for diagnosed, linked to care, retained in care, and virally suppressed are calculated independently, and therefore should not be interpreted as related measures. Extreme caution should be used when comparing with data from other jurisdictions as the populations included and methods used to calculate the various measures may vary significantly. Prepared by: Missouri Department of Health and Senior Services (DHSS), Bureau of Reportable Disease Informatics §See Appendix for a map of counties included in the HIV Care Region. *Number of adults and adolescents (i.e., 13 years of age or older) who resided in the St. Louis HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were known to be living at the end of 2015. Source: DHSS. Annual enhanced HIV/AIDS Reporting System (eHARS) datasets frozen 2/28/17. ‡Derived from adults and adolescents newly diagnosed with HIV disease in the St. Louis HIV Care Region in 2015 with a CD4 or viral load lab result within one month of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/17. †Derived from adults and adolescents newly diagnosed with HIV disease in the St. Louis HIV Care Region in 2015 with a CD4 or viral load lab result within three months of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/17. ¥Derived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the St. Louis HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who had at least two CD4 or viral load lab results in 2015 which were collected at least three months apart. Source: DHSS. Annual eHARS dataset frozen 2/28/17. £Derived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the St. Louis HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were considered to be retained in care and whose most recent viral load lab result in 2015 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/17. ΩDerived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the St. Louis HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were not considered to be retained in care, but whose most recent viral load lab result in 2015 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/17. X Presence of an X above a bar indicates that the measurement should be interpreted with extreme caution as the measurement was calculated among fewer than 20 cases in the denominator. Bars and percentages are not shown if there were no cases in the denominator. § Engagement in HIV Care, Southeast HIV Care Region , 2015 Total and By Sex By Selected Age Group 370 persons living with HIV disease, Living with HIV disease, SoutheastH IV Care Region, 2015*: Southeast HIV Care Region, 2015*: -19 persons 13-24 years old -103 females -151 persons 25-44 years old -267 males -199 persons 45+ years old 93% 89% 88% 89% 100% 100% 100% 75% 80% 80% 60% 60% 13% 16% 11% 11% 12% 40% 68% 73% 40% 29% 75% 78% 20% 54%45% 50%51%39% 55%47% 20% 43% 52%43% 57%48% 24% 0% 0% 0% Total Female Male 13-24 years old 25-44 years old 45+ years old By Selected Race/Ethnicity By Selected Transmission Category Living with HIV disease, SoutheastH IV Care Region, 2015*: Living with HIV disease, SoutheastH IV Care Region, 2015*: -134 blacks/African Americans (AA) -92 heterosexual contact (HRH) -5 Hispanics -32 injection drug use (IDU) -228 whites -167 men who have sex with men (MSM) 89% 90% 89% 100% 100% 100% 100% 80% 80% 60% 60% 8% 0% 16% 15% 100% 13% 40% 80% 40% 10% 67% 67% 20% 56%56%44% 40%40% 54%45% 20% 55%43% 42%35% 57%50% 0% 0% 0% Black/AA Hispanic White HRH IDU MSM ■ LinkedtoCareWithin ■ LinkedtoCareWithin ■ RetainedinCare¥ ■ Retained in Care, Virally ■ Not Retained in Care, 30 Dayst 90 Dayst Suppressed£ Virally SuppresseclO This figure provides estimates of engagement in HIV care among persons diagnosed and living with HIV whose most recent diagnosis of HIV or stage 3 (AIDS) occurred in the Southeast HIV Care Region. Data presented may change if methods to generate the estimates are altered. Data columns for diagnosed, linked to care, retained in care, and virally suppressed are calculated independently, and therefore should not be interpreted as related measures. Extreme caution should be used when comparing with data from other jurisdictions as the populations included and methods used to calculate the various measures may vary significantly. Prepared by: Missouri Department of Health and Senior Services (DHSS), Bureau of Reportable Disease Informatics §See Appendix for a map of counties included in the HIV Care Region. *Number of adults and adolescents (i.e., 13 years of age or older) who resided in the Southeast HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were known to be living at the end of 2015. Source: DHSS. Annual enhanced HIV/AIDS Reporting System (eHARS) datasets frozen 2/28/17. ‡Derived from adults and adolescents newly diagnosed with HIV disease in the Southeast HIV Care Region in 2015 with a CD4 or viral load lab result within one month of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/17. †Derived from adults and adolescents newly diagnosed with HIV disease in the Southeast HIV Care Region in 2015 with a CD4 or viral load lab result within three months of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/17. ¥Derived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the Southeast HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who had at least two CD4 or viral load lab results in 2015 which were collected at least three months apart. Source: DHSS. Annual eHARS dataset frozen 2/28/17. £Derived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the Southeast HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were considered to be retained in care and whose most recent viral load lab result in 2015 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/17. ΩDerived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the Southeast HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were not considered to be retained in care, but whose most recent viral load lab result in 2015 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/17. X Presence of an X above a bar indicates that the measurement should be interpreted with extreme caution as the measurement was calculated among fewer than 20 cases in the denominator. Bars and percentages are not shown if there were no cases in the denominator. § Engagement in HIV Care, Southwest HIV Care Region , 2015 Total and By Sex By Selected Age Group 975 persons living with HIV disease, Living with HIV disease,S outhwest HIV Care Region, 2015*: Southwest HIV Care Region, 2015*: -33 persons 13-24 years old -171 females -345 persons 25-44 years old -804 males -594 persons 45+ years old 100% 97% 97% 100% 96% 100% 100% 100% 80% 80% 60% 10% 100% 7% 11% 60% 100% 12% 14% 100% 8% 40% 89% 87% 40% 83% 20% 55%50% 55%49% 55%50% 20% 58%48% 51%44% 58%53% 0% 0% Total Female Male 13-24 years old 25-44 years old 45+ years old By Selected Race/Ethnicity By Selected Transmission Category Living with HIV disease,S outhwest HIV Care Region, 2015*: Living with HIV disease,S outhwest HIV Care Region, 2015*: -120 blacks/African Americans (AA) -137 heterosexual contact (HRH) -65 Hispanics -93 injection drug use (IDU) -765 whites -530 men who have sex with men (MSM) 100% 96% 100% 96% 100% 100% 100% 100% 80% 80% 60% 12% 60% 12% 100% 9% 40% 4% 5% 88% 40% 3% 91% 20% 42%35% 50%43%40% 59%53% 20% 50%51%47% 43%37% 57%52% 0% 0% 0% Black/AA Hispanic White HRH IDU MSM ■ LinkedtoCareWithin ■ LinkedtoCareWithin ■ RetainedinCare¥ ■ Retained in Care, Virally ■ Not Retained in Care, 30 Dayst 90 Dayst Suppressed£ Virally SuppresseclO This figure provides estimates of engagement in HIV care among persons diagnosed and living with HIV whose most recent diagnosis of HIV or stage 3 (AIDS) occurred in the Southwest HIV Care Region. Data presented may change if methods to generate the estimates are altered. Data columns for diagnosed, linked to care, retained in care, and virally suppressed are calculated independently, and therefore should not be interpreted as related measures. Extreme caution should be used when comparing with data from other jurisdictions as the populations included and methods used to calculate the various measures may vary significantly. Prepared by: Missouri Department of Health and Senior Services (DHSS), Bureau of Reportable Disease Informatics §See Appendix for a map of counties included in the HIV Care Region. *Number of adults and adolescents (i.e., 13 years of age or older) who resided in the Southwest HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were known to be living at the end of 2015. Source: DHSS. Annual enhanced HIV/AIDS Reporting System (eHARS) datasets frozen 2/28/17. ‡Derived from adults and adolescents newly diagnosed with HIV disease in the Southwest HIV Care Region in 2015 with a CD4 or viral load lab result within one month of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/17. †Derived from adults and adolescents newly diagnosed with HIV disease in the Southwest HIV Care Region in 2015 with a CD4 or viral load lab result within three months of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/17. ¥Derived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the Southwest HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who had at least two CD4 or viral load lab results in 2015 which were collected at least three months apart. Source: DHSS. Annual eHARS dataset frozen 2/28/17. £Derived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the Southwest HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were considered to be retained in care and whose most recent viral load lab result in 2015 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/17. ΩDerived from adults and adolescents diagnosed with HIV through 2014 and living in 2015 who resided in the Southwest HIV Care Region at the time of their most recent diagnosis of HIV or stage 3 (AIDS) who were not considered to be retained in care, but whose most recent viral load lab result in 2015 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/17. X Presence of an X above a bar indicates that the measurement should be interpreted with extreme caution as the measurement was calculated among fewer than 20 cases in the denominator. Bars and percentages are not shown if there were no cases in the denominator. Appendix MISSOURI HIV CARE REGIONS - NORTHWEST HIV CARE REGION - CENTRAL HIV CARE REGION D ST. LOUIS HIV CARE REGION - SOUTHEAST HIV CARE REGION - SOUTHWEST HIV CARE REGION - KANSAS CITY HIV CARE REGION IPPI

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