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Missouri HIV Care Continuum 2016 PDF

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Engagement in HIV Care, Missouri, 2016 Total and By Sex By Selected Age Group 12,467 persons living with HIV disease,M issouri, 2016*: Living with HIV disease,M issouri, 2016*: -2,169 females -538 persons 13-24 years old -10,298 males -4,615 persons 25-44 years old -7,281 persons 45+ years old 100% 100% 92% 86% 86% 86% 87% 79% 80% 80% 60% 60% 40% 73% 12% 81% 13% 71% 12% 40% 14% 78% 13% 84% 11% 20% 49%41% 49%41% 49%41% 20% 57%46%36% 46%38% 51%43% 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, 2016*: Living with HIV disease,M issouri, 2016*: -5,705 blacks/African Americans (AA) -1,814 heterosexual contact (HRH) -555 Hispanics -658 injection drug use (IDU) -5,942 whites -7,819 men who have sex with men (MSM) 100% 93% 95% 100% 95% 87% 81% 78% 80% 80% 60% 60% 40% 13% 78% 11% 85% 11% 40% 72% 13% 90% 9% 72% 12% 63% 48% 50% 49% 50% 49% 20% 40% 39%34% 42% 20% 41% 39% 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 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 2016. Source: DHSS. Annual enhanced HIV/AIDS Reporting System (eHARS) datasets frozen 2/28/18. ‡Derived from adults and adolescents newly diagnosed with HIV disease in Missouri in 2016 with a CD4 or viral load lab result within one month of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/18. †Derived from adults and adolescents newly diagnosed with HIV disease in Missouri in 2016 with a CD4 or viral load lab result within three months of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/18. ¥Derived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 which were collected at least three months apart. Source: DHSS. Annual eHARS dataset frozen 2/28/18. £Derived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/18. ΩDerived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/18. 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 , 2016 Total and By Sex By Selected Age Group 633 persons living with HIV disease, Living with HIV disease,C entral HIV Care Region, 2016*: Central HIV Care Region, 2016*: -30 persons 13-24 years old -146 females -241 persons 25-44 years old -487 males -354 persons 45+ years old X 100% 95% 100% 93% 100% 95% 100% 92% 80% 80% 60% 60% 40% 83% 14% 100% 18% 77% 13% 40% 14% 95% 17% 100% 12% 54% 20% 40%34% 35%29% 42%35% 20% 45%36% 36%30% 43%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,C entral HIV Care Region, 2016*: Living with HIV disease,C entral HIV Care Region, 2016*: -164 blacks/African Americans (AA) -123 heterosexual contact (HRH) -33 Hispanics -44 injection drug use (IDU) -428 whites -320 men who have sex with men (MSM) X 100% 100% 100% 94% 100% 100% 100% 95% 80% 80% 60% 60% 100% 40% 83% 14% 17% 82% 15% 40% 100% 13% 100% 10% 68% 14% 51% 20% 31%25% 30%27% 44%37% 20% 39%32% 32% 42%36% 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 2016. Source: DHSS. Annual enhanced HIV/AIDS Reporting System (eHARS) datasets frozen 2/28/18. ‡Derived from adults and adolescents newly diagnosed with HIV disease in the Central HIV Care Region in 2016 with a CD4 or viral load lab result within one month of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/18. †Derived from adults and adolescents newly diagnosed with HIV disease in the Central HIV Care Region in 2016 with a CD4 or viral load lab result within three months of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/18. ¥Derived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 which were collected at least three months apart. Source: DHSS. Annual eHARS dataset frozen 2/28/18. £Derived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/18. ΩDerived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/18. 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 , 2016 Total and By Sex By Selected Age Group 3,710 persons living with HIV disease, Living with HIV disease, Kansas City HIV Care Region, 2016*: Kansas City HIV Care Region, 2016*: -127 persons 13-24 years old -571 females -1,296 persons 25-44 years old -3,139 males -2,281 persons 45+ years old 100% 92% 94% 100% 93% 97% 85% 86% 80% 80% 60% 60% 40% 77% 13% 73% 16% 77% 13% 40% 15% 83% 14% 83% 12% 60% 20% 44%33% 45%38% 44%33% 20% 50%36% 42%33% 46%34% 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, 2016*: Living with HIV disease, Kansas City HIV Care Region, 2016*: -1,500 blacks/African Americans (AA) -345 heterosexual contact (HRH) -269 Hispanics -187 injection drug use (IDU) -1,838 whites -2,547 men who have sex with men (MSM) 100% 96% 97% 100% 94% 100% 85% 77% 80% 80% 60% 60% 89% 16% 40% 66% 13% 70% 10% 13% 40% 80% 12% 79% 13% 54% 20% 44%33% 39%33% 45%33% 20% 46%37% 46%35% 45%33% 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 2016. Source: DHSS. Annual enhanced HIV/AIDS Reporting System (eHARS) datasets frozen 2/28/18. ‡Derived from adults and adolescents newly diagnosed with HIV disease in the Kansas City HIV Care Region in 2016 with a CD4 or viral load lab result within one month of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/18. †Derived from adults and adolescents newly diagnosed with HIV disease in the Kansas City HIV Care Region in 2016 with a CD4 or viral load lab result within three months of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/18. ¥Derived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 which were collected at least three months apart. Source: DHSS. Annual eHARS dataset frozen 2/28/18. £Derived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/18. ΩDerived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/18. 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 , 2016 Total and By Sex By Selected Age Group 115 persons living with HIV disease, Living with HIV disease,N orthwest HIV Care Region, 2016*: Northwest HIV Care Region, 2016*: -6 persons 13-24 years old -25 females -41 persons 25-44 years old -90 males -68 persons 45+ years old 86% 100% 100% 83% 100% 100% 100% X 80% 80% 0% 50% X 20% 60% 60% X 11% 100% 11% 14% 100% 10% 40% 83% 40% 71% 67% 67% 20% 56%45% 49%39% 20% 50%60%60% 51%41% 50%59%47% 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, 2016*: Living with HIV disease,N orthwest HIV Care Region, 2016*: -21 blacks/African Americans (AA) -20 heterosexual contact (HRH) -4 Hispanics -7 injection drug use (IDU) -90 whites -60 men who have sex with men (MSM) X X 100% 100% 100% 100% 100% 100% X 80% 80% 0% X 60% 100% 60% 0% 0% 12% 100% X 19% 40% 10% 80% 40% 79% 86% 100% 60% 63% 20% 50%40% 0% 48% 20% 43% 47%40% 0% 0x% x0% 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 2016. Source: DHSS. Annual enhanced HIV/AIDS Reporting System (eHARS) datasets frozen 2/28/18. ‡Derived from adults and adolescents newly diagnosed with HIV disease in the Northwest HIV Care Region in 2016 with a CD4 or viral load lab result within one month of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/18. †Derived from adults and adolescents newly diagnosed with HIV disease in the Northwest HIV Care Region in 2016 with a CD4 or viral load lab result within three months of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/18. ¥Derived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 which were collected at least three months apart. Source: DHSS. Annual eHARS dataset frozen 2/28/18. £Derived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/18. ΩDerived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/18. 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 , 2016 Total and By Sex By Selected Age Group 6,015 persons living with HIV disease, Living with HIV disease, St. Louis HIV Care Region, 2016*: St. Louis HIV Care Region, 2016*: -317 persons 13-24 years old -1,065 females -2,260 persons 25-44 years old -4,950 males -3,422 persons 45+ years old 100% 100% 88% 80% 80% 80% 79% 75% 80% 80% 60% 60% 12% 13% 12% 11% 13% 40% 76% 40% 14% 83% 67% 65% 69% 20% 51%45% 53%45% 50%45% 20% 53%43%35% 48%41% 53%48% 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, 2016*: Living with HIV disease, St. Louis HIV Care Region, 2016*: -3,353 blacks/African Americans (AA) -999 heterosexual contact (HRH) -168 Hispanics -211 injection drug use (IDU) -2,378 whites -3,887 men who have sex with men (MSM) 100% 93% 100% 86% 71% 77% 82% 80% 75% 80% 60% 60% 13% 10% 13% 9% 12% 40% 11% 83% 40% 86% 71% 68% 67% 61% 20% 50%43% 42%37% 52%48% 20% 51%44% 54%42% 51%46% 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 2016. Source: DHSS. Annual enhanced HIV/AIDS Reporting System (eHARS) datasets frozen 2/28/18. ‡Derived from adults and adolescents newly diagnosed with HIV disease in the St. Louis HIV Care Region in 2016 with a CD4 or viral load lab result within one month of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/18. †Derived from adults and adolescents newly diagnosed with HIV disease in the St. Louis HIV Care Region in 2016 with a CD4 or viral load lab result within three months of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/18. ¥Derived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 which were collected at least three months apart. Source: DHSS. Annual eHARS dataset frozen 2/28/18. £Derived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/18. ΩDerived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/18. 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 , 2016 Total and By Sex By Selected Age Group 337 persons living with HIV disease, Living with HIV disease, SoutheastH IV Care Region, 2016*: Southeast HIV Care Region, 2016*: -20 persons 13-24 years old -103 females -142 persons 25-44 years old -234 males -175 persons 45+ years old 100% 87% 100% 100% 80% 75% 100% 75% 80% 80% X X 60% 60% 12% 12% 15% 11% 40% 73% 100% 12% 40% 75% 6% 71% 75% 20% 51%41% 43%36% 60%55%44% 20% 50%39% 50%42% 53%41% 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, 2016*: Living with HIV disease, SoutheastH IV Care Region, 2016*: -105 blacks/African Americans (AA) -89 heterosexual contact (HRH) -6 Hispanics -24 injection drug use (IDU) -221 whites -155 men who have sex with men (MSM) 100% 100% 86% 100% 100% 100% 100% 80% 80% 50% 60% 60% 0% 12% 100% 13% 100% 100% 13% 88% 17% 40% 40% 17% 20% 47%38% 40%40% 54%43% 20% 45%37% 57%56%48% 25% 26%26% 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 2016. Source: DHSS. Annual enhanced HIV/AIDS Reporting System (eHARS) datasets frozen 2/28/18. ‡Derived from adults and adolescents newly diagnosed with HIV disease in the Southeast HIV Care Region in 2016 with a CD4 or viral load lab result within one month of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/18. †Derived from adults and adolescents newly diagnosed with HIV disease in the Southeast HIV Care Region in 2016 with a CD4 or viral load lab result within three months of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/18. ¥Derived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 which were collected at least three months apart. Source: DHSS. Annual eHARS dataset frozen 2/28/18. £Derived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/18. ΩDerived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/18. 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 , 2016 Total and By Sex By Selected Age Group 961 persons living with HIV disease, Living with HIV disease,S outhw est HIV Care Region, 2016*: Southwest HIV Care Region, 2016*: -28 persons 13-24 years old -173 females -340 persons 25-44 years old -788 males -590 persons 45+ years old 100% 100% 86% 88% 91% 100% 88% 100% 80% 80% 60% 60% 8% 100% 9% 15% 7% 40% 88% 7% 85% 40% 86% 88% 10% 89% 20% 53%44% 51%39% 53%45% 20% 48%42% 46%39% 57%47% 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, 2016*: Living with HIV disease,S outhwest HIV Care Region, 2016*: -107 blacks/African Americans (AA) -136 heterosexual contact (HRH) -59 Hispanics -76 injection drug use (IDU) -768 whites -534 men who have sex with men (MSM) 100% 90% 100% 100% 100% 100% 100% 82% 80% 80% 60% 60% 100% 8% 100% 100% 10% 40% 100% 11% 85% 40% 5% 4% 76% 10% 56%47% 47% 52% 54%46% 20% 32%27% 40%36% 20% 36% 39% 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 2016. Source: DHSS. Annual enhanced HIV/AIDS Reporting System (eHARS) datasets frozen 2/28/18. ‡Derived from adults and adolescents newly diagnosed with HIV disease in the Southwest HIV Care Region in 2016 with a CD4 or viral load lab result within one month of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/18. †Derived from adults and adolescents newly diagnosed with HIV disease in the Southwest HIV Care Region in 2016 with a CD4 or viral load lab result within three months of diagnosis. Source: DHSS. Annual eHARS dataset frozen 2/28/18. ¥Derived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 which were collected at least three months apart. Source: DHSS. Annual eHARS dataset frozen 2/28/18. £Derived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/18. ΩDerived from adults and adolescents diagnosed with HIV through 2015 and living in 2016 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 2016 was 200 copies/ml or less. Source: DHSS. Annual eHARS dataset frozen 2/28/18. 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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