Identifying Geographic Areas of Washington, DC, With Increased Potential for Sexual HIV Transmission Among People With HIV With STIs and Concurrent Elevated HIV RNA: Data From the DC Cohort.

HIV HIV RNA geospatial sexually transmitted infection

Journal

Open forum infectious diseases
ISSN: 2328-8957
Titre abrégé: Open Forum Infect Dis
Pays: United States
ID NLM: 101637045

Informations de publication

Date de publication:
May 2022
Historique:
received: 20 11 2021
accepted: 17 03 2022
entrez: 22 4 2022
pubmed: 23 4 2022
medline: 23 4 2022
Statut: epublish

Résumé

The Undetectable = Untransmittable (U = U) campaign advances the goal of ending the HIV epidemic by promoting durable viral suppression and therefore reducing sexual transmission. We used geospatial analysis to assess the potential for sexual HIV transmission by ZIP code of residence in the District of Columbia (DC) using data from the DC Cohort Longitudinal HIV Study (DC Cohort), a city-wide cohort of persons with HIV (PWH). DC Cohort participants aged ≥13 years were included in the study period between April 1, 2016, and March 31, 2018. Potential for sexual HIV transmission was defined as the proportion of participants with incident sexually transmitted infection (STI; gonorrhea, chlamydia, syphilis) and with HIV RNA ≥200 copies/mL from 9 months before to 3 months after STI diagnosis. We performed geographic information system (GIS) analysis to determine the ZIP codes with the highest potential for sexual HIV transmission. Of 3467 participants, 367 (10.6%) had at least 1 incident STI, with 89.4% residing in 11 of the 20 residential ZIP codes in DC. Of the 367 participants with an incident STI, at least 1 HIV RNA was available for 348 (94.8%). Ninety-seven (27.9%) individuals with an incident STI had HIV RNA ≥200 copies/mL in the defined time window. Of these 97, 66 (68.0%) resided in 5 of the 20 DC ZIP codes. In DC, 5 ZIP codes of residence accounted for the majority of the estimated potential for HIV transmission among participants in the DC Cohort. These results support focused neighborhood-level interventions to help end the HIV epidemic.

Sections du résumé

Background UNASSIGNED
The Undetectable = Untransmittable (U = U) campaign advances the goal of ending the HIV epidemic by promoting durable viral suppression and therefore reducing sexual transmission. We used geospatial analysis to assess the potential for sexual HIV transmission by ZIP code of residence in the District of Columbia (DC) using data from the DC Cohort Longitudinal HIV Study (DC Cohort), a city-wide cohort of persons with HIV (PWH).
Methods UNASSIGNED
DC Cohort participants aged ≥13 years were included in the study period between April 1, 2016, and March 31, 2018. Potential for sexual HIV transmission was defined as the proportion of participants with incident sexually transmitted infection (STI; gonorrhea, chlamydia, syphilis) and with HIV RNA ≥200 copies/mL from 9 months before to 3 months after STI diagnosis. We performed geographic information system (GIS) analysis to determine the ZIP codes with the highest potential for sexual HIV transmission.
Results UNASSIGNED
Of 3467 participants, 367 (10.6%) had at least 1 incident STI, with 89.4% residing in 11 of the 20 residential ZIP codes in DC. Of the 367 participants with an incident STI, at least 1 HIV RNA was available for 348 (94.8%). Ninety-seven (27.9%) individuals with an incident STI had HIV RNA ≥200 copies/mL in the defined time window. Of these 97, 66 (68.0%) resided in 5 of the 20 DC ZIP codes.
Conclusions UNASSIGNED
In DC, 5 ZIP codes of residence accounted for the majority of the estimated potential for HIV transmission among participants in the DC Cohort. These results support focused neighborhood-level interventions to help end the HIV epidemic.

Identifiants

pubmed: 35450084
doi: 10.1093/ofid/ofac139
pii: ofac139
pmc: PMC9017371
doi:

Types de publication

Journal Article

Langues

eng

Pagination

ofac139

Subventions

Organisme : NIAID NIH HHS
ID : P30 AI117970
Pays : United States
Organisme : NIAID NIH HHS
ID : R24 AI152598
Pays : United States

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press on behalf of Infectious Diseases Society of America.

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Auteurs

Morgan Byrne (M)

Department of Epidemiology, George Washington University Milken Institute School of Public Health, Washington, DC, USA.

Hana Akselrod (H)

Division of Infectious Diseases, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Anne K Monroe (AK)

Department of Epidemiology, George Washington University Milken Institute School of Public Health, Washington, DC, USA.

Michael Horberg (M)

Kaiser Permanente Mid-Atlantic Permanente Research Institute, Rockville, Maryland, USA.

Jose Lucar (J)

Division of Infectious Diseases, University of Mississippi Medical Center, Jackson, Mississippi, USA.

Amanda D Castel (AD)

Department of Epidemiology, George Washington University Milken Institute School of Public Health, Washington, DC, USA.

Rachel Denyer (R)

Division of Infectious Diseases, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Infectious Diseases Section, DC Veterans Administration Medical Center, Washington, DC, USA.

Rupali Doshi (R)

DC Department of Health, HIV/AIDS, Hepatitis, STD, and TB Administration, Washington, DC, USA.

Alessandra Secco (A)

Northwest Infectious Disease Consultants, Niles, Illinois, USA.

Leah Squires (L)

Department of Psychology, DC Veterans Affairs Medical Center, Washington, DC, USA.

Stefanie Schroeter (S)

Infectious Diseases Section, DC Veterans Administration Medical Center, Washington, DC, USA.

Debra Benator (D)

Division of Infectious Diseases, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Infectious Diseases Section, DC Veterans Administration Medical Center, Washington, DC, USA.

Classifications MeSH