Building the Case for Localized Approaches to HIV: Structural Conditions and Health System Capacity to Address the HIV/AIDS Epidemic in Six US Cities

Since the discovery of the secondary preventive benefits of antiretroviral therapy, national and international governing bodies have called for countries to reach 90% diagnosis, ART engagement and viral suppression among people living with HIV/AIDS. The US HIV epidemic is dispersed primarily across...

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Vydané v:	AIDS and behavior Ročník 22; číslo 9; s. 3071 - 3082
Hlavní autori:	Panagiotoglou, D., Olding, M., Enns, B., Feaster, D. J., del Rio, C., Metsch, L. R., Granich, R. M., Strathdee, S. A., Marshall, B. D. L., Golden, M. R., Shoptaw, S., Schackman, B. R., Nosyk, B.
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	New York Springer US 01.09.2018 Springer Nature B.V
Predmet:	Acquired immune deficiency syndrome AIDS Anti-HIV Agents - therapeutic use Antiretroviral agents Antiretroviral drugs Antiretroviral therapy Capacity Building - economics Capacity Building - organization & administration Cities Community Health Planning - economics Community Health Planning - legislation & jurisprudence Community Health Planning - organization & administration Entitlement Epidemics Epidemics - economics Epidemics - legislation & jurisprudence Epidemics - statistics & numerical data Epidemiology Financing, Government - economics Financing, Government - legislation & jurisprudence Financing, Government - organization & administration Government Programs - economics Government Programs - legislation & jurisprudence Government Programs - organization & administration Health care delivery Health Policy - economics Health Policy - legislation & jurisprudence Health Psychology Health Resources - economics Health Resources - legislation & jurisprudence Health Resources - organization & administration Health services Healthcare Disparities - legislation & jurisprudence Healthcare Disparities - organization & administration Healthcare Disparities - statistics & numerical data HIV HIV Infections - epidemiology HIV Infections - prevention & control Human immunodeficiency virus Humans Illnesses Infectious Diseases Medical diagnosis Medical treatment Medicine Medicine & Public Health Original Paper Population Surveillance Prescription drugs Preventive medicine Public Health Secondary Prevention - economics Secondary Prevention - legislation & jurisprudence Secondary Prevention - organization & administration Statutes Substance Abuse, Intravenous - economics Substance Abuse, Intravenous - epidemiology Substance Abuse, Intravenous - prevention & control Surveillance United States Urban areas Urban environments Urban Population - statistics & numerical data United States United States > US Health system Policy HIV Epidemiology
ISSN:	1090-7165, 1573-3254, 1573-3254
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Shrnutí:	Since the discovery of the secondary preventive benefits of antiretroviral therapy, national and international governing bodies have called for countries to reach 90% diagnosis, ART engagement and viral suppression among people living with HIV/AIDS. The US HIV epidemic is dispersed primarily across large urban centers, each with different underlying epidemiological and structural features. We selected six US cities, including Atlanta, Baltimore, Los Angeles, Miami, New York, and Seattle, with the objective of demonstrating the breadth of epidemiological and structural differences affecting the HIV/AIDS response across the US. We synthesized current and publicly-available surveillance, legal statutes, entitlement and discretionary funding, and service location data for each city. The vast differences we observed in each domain reinforce disparities in access to HIV treatment and prevention, and necessitate targeted, localized strategies to optimize the limited resources available for each city’s HIV/AIDS response.
Bibliografia:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Review-3 content type line 23
ISSN:	1090-7165 1573-3254 1573-3254
DOI:	10.1007/s10461-018-2166-6