Abstract
The majority of persons infected with HIV live in large metropolitan areas and many such areas have implemented intensified HIV testing programs. A national indicator of HIV testing outcomes is late diagnosis of HIV infection (stage 3, AIDS). Based on National HIV Surveillance System data, 23.3% of persons with HIV diagnosed in 2012 had a late diagnosis in large MSAs, 26.3% in smaller MSAs, and 29.6% in non-metropolitan areas. In the 105 large MSAs, the percentage diagnosed late ranged from 13.2 to 47.4%. During 2003-2012, the percentage diagnosed late decreased in large MSAs (32.2-23.3%), with significant decreases in 41 of 105 MSAs overall and among men who have sex with men. Sustained testing efforts may help to continue the decreasing trend in late-stage HIV diagnosis and provide opportunities for early care and treatment and potential reduction in HIV transmission.
Accepted Version
Published Version
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