Online Program

Who obtained treatments and who have unmet needs: An analysis of 2013 Illinois HIV Surveillance Data

Sunday, November 1, 2015

Zhi Wang, HIV/AIDS section, Illinois Department of Public Health, Chicago, IL
Cheryl Ward, HIV/AIDS Section, Illinois Department of Public Health, Chicago, IL
Background: There are currently over 36,000 people living with HIV in Illinois, and more than half of them have progressed to AIDS. The purpose of this research is to quantify and characterize this unmet treatment need population and characterize who among these populations are willing to get treatments and healthcare in 2013 in Illinois.

Method: Patients who were diagnosed before 2013 but did not receive any form of HIV medical care throughout the year, including viral load testing, CD4 count, and antiretroviral therapy, were identified and analyzed using combined data from Enhanced HIV/AIDS Reporting System (eHARS), AIDS Drug Assistance Program (ADAP), and Illinois Medicaid.

Results: On average, 40% of people living with HIV/AIDS (PLWH/A) in Illinois had unmet medical care need in 2013. People living with HIV but not AIDS (PLWH) were more likely to have unmet need, compared to people living with AIDS (PLWA). When characterized by exposure, close to 50% of PLWH/A who were Injection Drug Users (IDU) had unmet need, higher than other risk categories, which is statistically significance (P<0.001).

Conclusions: This study quantitatively shows that there is a gap between HIV patient treatment needs and medical care in practice. Given the success of antiretroviral therapy and the availability of various drug assistance programs, it surprised that so many patients did not initiate or continue with care. The high level of unmet need in the IDU (Injection Drug User) category indicates that mental and behavioral factors play a critical role in timely care and treatment adherence.

Learning Areas:

Administer health education strategies, interventions and programs

Learning Objectives:
Identify and characterize this unmet treatment need population in Illinois in 2013 in Illinois.

Keyword(s): Health Care Access, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am serving at HIV/AIDS Unit at the Illinois Department of Public Health as an assistant data manager to support surveillance and prevention activities in Illinois.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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