Table 4.
Adjusted prevalence ratios and 95% confidence intervals for engagement in the HIV continuum of care among only MSM living and diagnosed or newly diagnosed with HIV infection, Tennessee, 2013
| Total newly diagnosed with HIVa | Linked to careb | Total diagnosed and living with HIVc | Retained in cared | Virally suppressede | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Characteristic | No. | No. (%) | P value | aPRf (95% CI) | N | No. (%) | P value | aPRf (95% CI) | No. (%) | P value | aPRf (95% CI) |
| Total | 465 | 372 (80.0) | 7204 | 4057 (56.3) | 4284 (59.5) | ||||||
| Age, yg | .083 | <.001 | <.001 | ||||||||
| 15-24 | 156 | 118 (75.6) | 0.87 (0.76-1.00) | 301 | 168 (55.8) | 0.95 (0.85-1.06) | 143 (47.5) | 0.80* (0.71, 0.91) | |||
| 25-34 | 168 | 131 (78.0) | 0.92 (0.81-1.04) | 1323 | 673 (50.9) | 0.91* (0.85-0.97) | 670 (50.6) | 0.88* (0.82-0.94) | |||
| 35-44 | 73 | 63 (86.3) | Reference | 1647 | 875 (53.1) | Reference | 933 (56.6) | Reference | |||
| 45-54 | 56 | 48 (85.7) | 1.03 (0.89-1.18) | 2586 | 1520 (58.8) | 1.13* (1.07-1.20) | 1648 (63.7) | 1.13* (1.07-1.19) | |||
| ≥55 | 12 | 12 (100.0) | 1.17* (1.04-1.31) | 1347 | 821 (61.0) | 1.21* (1.14-1.29) | 890 (66.1) | 1.20* (1.13-1.27) | |||
| Race/ethnicity | .072 | <.001 | <.001 | ||||||||
| Non-Hispanic white | 175 | 147 (84.0) | Reference | 3657 | 2069 (56.6) | Reference | 2372 (64.9) | Reference | |||
| Non-Hispanic black | 251 | 190 (75.7) | 0.92 (0.81-1.03) | 3130 | 1748 (55.8) | 0.94* (0.89-0.98) | 1678 (53.6) | 0.82* (0.79-0.86) | |||
| Hispanic | 17 | 15 (88.2) | 1.06 (0.88-1.29) | 274 | 137 (50.0) | 0.89 (0.79-1.00) | 134 (48.9) | 0.78* (0.69-0.87) | |||
| Otherh | 22 | 20 (90.9) | 1.13 (0.93-1.37) | 143 | 103 (72.0) | 1.20* (1.08-1.33) | 100 (69.9) | 1.07 (0.96-1.20) | |||
| Enrollment in Ryan White services | .008 | <.001 | <.001 | ||||||||
| No | 253 | 191 (75.5) | Reference | 4320 | 2090 (48.4) | Reference | 2240 (51.9) | Reference | |||
| Yes | 212 | 181 (85.4) | 1.16* (1.06-1.27) | 2884 | 1,967 (68.2) | 1.48* (1.42-1.54) | 2044 (70.9) | 1.44* (1.38-1.49) | |||
Abbreviations: aPR, adjusted prevalence ratio; CI, confidence interval; HIV, human immunodeficiency virus; MSM, men who have sex with men. aNewly diagnosed with HIV refers to people newly diagnosed with HIV infection in Tennessee during 2013.
bLinked to care refers to people with ≥1 CD4 count or viral load test reported within 3 months of diagnosis date among people newly diagnosed with HIV infection in 2013 in Tennessee.
cDiagnosed and living with HIV refers to people diagnosed and living with HIV infection through December 31, 2012, and alive and living in Tennessee as of December 31, 2013.
dRetained in care refers to people with ≥2 CD4 count and/or viral load tests reported ≥3 months apart in 2013 among people diagnosed with HIV infection on or before December 31, 2012, and alive and residing in Tennessee as of December 31, 2013.
eVirally suppressed refers to people with ≥1 viral load test in 2013 and whose most recent test result in 2013 indicated ≤200 copies per milliliter among all people diagnosed with HIV infection on or before December 31, 2012, and alive and residing in Tennessee as of December 31, 2013.
fEstimates derived from adjusted modified Poisson regression model including all factors and region of residence.
gAge was calculated as of December 31, 2013.
hOther race includes Native Hawaiian/other Pacific Islander, Asian, American Indian/Alaska Native, and multiple races.
*P < .05.