U.S. HIV Incidence and Transmission Goals, 2020 and 2025

American Journal of Preventive Medicine
Robert A Bonacci, David Robert Holtgrave

Abstract

The recently updated U.S. National HIV/AIDS Strategy sets key HIV prevention and care targets for 2020, but the trajectory of the epidemic remains unclear. Authors modeled HIV incidence, prevalence, and mortality for the U.S. over 10 years to determine whether an ambitious trajectory toward "ending AIDS" by 2025 would be achievable. Authors utilized recently published 2010-2013 Centers for Disease Control and Prevention surveillance data to model HIV incidence, prevalence, and mortality. Authors applied a 90/90/90 framework (90% awareness of serostatus, 90% of diagnosed individuals in care, and 90% of individuals on antiretroviral therapy virally suppressed) by 2020 and 95/95/95 by 2025 to assess the feasibility of meeting epidemiologic targets. Analyses were conducted in 2016. With a goal of reducing infections to 21,000 new HIV infections in 2020, authors project a transmission rate of 1.74, 12,571 deaths, and a total of 1,205,515 people living with HIV. By 2025, with a target of 12,000 new HIV infections (a 69% decrease in HIV incidence), authors project a transmission rate of 0.98, 12,522 deaths, and a total of 1,220,615 people living with HIV. With a 90/90/90 framework by 2020 and a 95/95/95 framework by 2025, these epidem...Continue Reading

Citations

Jul 4, 2018·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Erika G MartinDavid R Holtgrave
May 22, 2019·Journal of the International AIDS Society·Steven P MasianoApril D Kimmel
Jun 11, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Robert A BonacciDavid R Holtgrave
May 5, 2018·AIDS and Behavior·Ronald O Valdiserri, David R Holtgrave
May 26, 2018·Nursing·Julie Kulikowski, Erika Linder
Jul 3, 2021·Mathematical Biosciences and Engineering : MBE·Aditya Subhash KhannaJohn A Schneider
Nov 25, 2021·Mathematical Biosciences and Engineering : MBE·Seyedeh N Khatami, Chaitra Gopalappa

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