RUcore: Rutgers University Community Repository
The HIV care continuum in New Jersey
Descriptive
TitleInfo
Title
The HIV care continuum in New Jersey
Name
(type = personal)
NamePart
(type = family)
Mohammed
NamePart
(type = given)
Debbie Ysmin
NamePart
(type = date)
1963-
DisplayForm
Debbie Ysmin Mohammed
Role
RoleTerm
(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
Davidow
NamePart
(type = given)
Amy
DisplayForm
Amy Davidow
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
chair
Name
(type = personal)
NamePart
(type = family)
Fleming
NamePart
(type = given)
Patricia L
DisplayForm
Patricia L Fleming
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
co-chair
Name
(type = personal)
NamePart
(type = family)
Demisse
NamePart
(type = given)
Kitaw
DisplayForm
Kitaw Demisse
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
internal member
Name
(type = personal)
NamePart
(type = family)
Paul
NamePart
(type = given)
Sindy
DisplayForm
Sindy Paul
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
internal member
Name
(type = corporate)
NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
(type = corporate)
NamePart
School of Public Health
Role
RoleTerm
(authority = RULIB)
school
TypeOfResource
Text
Genre
(authority = marcgt)
theses
OriginInfo
DateCreated
(qualifier = exact)
2015
DateOther
(qualifier = exact);
(type = degree)
2015-05
CopyrightDate
(encoding = w3cdtf);
(qualifier = exact)
2015
Place
PlaceTerm
(type = code)
xx
Language
LanguageTerm
(authority = ISO639-2b);
(type = code)
eng
Abstract
(type = abstract)
Gaps in medical care were identified in 2010 among HIV-infected persons in the United States. Linkage to medical care occurred for 77%, of whom 51% were were retained in medical care. Of those recieving anti-retroviral medications, 77% had a suppressed viral load (SVL). New Jersey requires baseline evaluation of these measures to identify gaps that may exist in linking and retaining HIV-infected persons in medical care and viral load measures among population groups. We obtained data from the New Jersey Enhanced HIV/AIDS Reporting System (eHARS) that included 7289 newly diagnosed persons from 2007-2011 and 36,763 living HIV-infectedpersons; diagnosed at aged greater than or equal to 13 years and by 12/31/2009. Routine measures reported by medical providers and laboratories included positive test results, CD4+ counts and HIV viral loads in addition to demographic variables. Time to linkage to medical care was evaluated by survival analysis. The relative risks (RR) and adjusted RR (ARR) were calculated for retention in care and SVL by exponentiating the coefficients from a generalized linear model with a log link and binomial outcome distribution. The mean monitored viral load (MMVL) was calculated using methods recommended by the Centers for Disease COntrol and Prevention. In 2007-2011, 71.6% of newly diagnosed persons were linked to medical care in less than or equal to 90 days. Among HIV-infected persons tested in non-clinical sites, a higher percentage tested by rapid were linked to medical care (62.3%vs. 54.0%) and in a shorter time (32 vs. 60 days), compared to EIA-WB. Among HIV-infected persons diagnosed by 2009, 47.6% were engaged in medical care during 2010-2011. The 2010 MMVL was 316 copies/ml and was higher among HIV-infected persons in the following high prevalence cities: Irvington, Newark, East Orange, Elizabeth, Atlantic City, and Camden. Overall, the SVL was 57.7% and slightly higher in Jersey City, a high prevalence city (60.4%). The findings in this evaluation provide baseline measures for linkage to retention in medical care and viral suppression. Continued support in prevention and healthcare efforts in New Jersey is needed so that improvements towards the National HIV/AIDS strategy goals may be achieved.
Subject
(authority = RUETD)
Topic
Public Health
Subject
(authority = ETD-LCSH)
Topic
Continuum of care--New Jersey
Subject
(authority = ETD-LCSH)
Topic
HIV-positive persons--Services for
RelatedItem
(type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
(type = RULIB)
ETD
RelatedItem
(type = host)
TitleInfo
Title
School of Public Health ETD Collection
Identifier
(type = local)
rucore10007500001
Identifier
ETD_6387
Identifier
(type = doi)
doi:10.7282/T3319XRT
PhysicalDescription
Form
(authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (ix, 153 p. : ill.)
Note
(type = degree)
Dr.P.H.
Note
(type = bibliography)
Includes bibliographical references
Note
(type = vita)
Includes vita
Note
(type = statement of responsibility)
by Debbie Ysmin Mohammed
Location
PhysicalLocation
(authority = marcorg);
(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Genre
(authority = ExL-Esploro)
ETD doctoral
Back to the top
Rights
RightsDeclaration
(ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder
(type = personal)
Name
FamilyName
Mohammed
GivenName
Debbie
MiddleName
Ysmin
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2015-04-14 20:55:31
AssociatedEntity
Name
Debbie Mohammed
Role
Copyright holder
Affiliation
Rutgers University. School of Public Health
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2015-05-31
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = end)
2016-05-30
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 30th, 2016.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
Back to the top
Technical
RULTechMD
(ID = TECHNICAL1)
ContentModel
ETD
OperatingSystem
(VERSION = 5.1)
windows xp
Back to the top
Statistical Profile