In California, significant health disparities exist across the HIV continuum of care. Persons living with HIV who have little or no access to care, face strong stigma or encounter other socio-structural barriers poorly affecting the HIV treatment cascade.
In 2012, 34% of Blacks/African Americans who were diagnosed with HIV in California achieved viral suppression, compared to 43% of Whites. Younger age groups were less likely to be diagnosed, retained in care, or to have achieved viral suppression when compared to older populations – only 15% of persons aged 13-24 who were diagnosed with HIV were virally suppressed compared to 45% of those age 45-65. Women with HIV were less likely to be virally suppressed than men, and male injection drug users and male heterosexuals were less likely to be in care, retained in care, or virally suppressed than other risk groups.
See: HIV Care Contiuum (PDF)
In order to curb the HIV epidemic in California, special efforts are needed to reach these populations, and to ensure that they are linked to care, receive appropriate treatment, and remain virally suppressed.
Three CHRP grants—totaling $9 million over four years—are supporting innovative projects at UC Centers for AIDS Research in Los Angeles, San Francisco and San Diego. The Centers collaborate with community groups to find, test and treat hidden and high-risk populations. If successful, the novel strategies could be more broadly implemented across the State of California.
Reducing these disparities require unique interventions tailored to specific populations at risk, and implemented at each stage of the cascade.
Reducing these disparities requires unique interventions tailored to specific populations at risk, and implemented at each stage of the cascade. The overall goals of the CHRP HIV Disparities Initiative are:
Read CHRP Article: HIV Disparities (PDF)