{"response":{"docs":[{"id":"dlg_ggpd_y-ga-bp780-pe6-bs1-bu5-b2011-belec-p-btext","title":"HIV/AIDS unmet needs, Georgia, 2011","collection_id":"dlg_ggpd","collection_title":"Georgia Government Publications","dcterms_contributor":["Georgia. Department of Public Health. Epidemiology Branch. Division of Health Protection"],"dcterms_spatial":["United States, Georgia, 32.75042, -83.50018"],"dcterms_creator":["Georgia. Department of Public Health. Epidemiology Branch. Division of Health Protection"],"dc_date":["2013"],"dcterms_description":["2011; title from PDF caption (Georgia Government Publications database, viewed April 9, 2024).","2011 (Georgia Government Publications database, viewed April 9, 2024)."],"dc_format":["application/pdf"],"dcterms_identifier":null,"dcterms_language":["eng"],"dcterms_publisher":["Atlanta, Ga. : Georgia. Department of Public Health. Epidemiology Branch. Division of Health Protection"],"dc_relation":null,"dc_right":["http://rightsstatements.org/vocab/InC/1.0/"],"dcterms_is_part_of":null,"dcterms_subject":["Agency (if applicable)--Periodicals.","HIV-positive persons--Services for--Georgia--Periodicals.","HIV (Viruses)--Treatment--Georgia--Periodicals.","AIDS (Disease)--Patients--Services for--Georgia--Periodicals.","AIDS (Disease)--Treatment--Georgia--Periodicals.","Séropositifs--Services--Géorgie (État)--Périodiques.","Virus de l'immunodéficience humaine--Traitement--Géorgie (État)--Périodiques.","Sidéens--Services--Géorgie (État)--Périodiques.","Sida--Traitement--Géorgie (État)--Périodiques.","Georgia Government Documents--Serial"],"dcterms_title":["HIV/AIDS unmet needs, Georgia, 2011"],"dcterms_type":["Text"],"dcterms_provenance":["University of Georgia. Map and Government Information Library"],"edm_is_shown_by":["https://dlg.galileo.usg.edu/do:dlg_ggpd_y-ga-bp780-pe6-bs1-bu5-b2011-belec-p-btext"],"edm_is_shown_at":["https://dlg.galileo.usg.edu/id:dlg_ggpd_y-ga-bp780-pe6-bs1-bu5-b2011-belec-p-btext"],"dcterms_temporal":null,"dcterms_rights_holder":null,"dcterms_bibliographic_citation":null,"dlg_local_right":null,"dcterms_medium":["state government records"],"dcterms_extent":null,"dlg_subject_personal":null,"iiif_manifest_url_ss":null,"dcterms_subject_fast":null,"fulltext":"HIV/AIDS Unmet Needs, Georgia, 2011 \r\nD.M Rane, MBBS, MPH; J.M Kelly, MD; D Hughes, BS; A. Pennisi, MA, MPH; C.L Drenzek, DVM, MS Georgia Department of Public Health (GDPH), Division of Health Protection, Epidemiology Program, HIV/AIDS Epidemiology Section \r\n \r\nResults \r\n \r\nResults \r\n \r\nBackground \r\n Georgia ranks sixth highest in the nation for total number of adults and adolescents living with diagnosed HIV infection in 20101 \r\n As of December 31, 2011 the Georgia Department of  Public Health reports 45,527 people living with HIV/AIDS; 44% with HIV (not AIDS) and 56% with AIDS \r\n Sixty-three percent of these live in the Atlanta Eligible Metropolitan Area (EMA) \r\n GDPH estimates the unmet primary medical care services of persons living with HIV infection in Georgia as required by the Ryan White Treatment and Modernization Act \r\n The analysis identifies the number, behavior, and demographics of persons living with HIV infection and not receiving HIV related medical services \r\n The estimates inform community planning groups and other stakeholders to respond to the primary medical care needs of emerging underserved  HIV/AIDS populations and reduce disparities in access to care \r\nMethods \r\n The Enhanced HIV/AIDS Reporting System (eHARS) is a \r\nweb-based surveillance system that gathers clinical and behavioral HIV infection data via documents such as case reports, electronic and paper-based laboratory reports, and birth and death certificates \r\n Cases with complete information on last name soundex, state identification number, date of birth, race/ethnicity, birth sex, HIV/AIDS diagnosis information and vital status are termed eligible and are reported to the Centers for Disease Control and Prevention(CDC) \r\n Unmet needs for Georgia, Atlanta EMA  and Georgia nonEMA were estimated by analyzing CDC eligible HIV infection data reported in the Georgia eHARS based on a framework developed by the University of California, San Francisco2 using SAS programming \r\n All persons living with HIV infection  reported in the Georgia eHARS were assumed to be aware of their status \r\n For the purpose of this analysis, population sizes were determined for persons living with AIDS(PLWA) and persons living with HIV/non-AIDS(PLWH non-AIDS) as of December 31, 2011 for Georgia statewide, the Atlanta EMA, and Georgia non-EMA \r\n Primary medical care `met needs' were estimated for PLWA and PLWH(non-AIDS) for Georgia as a whole, the Atlanta EMA and Georgia non-EMA as evidenced by viral load testing and/or CD4 count for a 12 month period from January 01 to December 31, 2011 \r\n Unmet needs for HIV infection primary medical care were defined as no evidence of either of the two measures described above during the specified 12-month time frame \r\n Persons living with HIV infection who are not identified to be `in care' were assumed to be `out of care' \r\nAcknowledgements \r\nAnalysis of unmet primary care needs of HIV positive people of Georgia would not have been possible without the hard work and contributions of the Core Surveillance Unit, HIV Epidemiology Section, GPDH in the collection and integration of population based HIV/AIDS data. We would like to thank Marguerite Camp, Raimi Ewetola, Thelma Fannin, Rodriques Lambert, Sheila Maxwell, Mildred McGainey, Latoya Moss, Akilah Spratling and Eina Walker. \r\n \r\nFigure 1:  Estimates of unmet primary medical care needs among persons living \r\nwith HIV infection* in Georgia ,  Atlanta EMA and Georgia non-EMA,  January 01 to \r\nDecember 31, 2011 \r\nPickens \r\n \r\nBartow \r\n \r\nCherokee \r\n \r\nForsyth \r\n \r\nPaulding \r\n \r\nCobb \r\n \r\nGwinnett \r\n \r\nBarrow \r\n \r\nCarroll \r\n \r\nDouglas \r\n \r\nFulton \r\n \r\nDeKalb Rockdale \r\n \r\nClayton \r\n \r\nNewton \r\n \r\nCoweta \r\n \r\nFayette \r\n \r\nHenry \r\n \r\nSpalding \r\n \r\nNumber with unmet needs: \r\nGeorgia : 20,627 Atlanta EMA: 12,285 Georgia non-EMA : 8,342 \r\n \r\n*Persons living with HIV infection include PLWH(non-AIDS) and  PLWA Atlanta EMA consists of Barrow, Bartow, Carroll,   Cherokee, Clayton, Cobb, Coweta, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Henry, Newton, Paulding, Pickens, Rockdale, Spalding and Walton counties \r\n \r\n The total number of persons living with HIV infection in the Atlanta EMA (28,683) was almost twice that of those living in the Georgia non-EMA(16,844) \r\n Estimates of unmet primary care needs of persons living with HIV infection were 20,627 (45%) for Georgia statewide, 12,285(43%) for the Atlanta EMA and 8,342(50%) for Georgia, non-EMA [Figure 1] \r\n Proportions of unmet needs were highest in the Georgia non-EMA among PLWH (non-AIDS)(54%) and PLWA (46%) compared to Atlanta EMA (43% for both PLWH non-AIDS and PLWA)    \r\n Males living with HIV infection in the Atlanta EMA (9,805;44%), Georgia non-EMA (5,772;51%) and Georgia statewide (15,577;46%) had higher unmet needs than females in the Atlanta EMA (2,475;40%), Georgia non-EMA (2,562;46%) and Georgia statewide (5,037,43%) [Figure 4] \r\n Among adults and adolescents (13 years of age and greater), higher unmet needs were seen among those 45 to 59 years of age in the Atlanta EMA, Georgia non-EMA and Georgia statewide [Figure 5]. However, by proportion higher unmet needs were seen in among those 60 years and greater in Georgia and its regions \r\n \r\nFigure 2: Estimates of  unmet primary care needs among persons living with HIV(non-AIDS) , Georgia and its regions, \r\nFigure 2: Estimates of unmet primary care needs among persons living with HIV(non-AIDS) \r\n, January 01 to Georgia and its regions, January D01 teo cDeecemmbebr 3e1,r203111, 2011 \r\n \r\nFigure 3: Estimates of  unmet primary care needs among persons living with AIDS, Georgia and its regions, January 01 to December 31, 2011 \r\n \r\n Hispanic/Latinos had the lowest number of persons but highest proportion with unmet needs compared to all other racial/ethnic groups in the Atlanta EMA(720,48%) and Georgia non-EMA (374,56%)[Figures 6,7] \r\n \r\nNumber of cases 25,000 \r\n \r\nTotal Population In Care Out-of-Care \r\n \r\nFigure 3: Estimates of unmet primary care needs among persons living with AIDS , Georgia and its regions, January 01 to December 31, 2011 \r\nNumber of cases \r\n \r\nConclusions \r\n \r\n20,000 \r\n \r\n19,818 \r\n \r\n15,000 10,000 \r\n \r\n10,506 9,312 \r\n \r\n5,000 \r\n \r\n12,058 \r\n6,915 5,413 \r\n \r\n7,760 3,591 4,169 \r\n \r\n30,000 25,000 20,000 15,000 10,000 \r\n5,000 \r\n \r\n25,709 \r\n \r\nTotal Population In Care Out-of-Care \r\n \r\n14,394 11,315 \r\n \r\n16,625 \r\n9,483 7,142 \r\n \r\n9,084 4,911 4,173 \r\n \r\n Quantified estimates of unmet primary medical care needs among persons living with HIV infection in the Atlanta EMA assists Ryan White program A grantees to monitor and ensure that persons living with HIV infection in the Atlanta EMA have access to primary medical care. \r\n \r\n0 Georgia \r\n \r\n0 \r\n \r\nAtlanta EMA \r\n \r\nGeorgia non-EMA \r\n \r\nGeorgia \r\n \r\nAtlanta EMA \r\n \r\nGeorgia non-EMA \r\n \r\nTotal population refers to PLWH(non-AIDS) [Figure 2] or PLWA [Figure 3] as of December 31, 2011 In care refers to PLWH(non-AIDS) [Figure 2] or PLWA[Figure 3] as of December 31, 2011 with an evidence of viral load  and/or CD4 count between January 01 to December 31, 2011 Out-of-Care = Total Population  In Care \r\n \r\nFigure 4: Estimates of  unmet primary care needs among persons living with HIV infection by sex, Georgia and its regions, January 01 to December 31, 2011 \r\n \r\nFigure 5: Estimates of  unmet primary care needs among persons living with HIV infection by age (13 years and greater), Georgia and its regions, January 01 to December 31, 2011 \r\n \r\n Estimates of unmet primary medical care needs in Georgia statewide and in Georgia non-EMA  guide stakeholders in decision-making to improve primary care access for all HIV positive Georgians \r\n It is important to consider both numbers of persons and proportions of populations to measure unmet needs so we can identify disparities in provision of care \r\n Ongoing efforts to estimate unmet needs for Georgia statewide, the Atlanta EMA and Georgia non-EMA  in the future will allow comparative and trend analysis of unmet needs \r\n \r\nNumber of cases 20,000 \r\n \r\n15,000 \r\n \r\n15,577 \r\n \r\n10,000 5,000 \r\n \r\n5,037 \r\n \r\n0 Georgia \r\n \r\nMale Female \r\n \r\n9,805 2,475 \r\nAtlanta EMA \r\n \r\n5,772 2,562 \r\nGeorgia non-EMA \r\n \r\nNumber of cases 10,000 \r\n \r\n8,873 \r\n \r\n8,000 \r\n \r\n7,098 \r\n \r\n13-29 30-44 45-59 60+ \r\n \r\n6,000 4,000 2,000 \r\n0 \r\n \r\n2,461 \r\n \r\n2,075 \r\n \r\nGeorgia \r\n \r\n5,407 4,154 \r\n \r\n1,439 \r\n \r\n1,240 \r\n \r\nAtlanta EMA \r\n \r\n3,466 2,944 \r\n \r\n1,022 \r\n \r\n835 \r\n \r\nGeorgia non-EMA \r\n \r\nFigure 6: Estimates of  unmet primary care needs among persons living with HIV infection by race/ ethnicity, Georgia and its regions, January 01 to December 31, 2011 \r\n \r\nFigure 7: Proportion of  unmet primary care needs among persons living with HIV infection by race/ ethnicity, Georgia and its regions, January 01 to December 31, 2011 \r\n \r\nNumber of cases \r\n \r\n16,000 14,000 \r\n \r\n14,108 \r\n \r\nBlack, NH* White,NH* Hispanic/Latino Other  \r\n \r\nProportion of Prcoapsoertsion of 80cases \r\n \r\nBlack, NH* White, NH* Hispanic/Latino Other  \r\n \r\n12,000 10,000 \r\n8,000 6,000 4,000 2,000 \r\n0 \r\n \r\n4,494 1,094 931 \r\nGeorgia \r\n \r\n8,447 \r\n2,580 720 538 \r\nAtlanta EMA \r\n \r\n5,661 \r\n1,914 374 393 \r\nGeorgia non-EMA \r\n \r\n60 47 47 50 \r\n40 26 \r\n20 \r\n0 Georgia \r\n \r\n45 45 48 21 \r\nAtlanta EMA \r\n \r\n56 49 52 \r\n40 \r\nGeorgia non-EMA \r\n \r\n*NH (non-Hispanic) Other Includes Asian, Hawaiian/Pacific Islander, Multiracial, American Indian, Alaskan Native and Unknown \r\n \r\nLimitations \r\n The burden of HIV infection in Georgia may be underestimated due to limitations in reporting \r\n Evidence of one viral load or CD4 laboratory test may not be indicative of comprehensive primary medical care for persons living with HIV infection \r\n Utility of unmet need estimates by transmission category is limited by the large number of individuals with unspecified transmission category in the Georgia surveillance data \r\n Additional studies are needed to identify barriers to access to care and unmet needs that may differ for the Atlanta EMA and non-EMA populations \r\nReferences \r\n1. Centers for Disease Control and Prevention. HIV Surveillance Report, 2011; vol. 23. http://www.cdc.gov/hiv/topics/ surveillance/resources/reports/. Published February 2013. Accessed April 2013. \r\n2. A practical guide to measuring unmet need for HIV related primary medical care: Using the unmet need framework; Institute of Health Policy Studies, University of California, San Francisco, May 2003 \r\n \r\n "}],"pages":{"current_page":1,"next_page":null,"prev_page":null,"total_pages":1,"limit_value":10,"offset_value":0,"total_count":1,"first_page?":true,"last_page?":true},"facets":[{"name":"type_facet","items":[{"value":"Text","hits":1}],"options":{"sort":"count","limit":16,"offset":0,"prefix":null}},{"name":"creator_facet","items":[{"value":"Georgia. Department of Public Health. Epidemiology Branch. Division of Health Protection","hits":1}],"options":{"sort":"count","limit":11,"offset":0,"prefix":null}},{"name":"subject_facet","items":[{"value":"AIDS (Disease)--Patients--Services for--Georgia--Periodicals.","hits":1},{"value":"AIDS (Disease)--Treatment--Georgia--Periodicals.","hits":1},{"value":"Agency (if applicable)--Periodicals.","hits":1},{"value":"Georgia Government Documents--Serial","hits":1},{"value":"HIV (Viruses)--Treatment--Georgia--Periodicals.","hits":1},{"value":"HIV-positive persons--Services for--Georgia--Periodicals.","hits":1},{"value":"Séropositifs--Services--Géorgie (État)--Périodiques.","hits":1},{"value":"Sida--Traitement--Géorgie (État)--Périodiques.","hits":1},{"value":"Sidéens--Services--Géorgie (État)--Périodiques.","hits":1},{"value":"Virus de l'immunodéficience humaine--Traitement--Géorgie (État)--Périodiques.","hits":1}],"options":{"sort":"count","limit":11,"offset":0,"prefix":null}},{"name":"location_facet","items":[{"value":"United States, Georgia, 32.75042, -83.50018","hits":1}],"options":{"sort":"count","limit":11,"offset":0,"prefix":null}},{"name":"year_facet","items":[{"value":"2013","hits":1}],"options":{"sort":"count","limit":100,"offset":0,"prefix":null},"min":"2013","max":"2013","count":1,"missing":0},{"name":"medium_facet","items":[{"value":"state government records","hits":1}],"options":{"sort":"count","limit":11,"offset":0,"prefix":null}},{"name":"fulltext_present_b","items":[{"value":"true","hits":1}],"options":{"sort":"count","limit":100,"offset":0,"prefix":null}},{"name":"rights_facet","items":[{"value":"http://rightsstatements.org/vocab/InC/1.0/","hits":1}],"options":{"sort":"count","limit":11,"offset":0,"prefix":null}},{"name":"collection_titles_sms","items":[{"value":"Georgia Government Publications","hits":1}],"options":{"sort":"count","limit":11,"offset":0,"prefix":null}},{"name":"serial_titles_sms","items":[{"value":"HIV/AIDS unmet needs, Georgia.","hits":1}],"options":{"sort":"count","limit":11,"offset":0,"prefix":null}},{"name":"provenance_facet","items":[{"value":"University of Georgia. Map and Government Information Library","hits":1}],"options":{"sort":"count","limit":11,"offset":0,"prefix":null}},{"name":"call_numbers_sms","items":[{"value":"P780.E6 S1 U5","hits":1},{"value":"P780.E6 S1 U5 2011","hits":1}],"options":{"sort":"count","limit":100,"offset":0,"prefix":null}},{"name":"class_name","items":[{"value":"Item","hits":1}],"options":{"sort":"count","limit":100,"offset":0,"prefix":null}},{"name":"geojson","items":[{"value":"{\"type\":\"Feature\",\"geometry\":{\"type\":\"Point\",\"coordinates\":[-83.50018, 32.75042]},\"properties\":{\"placename\":\"United States, Georgia\"}}","hits":1}],"options":{"sort":"index","limit":-2,"offset":0,"prefix":null}},{"name":"placename","items":[{"value":"United States, Georgia","hits":1}],"options":{"sort":"count","limit":100,"offset":0,"prefix":null}}]}}