{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:41:58Z","timestamp":1777898518269,"version":"3.51.4"},"reference-count":49,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2016,7,1]],"date-time":"2016-07-01T00:00:00Z","timestamp":1467331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective.<\/jats:title>\n                    <jats:p>The HIV care continuum outlines the steps from HIV infection to diagnosis, linkage to care, and viral suppression among people living with HIV. We examined data for steps along the HIV care continuum among people living with perinatally acquired infection in New York City using surveillance data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>This study included data for people who acquired HIV infection perinatally and lived in New York City as of December 31, 2014. We defined \u201cin care\u201d as having \u22651 CD4 or viral load test in 2014, \u201cin continuous care\u201d as having \u22652 CD4 or viral load tests \u22653 months apart in 2014, and \u201cvirally suppressed\u201d as having a viral load of \u2264200 copies per milliliter in the most recent test in 2014. We estimated factors associated with viral suppression from a weighted log-binomial regression model that included sex, race\/ethnicity, age, and country of birth as independent variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>As of December 31, 2014, an estimated 1,596 people were living with perinatally acquired HIV infection in New York City. All were diagnosed, 96% were in care, 80% were in continuous care, and 61% were virally suppressed. The multivariable analysis showed significant differences in viral suppression by race\/ethnicity and age. Black patients (59%, 534\/907) were the least likely of all racial\/ethnic groups examined to have a suppressed viral load. By age, compared with 73% (80\/109) of children aged 0\u201312 years who were virally suppressed, 58% (568\/987) of adults aged 20\u201329 years and 56% (54\/96) of adults aged 30\u201339 years were virally suppressed; the adjusted prevalence ratio was 0.80 (95% confidence interval [CI] 0.69, 0.92) for those aged 20\u201329 years and 0.79 (95% CI 0.63, 0.99) for those aged 30\u201339 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>The low level of viral suppression among people living with perinatally acquired infection found in this study warrants further exploration to identify the best management strategies to improve viral suppression in this population, especially those transitioning from pediatric to adult health care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0033354916662215","type":"journal-article","created":{"date-parts":[[2016,8,4]],"date-time":"2016-08-04T18:52:51Z","timestamp":1470336771000},"page":"566-573","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Continuum of Care Among People Living with Perinatally Acquired HIV Infection in New York City, 2014"],"prefix":"10.1177","volume":"131","author":[{"given":"Qiang","family":"Xia","sequence":"first","affiliation":[{"name":"New York City Department of Health and Mental Hygiene, Bureau of HIV Prevention and Control, HIV Epidemiology and Field Services Program, Queens, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dipal","family":"Shah","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene, Bureau of HIV Prevention and Control, HIV Epidemiology and Field Services Program, Queens, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Balwant","family":"Gill","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene, Bureau of HIV Prevention and Control, HIV Epidemiology and Field Services Program, Queens, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucia V.","family":"Torian","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene, Bureau of HIV Prevention and Control, HIV Epidemiology and Field Services Program, Queens, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah L.","family":"Braunstein","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene, Bureau of HIV Prevention and Control, HIV Epidemiology and Field Services Program, Queens, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,8,4]]},"reference":[{"key":"bibr1-0033354916662215","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciq243"},{"key":"bibr2-0033354916662215","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000000611"},{"key":"bibr3-0033354916662215","doi-asserted-by":"publisher","DOI":"10.1089\/aid.2015.0345"},{"key":"bibr4-0033354916662215","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000001008"},{"key":"bibr5-0033354916662215","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.6841"},{"key":"bibr6-0033354916662215","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000000424"},{"key":"bibr7-0033354916662215","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu722"},{"key":"bibr8-0033354916662215","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000000615"},{"issue":"38","key":"bibr9-0033354916662215","first-page":"829","volume":"63","author":"Singh S","year":"2014","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr10-0033354916662215","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2013-051342"},{"key":"bibr11-0033354916662215","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302974"},{"key":"bibr12-0033354916662215","doi-asserted-by":"publisher","DOI":"10.1097\/COH.0000000000000200"},{"key":"bibr13-0033354916662215","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000000590"},{"key":"bibr14-0033354916662215","unstructured":"Centers for Disease Control and Prevention (US). 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Advisory #27: DOHMH now recommends offering antiretroviral treatment to any person living with HIV, regardless of the person\u2019s CD4 cell count. 2011 [cited 2016 Feb 23]. 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