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National Healthcare Disparities Report, 2007

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Effectiveness of Care: HIV/AIDS


HIV and AIDS Prevention
New AIDS cases per 100,000 population age 13 and over
Percent of women ages 15-44 who completed a pregnancy in the last 12 months and had an HIV test as part of prenatal care
Percent of population ages 15-44 who ever had an HIV test outside of blood donation
Percent of population ages 15-44 with any HIV risk behaviors in the last 12 months who had an HIV test outside of blood donation in the last 12 months
Management of HIV/AIDS
HIV-infection deaths per 100,000 population
HIV patients with CD4 counts less than 200 who received pneumocystis jiroveci pneumonia (PCP) prophylaxis
HIV patients with CD4 counts less than 50 who received mycobacterium avium complex (MAC) prophylaxis

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HIV and AIDS Prevention

Measure Title

New AIDS cases per 100,000 population age 13 and over.

Measure Source

Healthy People 2010.

Table

63 New AIDS cases per 100,000 population age 13 and over, United States, 2005, by

  • Ethnicity.

Data Source

Centers for Disease Control and Prevention (CDC), National HIV/AIDS Surveillance System.

Denominator

U.S. resident population: adolescents and adults age 13 and over.

Numerator

Number of reported new AIDS cases among adolescents and adults age 13 and over.

Comments

The definition used by the HIV/AIDS Surveillance System for an AIDS case is provided by the CDC. Data are adjusted for reporting delay.

This measure and its tables are also presented in other relevant sections of the report.

This measure is referred to as measure 13-1 in Healthy People 2010 documentation.

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HIV and AIDS Prevention

Measure Title

Percent of women ages 15-44 who completed a pregnancy in the last 12 months and had an HIV test as part of prenatal care.

Measure Source

Centers for Disease Control and Prevention (CDC), National Survey of Family Growth (NSFG).

Table

64 Percent of women ages 15-44 who completed a pregnancy in the last 12 months and had an HIV test as part of prenatal care, United States, 2002

Data Source

CDC, National Center for Health Statistics (NCHS), NSFG.

Denominator

Women age 15-44 who completed a pregnancy in the last 12 months.

Numerator

Subset of the denominator who had an HIV test as part of prenatal care.

Comments

This measure and its tables are also presented in other relevant sections of the report.

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HIV and AIDS Prevention

Measure Title

Percent of population ages 15-44 who ever had an HIV test outside of blood donation.

Measure Source

Centers for Disease Control and Prevention (CDC), National Survey of Family Growth (NSFG).

Table

65 Percent of population ages 15-44 who ever had an HIV test outside of blood donation, United States, 2002

Data Source

CDC, National Center for Health Statistics (NCHS), NSFG.

Denominator

U.S. civilian noninstitutionalized adults age 15-44.

Numerator

Subset of the denominator who ever had an HIV test outside of blood donation.

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HIV and AIDS Prevention

Measure Title

Percent of population ages 15-44 with any HIV risk behaviors in the last 12 months who had an HIV test outside of blood donation in the last 12 months.

Measure Source

Centers for Disease Control and Prevention (CDC), National Survey of Family Growth (NSFG).

Table

66 Percent of population ages 15-44 with any HIV risk behaviors in the last 12 months who had an HIV test outside of blood donation in the last 12 months, United States, 2002

Data Source

CDC, National Center for Health Statistics (NCHS), NSFG.

Denominator

Persons age 15-44 who reported risk behaviors for HIV in the past 12 months.

Numerator

Subset of the denominator who reported ever having an HIV test outside of blood donation.

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Management of HIV/AIDS

Measure Title

HIV-infection deaths per 100,000 population.

Measure Source

Healthy People 2010.

Tables

67 HIV-infection deaths per 100,000 population, United States, 2004, by

  • Race.
  • Ethnicity.
  • Education.

Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System—Mortality (NVSS-M).

Denominator

U.S. resident population.

Numerator

Number of deaths due to HIV infection (ICD-10-CM codes B20-B24).

Comments

Data are age adjusted to the 2000 standard population. Age-adjusted rates are weighted sums of age-specific rates. Resident death data are based on information from death certificates filed in the 50 States and the District of Columbia.

This measure is referred to as measure 13-14 in Healthy People 2010 documentation.

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Management of HIV/AIDS

Measure Title

HIV patients with CD4 counts less than 200 who received pneumocystis jiroveci pneumonia (PCP) prophylaxis.

Measure Source

The HIV Research Network.

Table

68 HIV patients age 18 and over with CD4 cell count less than 200 who received PCP prophylaxis, United States, 2004, by

  • Race/ethnicity.

Data Source

HIV Research Network, sponsored by multiple Federal agencies: AHRQ, Substance Abuse and Mental Health Services Administration, Health Resources and Services Administration, and Office of AIDS Research/National Institutes of Health (HIV RN), HIV RN.

Denominator

Patients diagnosed with HIV with CD4 counts < 200 cells/mm.

Numerator

Subset of denominator who received PCP prophylactic therapy.

Comments

The taxonomy of the PCP organism has been changed; pneumocystis jiroveci refers to the distinct species that infects humans. The abbreviation PCP is still used to designate pneumocystis pneumonia.

For further information see Centers for Disease Control and Prevention (CDC). Treating opportunistic infections among HIV-infected adults and adolescents: recommendations from CDC, the National Institutes of Health, and the HIV Medicine Association/Infectious Diseases Society of America. MMWR 2004; 53 (No. RR-15): available from the CDC Web site at http://www.cdc.gov/mmwr/.

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Management of HIV/AIDS

Measure Title

HIV patients with CD4 counts less than 50 who received mycobacterium avium complex (MAC) prophylaxis.

Measure Source

The HIV Research Network.

Table

69 HIV patients age 18 and over with CD4 cell count less than 50 who received MAC prophylaxis, United States, 2004, by

  • Race/ethnicity.

Data Source

HIV Research Network, sponsored by multiple Federal agencies: AHRQ, Substance Abuse and Mental Health Services Administration, Health Resources and Services Administration, and Office of AIDS Research/National Institutes of Health (HIVRN), HIVRN.

Denominator

Patients diagnosed with HIV with CD4 counts < 50 cells/mm.

Numerator

Subset of denominator who received MAC prophylactic therapy.

Comments

For further information see Centers for Disease Control and Prevention (CDC). Treating opportunistic infections among HIV-infected adults and adolescents: recommendations from CDC, the National Institutes of Health, and the HIV Medicine Association/Infectious Diseases Society of America. MMWR 2004; 53 (No. RR-15): available from the CDC Web site at http://www.cdc.gov/mmwr/.

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