The Spectrum of Engagement in HIV Care and its Relevance to Test-and-Treat Strategies for Prevention of HIV Infection

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ID: 291210
2011
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Ranked #291 of 531 articles by views in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

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Abstract
(See the editorial commentary by Lange, on pages 801–802.) For individuals with human immunodeficiency virus (HIV) infection to fully benefit from potent combination antiretroviral therapy, they need to know that they are HIV infected, be engaged in regular HIV care, and receive and adhere to effective antiretroviral therapy. Test-and-treat strategies for HIV prevention posit that expanded testing and earlier treatment of HIV infection could markedly decrease ongoing HIV transmission, stemming the HIV epidemic. However, poor engagement in care for HIV-infected individuals will substantially limit the effectiveness of test-and-treat strategies. We review the spectrum of engagement in care for HIV-infected individuals in the United States and apply this information to help understand the magnitude of the challenges that poor engagement in care will pose to test-and-treat strategies for HIV prevention.
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Authors Edward M. Gardner, Margaret Mclees, John F. Steiner, Carlos del Rı́o, W. J. Burman
Journal Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
Year 2011
DOI
10.1093/cid/ciq243
URL
https://doi.org/10.1093/cid/ciq243
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