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HIV

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Introduction

Modifications to Objectives and Subobjectives

Progress Toward Healthy People 2010 Targets

Progress Toward Elimination of Health Disparities

Opportunities and Challenges

Emerging Issues

Progress Quotient Chart

Disparities Table (See below)

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Income and Location

Objectives and Subobjectives

References

Related Objectives From Other Focus Areas

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Midcourse Review  >  Table of Contents  >  Focus Area 13: HIV  >  Objectives and Subobjectives
Midcourse Review Healthy People 2010 logo
HIV Focus Area 13

Objectives and Subobjectives



Goal: Prevent human immunodeficiency virus (HIV) infection and its related illness and death.

As a result of the Healthy People 2010 Midcourse Review, changes were made to the Healthy People 2010 objectives and subobjectives. These changes are specific to the following situations:

  • Changes in the wording of an objective to more accurately describe what is being measured.
  • Changes to reflect a different data source or new science.
  • Changes resulting from the establishment of a baseline and a target (that is, when a formerly developmental objective or subobjective became measurable).
  • Deletion of an objective or subobjective that lacked a data source.
  • Correction of errors and omissions in Healthy People 2010.

Revised baselines and targets for measurable objectives and subobjectives do not fall into any of the above categories and, thus, are not considered a midcourse review change.1

When changes were made to an objective, three sections are displayed:

  1. In the Original Objective section, the objective as published in Healthy People 2010 in 2000 is shown.
  2. In the Objective With Revisions section, strikethrough indicates text deleted, and underlining is used to show new text.
  3. In the Revised Objective section, the objective appears as revised as a result of the midcourse review.

Details of the objectives and subobjectives in this focus area, including any changes made at the midcourse, appear on the following pages.

1See Technical Appendix for more information on baseline and target revisions.



NO CHANGE IN OBJECTIVE
13-1. Reduce AIDS among adolescents and adults.

Target: 1.0 new case per 100,000 persons.

Baseline: 19.5 cases of AIDS per 100,000 persons aged 13 years and older in 1998. Data are estimated; adjusted for delays in reporting.

Target setting method: Better than the best.

Data source: HIV/AIDS Surveillance System, CDC, NCHSTP.



NO CHANGE IN OBJECTIVE
13-2. Reduce the number of new AIDS cases among adolescent and adult men who have sex with men.

Target: 13,385 new cases.

Baseline: 17,847 new cases of AIDS in 1998 among males aged 13 years and older. Data are estimated; risk redistributed; adjusted for delays in reporting.

Target setting method: 25 percent improvement.

Data source: HIV/AIDS Surveillance System, CDC, NCHSTP.



NO CHANGE IN OBJECTIVE
13-3. Reduce the number of new AIDS cases among females and males who inject drugs.

Target: 9,075 cases.

Baseline: 12,099 new cases of AIDS among injection drug users aged 13 years and older (females, 3,667; males, 8,432) in 1998. Data are point estimates; risk redistributed; adjusted for delays in reporting.

Target setting method: 25 percent improvement.

Data source: HIV/AIDS Surveillance System, CDC, NCHSTP.



NO CHANGE IN OBJECTIVE
13-4. Reduce the number of new AIDS cases among adolescent and adult men who have sex with men and inject drugs.

Target: 1,592 cases.

Baseline: 2,122 new cases of AIDS among males aged 13 years and older in 1998. Data are point estimates; risk redistributed; adjusted for delays in reporting.

Target setting method: 25 percent improvement.

Data source: HIV/AIDS Surveillance System, CDC, NCHSTP.



ORIGINAL OBJECTIVE
13-5. (Developmental) Reduce the number of cases of HIV infection among adolescents and adults.

Potential data source: HIV/AIDS Surveillance System, CDC, NCHSTP.

OBJECTIVE WITH REVISIONS
13-5. (Developmental) Reduce the number of new cases of HIV/AIDS diagnosed infection among adolescents and adults.

Potential data source: HIV/AIDS Surveillance System, CDC, NCHSTP.

REVISED OBJECTIVE
13-5. (Developmental) Reduce the number of new cases of HIV/AIDS diagnosed among adolescents and adults.

Potential data source: HIV/AIDS Surveillance System, CDC, NCHSTP.



ORIGINAL OBJECTIVE
13-6. Increase the proportion of sexually active persons who use condoms.

Target and baseline:
Objective Increase in Sexually Active Persons Using Condoms
1995 Baseline


Percent
2010 Target


Percent
13-6a. Females aged 18 to 44 years
23
50
13-6b. Males aged 18 to 49 years
Developmental
Developmental

Target setting method: Better than the best.

Data source: National Survey of Family Growth (NSFG), CDC, NCHS.

OBJECTIVE WITH REVISIONS
13-6. Increase the proportion of sexually active persons who use condoms.

Target and baseline:
Objective Increase in Sexually Active Persons Using Who Use Condoms
1995 Baseline (unless noted)

Percent
2010 Target

Percent
13-6a. Unmarried females aged 18 to 44 years
23
50
13-6b. Unmarried males aged 18 to 494 years
42 (2002)
54

Target setting method: Better than the best.

Data source: National Survey of Family Growth (NSFG), CDC, NCHS.

REVISED OBJECTIVE
13-6. Increase the proportion of sexually active persons who use condoms.

Target and baseline:
Objective Increase in Sexually Active Persons Who Use Condoms
1995 Baseline (unless noted)

Percent
2010 Target

Percent
13-6a. Unmarried females aged 18 to 44 years
23
50
13-6b. Unmarried males aged 18 to 44 years
42 (2002)
54

Target setting method: Better than the best.

Data source: National Survey of Family Growth (NSFG), CDC, NCHS.



OBJECTIVE DELETED
13-7. (Objective deleted due to lack of data source) (Developmental) Increase the number of HIV-positive persons who know their serostatus.



NO CHANGE IN OBJECTIVE
13-8. Increase the proportion of substance abuse treatment facilities that offer HIV/AIDS education, counseling, and support.

Target: 70 percent.

Baseline: 58 percent of substance abuse treatment facilities offered HIV/AIDS education, counseling, and support in 1997.

Target setting method: 21 percent improvement.

Data source: Uniform Facility Data Set (UFDS), SAMHSA.



OBJECTIVE DELETED
13-9. (Objective deleted due to lack of data source) (Developmental) Increase the number of State prison systems that provide comprehensive HIV/AIDS, sexually transmitted diseases, and tuberculosis (TB) education.



OBJECTIVE DELETED
13-10. (Objective deleted due to lack of data source) (Developmental) Increase the proportion of inmates in State prison systems who receive voluntary HIV counseling and testing during incarceration.



NO CHANGE IN OBJECTIVE
13-11. Increase the proportion of adults with tuberculosis (TB) who have been tested for HIV.

Target: 85 percent.

Baseline: 55 percent of adults aged 25 to 44 years with TB were tested for HIV in 1998.

Target setting method: Better than the best.

Data source: National TB Surveillance System, CDC, DTBE.



OBJECTIVE DELETED
13-12. (Objective deleted due to lack of data source) (Developmental) Increase the proportion of adults in publicly funded HIV counseling and testing sites who are screened for common bacterial sexually transmitted diseases (STDs) (chlamydia, gonorrhea, and syphilis) and are immunized against hepatitis B virus.



NO CHANGE IN OBJECTIVE
13-13. Increase the proportion of HIV-infected adolescents and adults who receive testing, treatment, and prophylaxis consistent with current Public Health Service treatment guidelines.

Target and baseline:
Objective Increase in HIV-Infected Persons Aged 13 Years and Older Receiving Testing, Treatment, and Prophylaxis Consistent With Current Public Health Service Guidelines
1997 Baseline


Percent
2010 Target


Percent
Testing
13-13a.
Viral load testing
Developmental
Developmental
13-13b.
Tuberculin skin testing (TST)
Developmental
Developmental
Treatment
13-13c.
Any antiretroviral therapy
80
95
13-13d.
Highly active antiretroviral therapy (HAART)
40
95
Prophylaxis
13-13e.
Pneumocystis carinii pneumonia (PCP) prophylaxis
80
95
13-13f.
Mycobacterium avium complex (MAC) prophylaxis
44
95

Note: Data from 11 cities and 9 States.

Target setting method: An improvement to the same percentage as that projected for Pneumocystis carinii pneumonia prophylaxis.

Data source: Adult Spectrum of Disease (ASD) Surveillance Project, CDC, NCHSTP.



NO CHANGE IN OBJECTIVE
(Data updated and footnoted)

13-14. Reduce deaths from HIV infection.

Target: 0.7 deaths per 100,000 persons.

Baseline: 5.31 deaths from HIV infection per 100,000 persons in 19991 (age adjusted to the year 2000 population).

Target setting method: Better than the best.

Data source: National Vital Statistics System, CDC, NCHS.

1 Baseline and baseline year revised from 4.9 and 1998 after November 2000 publication.



ORIGINAL OBJECTIVE
13-15. (Developmental) Extend the interval of time between an initial diagnosis of HIV infection and AIDS diagnosis in order to increase years of life of an individual infected with HIV.

Potential data source: HIV/AIDS Surveillance System, CDC, NCHSTP.

OBJECTIVE WITH REVISIONS
13-15. (Developmental) Extend the interval of time beween an initial diagnosis of Increase the proportion of new HIV infections and AIDS diagnosised in order to increase years of life of an individual infected with HIV before progression to AIDS.

Potential data source: HIV/AIDS Surveillance System, CDC, NCHSTP.

REVISED OBJECTIVE
13-15. (Developmental) Increase the proportion of new HIV infections diagnosed before progression to AIDS.

Potential data source: HIV/AIDS Surveillance System, CDC, NCHSTP.



ORIGINAL OBJECTIVE
13-16. (Developmental) Increase years of life of an HIV-infected person by extending the interval of time between an AIDS diagnosis and death.

Potential data source: HIV/AIDS Surveillance System, CDC, NCHSTP.

OBJECTIVE WITH REVISIONS
13-16. (Developmental) Increase years of life of an the proportion of HIV-infected persons by extending the interval of time between an AIDS diagnosis and deathsurviving more than 3 years after a diagnosis of AIDS.

Target: 88 percent.

Baseline: 83 percent of HIV-infected persons diagnosed with AIDS in 1998 were still living in 2002.

Target setting method: Better than the best.

Potential dData source: HIV/AIDS Surveillance System, CDC, NCHSTP.

REVISED OBJECTIVE
13-16. Increase the proportion of HIV-infected persons surviving more than 3 years after a diagnosis of AIDS.

Target: 88 percent.

Baseline: 83 percent of HIV-infected persons diagnosed with AIDS in 1998 were still living in 2002.

Target setting method: Better than the best.

Data source: HIV/AIDS Surveillance System, CDC, NCHSTP.



ORIGINAL OBJECTIVE
13-17. (Developmental) Reduce new cases of perinatally acquired HIV infection.

Potential data source: HIV/AIDS Surveillance System, CDC, NCHSTP.

OBJECTIVE WITH REVISIONS
13-17. (Developmental) Reduce the number of new cases of perinatally acquired HIV/AIDS diagnosed each year and perinatally acquired AIDS infection.


Target and baseline:
Objective Reduction in the Number of New Cases of Perinatally Acquired HIV/AIDS Diagnosed Each Year and Perinatally Acquired AIDS
2002 Baseline


Number of Cases
2010 Target


Number of Cases
13-17a. Perinatally acquired HIV/AIDS diagnosed each year
Developmental
Developmental
13-17b. Perinatally acquired AIDS
82
75

Target setting method: For 13-17a, 8 percent improvement; for 13-17b, consistent with Government Performance and Results Act (GPRA) goal (21 percent improvement).

Potential dData source: HIV/AIDS Surveillance System, CDC, NCHSTP.

REVISED OBJECTIVE
13-17. Reduce the number of new cases of perinatally acquired HIV/AIDS diagnosed each year and perinatally acquired AIDS.

Target and baseline:
Objective Reduction in the Number of New Cases of Perinatally Acquired HIV/AIDS Diagnosed Each Year and Perinatally Acquired AIDS
2002 Baseline

Number of Cases
2010 Target

Number of Cases
13-17a. Perinatally acquired HIV/AIDS diagnosed each year
Developmental
Developmental
13-17b. Perinatally acquired AIDS
82
75

Target setting method: For 13-17a, 8 percent improvement; for 13-17b, consistent with Government Performance and Results Act (GPRA) goal (21 percent improvement).

Data source: HIV/AIDS Surveillance System, CDC, NCHSTP.



ORIGINAL OBJECTIVE
13-18. Originally Objective 25-8. (This objective has been moved from Focus Area 25 to Focus Area 13.)

(Developmental) Reduce HIV infections in adolescent and young adult females aged 13 to 24 years that are associated with heterosexual contact.


Potential data source: HIV/AIDS Surveillance System, CDC, NCHSTP.

OBJECTIVE WITH REVISIONS
(As moved from Focus Area 25)
13-18. 25-18. (Objective moved from 25-8 in Sexually Transmitted Diseases to Focus Area 13 as objective 13-18.)

(Developmental) Reduce the number of new cases of HIV/AIDS diagnosed in adolescent and young adult females aged 13 to 24 years that are associated with heterosexual contact.

Potential data source: HIV/AIDS Surveillance System, CDC, NCHSTP.

REVISED OBJECTIVE
13-18. (Developmental) Reduce the number of new cases of HIV/AIDS diagnosed in adolescent and young adult females aged 13 to 24 years that are associated with heterosexual contact.

Potential data source: HIV/AIDS Surveillance System, CDC, NCHSTP.



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