Transcript Data for Priority Setting in Small Doses # 4

Data for Priority Setting in
Small Doses # 4
HIV Prevention Data:
Sexually Transmitted Infections (STI)
PA Uniform Data System (PAUDS)
May 7, 2012
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Overview
• Presentation will examine sexually
transmitted infections (STI) data for the
SW region.
• Data on HIV prevention activities from
agencies funded in the region from PA
State HIV funds will also be presented.
• STI data in this presentation are for
calendar year 2010. PAUDS data are for
2011.
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Overview (Continued)
• PA Department of Health collects STI
surveillance reports from laboratories and
providers, and makes this information
available to Coalitions.
• Agencies funded for HIV prevention
activities enter contact information into the
Pennsylvania Uniform Data System
(PAUDS) software and the data are made
available to Coalitions quarterly.
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Limitations
• Under-reporting of cases may occur for
STIs but generally, STI symptoms are
such that folks present for treatment.
• PAUDS data capture activities of regional
agencies that are funded for HIV
prevention services. Other agencies may
be conducting HIV prevention services
which are not captured in PAUDS.
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Sexually Transmitted Infections (STI)
• We can use information on populations
with STIs (age, race, gender) to project
who may be at risk and may need HIV
prevention information.
• STIs measure unprotected sexual
activities. STI lesions increase the
likelihood of transmission of HIV.
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Sexually Transmitted Infections
• For this presentation, we have merged
Gonorrhea, Chlamydia, and Syphilis data
for 2010.
• There were 9,886 cases of these 3 STIs
reported in 2010 in the southwest region.
- Gonorrhea (2,172 cases)
- Chlamydia (7,676 cases)
- All Syphilis (38 cases)
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2010 Sexually Transmitted Infections (STI): SW Region
Gonorrhea
Chlamydia
Syphilis
Total STI
Allegheny
1648
5,042
32
6722
Armstrong
17
97
0
114
Beaver
160
514
0
674
Butler
31
198
1
230
Cambria
63
278
1
290
Fayette
38
278
0
316
Greene
3
69
0
72
Indiana
29
206
0
235
8
79
1
88
101
465
1
567
74
502
2
578
2172
7,676
38
9886
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Somerset
Washington
Westmoreland
All Counties
2010 Sexually Transmitted Infections by County
7000
6000
No of Cases
5000
4000
3000
2000
1000
0
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2010 Sexually Transmitted Infections - Rural Counties
700
600
No of Cases
500
400
300
200
100
0
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SW Region: 2010 Total STI by Gender by County
MALE
FEMALE
Allegheny
2185
4537
Armstrong
33
81
Beaver
163
511
Butler
56
174
Cambria
80
210
Fayette
74
242
Greene
13
59
Indiana
69
166
Somerset
20
68
Washington
136
431
Westmoreland
133
445
All Counties
2962
692410
Sexually Transmitted Infections by Gender
Male
Female
Chlamydia
2100
5576
Gonorrhea
826
1346
36
2
2962
6924
Syphilis
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2010 Sexually Transmitted Infections by Gender
6000
5000
No of Cases
4000
3000
2000
1000
0
Chlamydia
Gonorrhea
Male
Syphilis
Female
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SW Region: 2010 STI by Age Groups
Age Group
All STIs
0-14
15-19
20-24
25-29
30-34
35-39
40-44
45+
All Ages
176
3581
3797
1267
531
241
152
141
9886
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Sexually Transmitted Infections by Age Groups
4000
3500
No of Cases
3000
2500
2000
1500
1000
500
0
0-14
15-19
20-24
25-29
30-34
35-39
40-44
45+
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Sexually Transmitted Infections by Race
Black
5499
White
3144
Other/Unknown
1243
All Races
9886
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Sexually Transmitted Infections by Race
White
Black
Other
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HIV PREVENTION ACTIVITIES
Pennsylvania Uniform Data System
(PAUDS)
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HIV Prevention Activities
• Pennsylvania Uniform Data System (PAUDS) is
used by agencies contracted in the southwest
region to report their activities.
• Data presented are only from to those agencies
that were granted State 656 funds for HIV
prevention services.
• Bear in mind that there are other HIV prevention
services going on in the region that are funded
from non-State 656 sources.
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Prevention Services Abbreviations
•
•
•
•
•
•
•
•
IDI – Interventions Delivered to Individuals
IDG – Interventions Delivered to Groups
HCPI – Health Communication Public Information
CRCS - Comprehensive Risk and Counseling Services
IDU – Intravenous Drug Use
Heterosex. – Heterosexual contact
MSM – Men who have Sex with Men
MSM+IDU – Men who have Sex with Men who are
Intravenous Drug Users
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SW Region: 2011 Contacts by Risk Group
MSM
MSM/IDU
620
2
IDU
2374
Heterosexual contact
1009
Mothers w/ Risk
157
General Public
2907
All Contacts
7069
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2011 Contacts by Risk Factor
MSM
MSM/IDU
IDU
Heterosexual
Mothers w/ Risk for HIV
General Public
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Trends in Contacts 2005-2011
Yr 2005/06
Yr 2007
Yr 2009
Yr 2011
2845
2020
658
620
1
14
0
2
IDU
1042
4299
1427
2374
Heterosexual
3187
3281
2231
1009
326
117
310
157
General Public
24859
5718
827
2907
All Contacts
32260
15449
5453
7069
MSM
MSM/IDU
Mothers w/ Risk
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Trends in Contacts 2005-2011
35000
30000
No of Contacts
25000
20000
15000
10000
5000
0
Yr 2005/2006
Yr 2007
Yr 2009
Yr 2011
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2011 Contacts by Interventions
45%
40%
35%
Percent of Contacts
30%
25%
20%
15%
10%
5%
0%
IDI
IDG
Outreach
CRCS
HC/PI
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Race/Ethnicity of Contacts - 2011
80.00%
70.00%
Percent of Contact
60.00%
50.00%
40.00%
30.00%
20.00%
10.00%
0.00%
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Gender of Contacts - 2011
Male
Female
Transgender
Undetermined
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Age Group of Contacts - 2011
30.00%
25.00%
Percent of Contacts
20.00%
15.00%
10.00%
5.00%
0.00%
<14
14-19
20-29
30-39
40-49
50+
Age not
Targeted
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SUMMARY
• Chlamydia is the most common of the 3 STI (78%).
• About two-thirds of all STIs are reported in
Allegheny County.
• In the rural counties, Beaver, Westmoreland,
Washington, Fayette and Cambria have the highest
number of cases.
• Females are more likely to be reported with STI than
males.
• Younger age groups (15-19, 20-24, and 25-29) bear
the highest burden of all STIs.
• Blacks make up slightly over half of the 2010 STIs.
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Summary (continued)
• From the PAUDS 2011 reports, a total of 7069
contacts were made.
• 33% of the HIV prevention contacts made was to
individuals with IDU risk, 14% to heterosexual, 9%
to MSM, 41% to General Public, and about 2% to
Mothers with risk.
• From 2005-2011, the number of contacts made
decreased steadily from 2005-2009; in 2011, an
increase over 2009 is observed.
• Contacts made to the General Public decreased
from 2005 to 2009 but increased in 2011.
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Summary (continued)
• IDI is the most common intervention made
to contacts (about 40% of all
interventions), followed by outreach and
IDG.
• About 73% of all contacts is White; Blacks
25%.
• Males make up over two-thirds of all
contacts.
• Age group 20-29 make up about one-third
of all contacts.
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QUESTIONS, COMMENTS
Thank you!
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Presented by:
Doyin Desalu, MS, MPH, DrPH
Executive Director
AIDS Coalition of Southwestern
Pennsylvania (ACSWP)
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