HIV diagnosed prevalence (aged 15 to 59) - WMCA

People aged 15 to 59 years seen at HIV services in the UK, expressed as a rate per 1,000 population.Data is presented by area of residence, and exclude people diagnosed with HIV in England who are resident in Wales, Scotland, Northern Ireland or abroad.RationaleThe geographical distribution of people seen for HIV care and treatment is not uniform across or within regions in England. Knowledge of local diagnosed HIV prevalence and identification of local risk groups can be used to help direct resources for HIV prevention and treatment.In 2008, http://www.bhiva.org/HIV-testing-guidelines.aspx recommended that Local Authority and NHS bodies consider implementing routine HIV testing for all general medical admissions as well as new registrants in primary care where the diagnosed HIV prevalence exceeds 2 in 1,000 population aged 15 to 59 years.In 2017, guidelines were updated by https://www.nice.org.uk/guidance/NG60 which is co-badged with Public Health England. This guidance continues to define high HIV prevalence local authorities as those with a diagnosed HIV prevalence of between 2 and 5 per 1,000 and extremely high prevalence local authorities as those with a diagnosed HIV prevalence of 5 or more per 1,000 people aged 15 to 59 years.When this is applied to national late HIV diagnosis data, it shows that two-thirds of late HIV diagnoses occur in high-prevalence and extremely-high-prevalence local authorities. This means that if this recommendation is successfully applied in high and extremely-high-prevalence areas, it could potentially affect two-thirds of late diagnoses nationally.Local authorities should find out their diagnosed prevalence published in UKHSA's http://fingertips.phe.org.uk/profile/sexualhealth , as well as that of surrounding areas and adapt their strategy for HIV testing using the national guidelines.Commissioners can use these data to plan and ensure access to comprehensive and specialist local HIV care and treatment for HIV diagnosed individuals according to the http://www.medfash.org.uk/uploads/files/p17abl6hvc4p71ovpkr81ugsh60v.pdf and http://www.bhiva.org/monitoring-guidelines.aspx .Definition of numeratorThe number of people (aged 15 to 59 years) living with a diagnosed HIV infection and accessing HIV care at an NHS service in the UK and who are resident in England.Definition of denominatorResident population aged 15 to 59.The denominators for 2011 to 2023 are taken from the respective 2011 to 2023 Office for National Statistics (ONS) revised population estimates from the 2021 Census.Further details on the ONS census are available from the https://www.ons.gov.uk/census .CaveatsData is presented by geographical area of residence. Where data on residence were unavailable, residence have been assigned to the local health area of care.Every effort is made to ensure accuracy and completeness of the data, including web-based reporting with integrated checks on data quality. The overall data quality is high as the dataset is used for commissioning purposes and for the national allocation of funding. However, responsibility for the accuracy and completeness of data lies with the reporting service.Data is as reported but rely on ‘record linkage’ to integrate data and ‘de-duplication’ to prevent double counting of the same individual. The data may not be representative in areas where residence information is not known for a significant proportion of people accessing HIV care.Data supplied for previous years are updated on an annual basis due to clinic or laboratory resubmissions and improvements to data cleaning. Data may therefore differ from previous publications.Values are benchmarked against set thresholds and categorised into the following groups: <2 (low), 2 to 5 (high) and≥5 (extremely high). These have been determined by developments in national testing guidelines.The data reported in 2020 and 2021 is impacted by the reconfiguration of sexual health services during the national response to COVID-19.

在英国接受HIV服务的15至59岁人群数据，以每千人中的发生率表示。数据按居住地区展示，不包括在英格兰被诊断为HIV但居住在威尔士、苏格兰、北爱尔兰或海外的人群。研究缘由：英格兰各地区（包括区域内）接受HIV护理和治疗的人群地理分布并不均匀。了解当地HIV诊断的流行率和识别当地风险群体，有助于指导HIV预防和治疗的资源分配。2008年，[http://www.bhiva.org/HIV-testing-guidelines.aspx](http://www.bhiva.org/HIV-testing-guidelines.aspx)建议地方政府和国家卫生服务机构考虑对所有一般医疗入院患者以及初级护理中诊断HIV流行率超过每千人2例的新的注册患者进行常规HIV检测。2017年，由[https://www.nice.org.uk/guidance/NG60](https://www.nice.org.uk/guidance/NG60)更新的指南，与公共卫生英格兰共同发布。该指南继续将高HIV流行率的地方当局定义为每千人诊断HIV流行率在2至5例之间，将极高流行率的地方当局定义为每千人诊断HIV流行率5例或以上的人群。当将这些数据应用于国家晚期的HIV诊断数据时，显示三分之二的晚期HIV诊断发生在高流行率和极高流行率的地方当局。这意味着如果这一建议在高和极高流行地区得到成功实施，它可能影响全国三分之二的晚期诊断。地方当局应查阅英国卫生安全局（UKHSA）发布的诊断流行率[http://fingertips.phe.org.uk/profile/sexualhealth](http://fingertips.phe.org.uk/profile/sexualhealth)，以及周边地区的流行率，并据此调整HIV检测策略。委托人可以使用这些数据来规划并确保为诊断的HIV个体提供全面和专业的本地HIV护理和治疗，根据[http://www.medfash.org.uk/uploads/files/p17abl6hvc4p71ovpkr81ugsh60v.pdf](http://www.medfash.org.uk/uploads/files/p17abl6hvc4p71ovpkr81ugsh60v.pdf)和[http://www.bhiva.org/monitoring-guidelines.aspx](http://www.bhiva.org/monitoring-guidelines.aspx)的指南。分子定义：在英国NHS服务接受HIV护理且被诊断为HIV感染、年龄在15至59岁之间、居住在英格兰的人群数量。分母定义：15至59岁的居住人口。2011年至2023年的分母数据取自2011年至2023年国家统计局（ONS）修订的2021年人口普查估计值。有关ONS人口普查的更多详细信息，请参阅[https://www.ons.gov.uk/census](https://www.ons.gov.uk/census)。注意事项：数据按居住地理区域展示。在居住地信息不可用的情况下，居住地已分配到护理的当地卫生区域。已尽力确保数据的准确性和完整性，包括基于网络的报告和集成的数据质量检查。由于数据集用于委托目的和全国资金分配，整体数据质量较高。然而，数据的准确性和完整性责任在于报告服务。数据按照报告的情况提供，但依赖于“记录链接”来整合数据，以及“去重”以防止同一个体的重复计数。在居住信息未知的人群比例较大的地区，数据可能不具有代表性。由于诊所或实验室的重新提交和数据处理改进，以前年度提供的数据每年都会更新。因此，数据可能与以前的出版物有所不同。值将根据设定的阈值进行基准测试，并分为以下类别：<2（低）、2至5（高）和≥5（极高）。这些分类由国家测试指南的发展确定。2020年和2021年报告的数据受到全国对COVID-19响应期间性健康服务重组的影响。