The Lorenz curve: a novel method for understanding viral load distribution at the population level

被引:10
作者
Christopoulos, Katerina A. [1 ]
Hartogensis, Wendy [1 ]
Glidden, David V. [2 ]
Pilcher, Christopher D. [1 ]
Gandhi, Monica [1 ]
Geng, Elvin H. [1 ]
机构
[1] Univ Calif San Francisco, Div HIV ID & Global Med, Zuckerberg San Francisco Gen, 995 Potrero Ave,4th Floor, San Francisco, CA 94110 USA
[2] Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA 94143 USA
关键词
UNITED-STATES; CARE; HIV;
D O I
10.1097/QAD.0000000000001336
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Existing HIV care cascade metrics fail to capture whether viremia is equally distributed in a population or concentrated within groups. We applied the Lorenz curve, which has been used to describe disparities in the distribution of income and other resources, to the distribution of viremia in a safety-net HIV clinic in 2012. Among 1855 established clinic patients, 1% of the population held 50% of the virus and 10% of the population held 94% of virus.
引用
收藏
页码:309 / 310
页数:2
相关论文
共 10 条
[1]  
[Anonymous], 2012, Monitoring HIV care in the United States: Indicators and data systems
[2]  
Asl Iravan Masoudi, 2015, Electron Physician, V7, P1653, DOI 10.19082/1653
[3]   Overcoming the Human Immunodeficiency Virus Obstacle Course [J].
Christopoulos, Katerina A. ;
Havlir, Diane V. .
JAMA INTERNAL MEDICINE, 2013, 173 (14) :1344-1345
[4]   Copy-Years Viremia as a Measure of Cumulative Human Immunodeficiency Virus Viral Burden [J].
Cole, Stephen R. ;
Napravnik, Sonia ;
Mugavero, Michael J. ;
Lau, Bryan ;
Eron, Joseph J., Jr. ;
Saag, Michael S. .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2010, 171 (02) :198-205
[5]   The Spectrum of Engagement in HIV Care and its Relevance to Test-and-Treat Strategies for Prevention of HIV Infection [J].
Gardner, Edward M. ;
McLees, Margaret P. ;
Steiner, John F. ;
del Rio, Carlos ;
Burman, William J. .
CLINICAL INFECTIOUS DISEASES, 2011, 52 (06) :793-800
[6]   Differences in Human Immunodeficiency Virus Care and Treatment Among Subpopulations in the United States [J].
Hall, H. Irene ;
Frazier, Emma L. ;
Rhodes, Philip ;
Holtgrave, David R. ;
Furlow-Parmley, Carolyn ;
Tang, Tian ;
Gray, Kristen Mahle ;
Cohen, Stacy M. ;
Mermin, Jonathan ;
Skarbinski, Jacek .
JAMA INTERNAL MEDICINE, 2013, 173 (14) :1337-1344
[7]   Methods of measuring the concentration of wealth [J].
Lorenz, MO .
PUBLICATIONS OF THE AMERICAN STATISTICAL ASSOCIATION, 1905, 9 :209-219
[8]   Using the Lorenz Curve to Characterize Risk Predictiveness and Etiologic Heterogeneity [J].
Mauguen, Audrey ;
Begg, Colin B. .
EPIDEMIOLOGY, 2016, 27 (04) :531-537
[9]   Generalized Lorenz curves and related graphs: an update for Stata 7 [J].
Van Kerm, Philippe ;
Jenkins, Stephen P. .
STATA JOURNAL, 2001, 1 (01) :107-112
[10]   Persons Living With HIV in the United States: Fewer Than We Thought [J].
Xia, Qiang ;
Braunstein, Sarah L. ;
Wiewel, Ellen W. ;
Eavey, Joanna J. ;
Shepard, Colin W. ;
Torian, Lucia V. .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2016, 72 (05) :552-557