HIV Care Continuum

What is the Care Continuum?

The HIV Care Continuum, previously known as a Treatment Cascade, was first released in 2012 by the Centers for Disease Control and Prevention (CDC). It represents the sequential stages of HIV care, from being diagnosed with HIV to suppressing the HIV virus through treatment. Ideally, the Care Continuum describes a seamless system of HIV prevention and care services, in which people living with HIV (PLWH) receive the full benefit of HIV treatment by being diagnosed, linked to care, retained in care, and taking HIV medications as prescribed to achieve viral suppression.

The Houston Care Continuum (HCC)

The HCC is a diagnosis-based continuum. The HCC reflects the number of PLWH who have been diagnosed (“HIV diagnosed”); and among the diagnosed, the numbers and proportions of PLWH with records of engagement in HIV care (“Met Need”), retention in care (“Retained in Care”), and viral suppression (“Virally Suppressed”) within a calendar year. Although retention in care is a significant factor for PLWH to achieve viral suppression, ‘Virally Suppressed’ also includes those PLWH in the Houston EMA whose most recent viral load test of the calendar year was less than 200 copies/ml, but who did not have evidence of retention in care. The following data includes a breakdown of the HIV Care Continuum by Age, Sex at Birth, Current Gender, Race by Gender, and Transmission Risk.

Data Source: Bureau of Epidemiology and Bureau of HIV/STD and Viral Hepatitis Prevention, Houston Health Department, 2020

*Transmission risk factors that are associated with increased risk of HIV exposure and transmission include men who have sex with men (MSM), people who inject drugs (PWID), MSM who also inject drugs (MSM/PWID), and heterosexual exposure.

*Met Need: Among PLWH who have been diagnosed, met need represents the numbers and proportions of PLWH with records of engagement in HIV care.

Care Continuum among Ages 13-24
Care Continuum among Ages 25-34
Care Continuum among Ages 35-44
Care Continuum among Ages 45-54
Care Continuum among Ages 55+
Linkage to Care among Ages 13-24
Linkage to Care among Ages 25-34
Linkage to Care among Ages 35-44
Linkage to Care among Ages 45-54
Linkage to Care among Ages 55+
Care Continuum among those 50+
Linkage to Care among those 50+
Care Continuum among Males
Care Continuum among Females
Linkage to Care among Males
Linkage to Care among Females
Care Continuum among Transgender Women
Care Continuum among Transgender Men
Care Continuum among Cisgender Women
Care Continuum among Cisgender Men
Linkage to Care among Transgender Women
Linkage to Care among Transgender Men

Data Unavailable

Linkage to Care among Cisgender Women
Linkage to Care among Cisgender Men
Care Continuum among White (non-Hispanic) Males
Care Continuum among Hispanic Males
Care Continuum among Black (non-Hispanic) Males
Care Continuum among Other (non-hispanic) Males
Care Continuum among Multiracial Males
Care Continnuum among White (non-Hispanic) Females
Care Continnuum among Black (non-Hispanic) Females
Care Continnuum among Hispanic Females
Care Continnuum among Other (non-hispanic) Females
Care Continnuum among Multiracial Females
Linkage to Care among White (non-Hispanic) Males
Linkage to Care among Black (non-Hispanic) Males
Linkage to Care among Hispanic Males
Linkage to Care among Other (non-hispanic) Males
Linkage to Care among Other Multiracial Males
Linkage to Care among White (non-Hispanic) Females
Linkage to Care among Black (non-Hispanic)Females
Linkage to Care among Hispanic Females
Linkage to Care among Other (non-hispanic) Females
Linkage to Care among Other Multiracial Females
Care Continuum among Heterosexual
Care Continuum among MSM
Care Continuum among PWID
Care Continuum among MSM/PWID
Linkage to Care among Heterosexual
Linkage to Care among MSM
Linkage to Care among PWID
Linkage to Care among MSM/PWID