NYC is the epicenter of the HIV/AIDS epidemic in the United States. As of December 31, 2018, 127,287 persons had been diagnosed with HIV/AIDS, reported in New York City, and were presumed to be living with HIV/AIDS, including 69,728 living with AIDS. In 2018, 84% of people newly diagnosed with HIV in NYC were linked to HIV care within one month of diagnosis and 53% were virally suppressed within three months.1The New York City Department of Health and Mental Hygiene (NYCDOHMH) will continue to collaborate with the Centers for Disease Control and Prevention (CDC) to implement and conduct the Medical Monitoring Project (MMP) protocol. The MMP is a national, multi-site project that comprises a population-based survey of clinical outcomes and health behaviors among people with HIV (PWH) who are in or out of medical care. The main objective of the MMP is to gain a better understanding of the health-related needs of PWH.
The NYCDOHMH will implement and conduct the MMP protocol in each of the next 5 years by recruiting a probability sample of PWH who are receiving HIV primary care at facilities in NYC. In each year the sample will be selected using a two-stage, probability proportional to size (PPS) sampling methodology. In the first stage facilities with a higher number of patients will have a higher probability of being selected. In the second stage a random sample of patients will be drawn from e HARS (the Enhanced HIV/AIDS Reporting System) for the National HIV Surveillance System (NHSS). In each year the total sample size will be 800 patients across all facilities.
Structured, computer-assisted personal interviews will be administered in a private location to all selected patients who give their informed consent. Medical chart reviews will be conducted for all consenting patients. The data collected will include information on demographics, access to and utilization of HIV medical care, clinical outcomes, risk and protective behaviors, and use of prevention and social services. All data collected will be labeled with a study number and stored in locked bins.
Findings from the project will be disseminated to community-based organizations, participating medical care facilities, academics, and the public health community at large. MMP will provide data about met and unmet needs for HIV care and prevention services that will be used to help guide policy and funding decisions aimed at improving the quality of care for PWH in NYC and across the United States.