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Limitations of the UNAIDS 90-90-90 Metrics: A Simulation-Based Comparison of Cross-Sectional and Longitudinal Metrics for the HIV Care Continuum

Citation

Haber, Noah A.; Lesko, Catherine R.; Fox, Matthew P.; Powers, Kimberly A.; Harling, Guy; Edwards, Jessie; Salomon, Joshua; Lippman, Sheri A.; Bor, Jacob; & Chang, Angela Y., et al. (Online ahead of print). Limitations of the UNAIDS 90-90-90 Metrics: A Simulation-Based Comparison of Cross-Sectional and Longitudinal Metrics for the HIV Care Continuum. AIDS.

Abstract

OBJECTIVES: The UNAIDS 90-90-90 and other cross-sectional metrics can lead to potentially counterintuitive conclusions when used to evaluate health systems' performance. This study demonstrates how time and population dynamics impact UNAIDS 90-90-90 metrics in comparison with a longitudinal analogue. DESIGN: A simplified simulation representing a hypothetical population was used to estimate and compare inference from UNAIDS 90-90-90 metrics and a longitudinal metrics based on Kaplan-Meier-estimated 2-year probability of transition between stages.

URL

http://dx.doi.org/10.1097/QAD.0000000000002502

Reference Type

Journal Article

Journal Title

AIDS

Author(s)

Haber, Noah A.
Lesko, Catherine R.
Fox, Matthew P.
Powers, Kimberly A.
Harling, Guy
Edwards, Jessie
Salomon, Joshua
Lippman, Sheri A.
Bor, Jacob
Chang, Angela Y.
Anglemyer, Andrew
Pettifor, Audrey E.

Year Published

Online ahead of print

Reference ID

12636