Improvement and disparities in sustained viral suppression among people with HIV in New York City, 2014–2023

Sustained viral suppression (SVS) supports the health of people with HIV (PWH). We conducted a serial cross-sectional analysis using New York City (NYC) HIV registry data. The proportion of PWH with SVS increased from 67.4% in 2014 to 77.9% in 2023 with an annual percentage change (APC) of 2.1% (95% confidence interval [CI]: 1.8, 2.5) in 2014-2020 and 0.5% (95% CI: -0.9, 2.0) in 2020-2023. Among men, the proportion increased from 68.9% in 2014 to 78.5% in 2023 with an APC of 1.9% (95% CI: 1.5, 2.3) in 2014-2020 and 0.5% (95% CI: -0.9, 1.8) in 2020-2023. Among women, the proportion increased from 64.7% in 2014 to 77.7% in 2023 with an APC of 2.8% (95% CI: 2.4, 3.3) in 2014-2020 and 0.6% (95% CI: -1.0, 2.2) in 2020-2023. Among transgender men and women, the proportion increased from 50.2% in 2014 to 66.1% in 2023 with an APC of 2.7% (95% CI: 2.2, 3.1) in 2014-2023. Black men and women, and Latino/Hispanic men and women had a lower proportion of SVS when compared with White men and women. SVS among PWH in NYC improved significantly from 2014 to 2023, but disparities were observed by gender and race/ethnicity.