Patterns of Cancer Treatment among People with HIV in the Mountain West

The study identified differences in PWH and cancer diagnosed in UT and NV, although direct statistical comparisons were not made. The number of PWH diagnosed with cancer in NV was higher, cancer stage was more advanced, and treatment rates were lower. These findings reflect higher HIV prevalence, with HIV rates 3x higher in NV vs. UT. Lower utilization of surgery in NV may reflect later stage at diagnosis. Treatment rates in both states were lower than typical for the general population, which may reflect limited access to tertiary medical centers with HIV and oncology specialists for rural patients in the Mountain West. Given lower cancer treatment infrastructure in NV and availability of clinical trials for PWH in UT, community engagement and collaboration between the two states may yield opportunities to improve access to cancer treatment and outcomes for PWH in the Mountain West.