scholarly journals Comparing Measures of Late HIV Diagnosis in Washington State

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Laura Saganic ◽  
Jason Carr ◽  
Rosa Solorio ◽  
Maria Courogen ◽  
Tom Jaenicke ◽  
...  
Keyword(s):  
Hiv And Aids ◽  
Foreign Born ◽  
Hiv Diagnosis ◽  
Hiv Surveillance ◽  
Late Hiv Diagnosis ◽  
Surveillance Programs ◽  
Two Measures ◽  
Using Data ◽  
Definition Of ◽  
Testing Patterns

As more US HIV surveillance programs routinely use late HIV diagnosis to monitor and characterize HIV testing patterns, there is an increasing need to standardize how late HIV diagnosis is measured. In this study, we compared two measures of late HIV diagnosis, one based on time between HIV and AIDS, the other based on initial CD4+results. Using data from Washington's HIV/AIDS Reporting System, we used multivariate logistic regression to identify predictors of late HIV diagnosis. We also conducted tests for trend to determine whether the proportion of cases diagnosed late has changed over time. Both measures lead us to similar conclusions about late HIV diagnosis, suggesting that being male, older, foreign-born, or heterosexual increase the likelihood of late HIV diagnosis. Our findings reaffirm the validity of a time-based definition of late HIV diagnosis, while at the same time demonstrating the potential value of a lab-based measure.

When Immigrants Are Not Migrants: Counting Arrivals of the Foreign Born Using the U.S. Census

1998 ◽  
Vol 32 (1) ◽  
pp. 127-144 ◽  
Author(s):  
Mark Ellis ◽  
Richard Wright
Keyword(s):  
United States ◽  
The United States ◽  
Foreign Born ◽  
Skill Levels ◽  
Migration Status ◽  
Recent Immigrant ◽  
Two Measures ◽  
Definition Of ◽  
The U.S ◽  
The Way

This paper compares characteristics of recent immigrant arrivals in the United States using two measures from the decennial U.S. census: the came-to-stay question and the migration question. We show that a little under 30 percent of immigrants who reported they came to stay between 1985–1990 on the 1990 U.S. Census Public Use Micro Sample were resident in the United States on April 1, 1985. A similar analysis of the 1980 censue reveals that 22 percent of immigrants who reported they came to stay between 1975–1980 lived in the United States on April 1, 1975. Thus among recent arrivals, defined as those who reported they came to stay in the quinquennium preceding the census, a large number were resident in the United States five years before the census date. Furthermore, the proportion of recent arrivals present in the United States five years before the census increased between 1975–1980 and 1985–1990. We show that the profile of recent arrivals is sensitive to their migration status. Generally, in both the 1975–1980 and 1985–1990 cohorts, those resident in the United States five years before the census have significantly less schooling and lower incomes than those who were abroad. Accordingly, we argue that estimates of the skill levels and hourly wages of recent arrivals to the United States vary with the way arrival is measured. Researchers who rely on Public Use samples of the U.S. census for their data should be aware that the year of entry question implies a broader definition of arrival than the migration question. We caution that immigration researchers should consider the idea of arrival more carefully to help distinguish newcomers from the resident foreign born.

scholarly journals Risk factors for late HIV diagnosis in the East of England: evidence from national surveillance data and policy implications

2018 ◽  
Vol 30 (1) ◽  
pp. 37-44 ◽  
Author(s):  
Rachel E Bath ◽  
Lynsey Emmett ◽  
Neville Q Verlander ◽  
Mark Reacher
Keyword(s):  
Risk Factors ◽  
Hiv Testing ◽  
Local Population ◽  
Multivariable Analysis ◽  
Hiv And Aids ◽  
Late Diagnosis ◽  
Policy Implications ◽  
Prevention Strategies ◽  
Hiv Diagnosis ◽  
Late Hiv Diagnosis

In 2014, 42% of all HIV diagnoses in the East of England were diagnosed late. Individuals unaware of their HIV status will not benefit from lifesaving and infectious-limiting antiretroviral therapy, and they remain at risk of decreased life expectancy and onward transmission of HIV. We sought to identify risk factors associated with late HIV diagnosis in the East of England to inform future HIV testing and prevention strategies relevant to the local population. Data on all HIV infected individuals aged ≥16 years and diagnosed between 2008 and 2014 in the East of England were obtained from the national HIV and AIDS Reporting System. Late diagnosis was defined as CD4 cell count below 350 cells/mm3 within 91 days of diagnosis. Logistic regression investigated risk factors for late HIV diagnosis. A total of 2469 people were included; 1342 (54%) were late HIV diagnoses. In multivariable analysis risk factors for late diagnosis were: age ≥30 years, originating from WHO regions of South-East Asia or Europe (excluding UK), heterosexual orientation and being diagnosed as an inpatient or by a general practitioner. The odds of late diagnosis significantly reduced every year (OR 0.95, 95% CI 0.90–0.99, p = 0.042). Despite this year-on-year reduction continued high rates suggest future HIV testing and prevention strategies should be informed by local regional epidemiology to allow those at greatest risk to be targeted appropriately.

scholarly journals Determinants of Declining School Belonging 2000–2018: The Case of Sweden

2021 ◽  
Author(s):  
Björn Högberg ◽  
Solveig Petersen ◽  
Mattias Strandh ◽  
Klara Johansson
Keyword(s):  
Education Reform ◽  
School Environment ◽  
International Student ◽  
Student Assessment ◽  
School Belonging ◽  
Foreign Born ◽  
Bottom Part ◽  
Performance Orientation ◽  
International Student Assessment ◽  
Using Data

AbstractStudents’ sense of belonging at school has declined across the world in recent decades, and more so in Sweden than in almost any other high-income country. However, we do not know the characteristics or causes of these worldwide trends. Using data on Swedish students aged 15–16 years from the Programme for International Student Assessment (PISA) between 2000 and 2018, we show that the decline in school belonging in Sweden was driven by a disproportionately large decline at the bottom part of the distribution, and was greatest for foreign-born students, students from disadvantaged social backgrounds, and for low-achieving students. The decline cannot be accounted for by changes in student demographics or observable characteristics related to the school environment. The decline did, however, coincide with a major education reform, characterized by an increased use of summative evaluation, and an overall stronger performance-orientation.

Embracing School Counselors’ Situatedness: Data-Based Decision Making as Fulfillment of a Complex Identity

2021 ◽  
Vol 24 (1_part_3) ◽  
pp. 2156759X2110119
Author(s):  
Brett Zyromski ◽  
Catherine Griffith ◽  
Jihyeon Choi
Keyword(s):  
Decision Making ◽  
School Counselors ◽  
School Counselor ◽  
Use Of Data ◽  
Counselor Identity ◽  
Using Data ◽  
Definition Of ◽  
Support Students ◽  
Students Success ◽  
Data Based Decision Making

Since at least the 1930s, school counselors have used data to inform school counseling programming. However, the evolving complexity of school counselors’ identity calls for an updated understanding of the use of data. We offer an expanded definition of data-based decision making that reflects the purpose of using data in educational settings and an appreciation of the complexity of the school counselor identity. We discuss implications for applying the data-based decision-making process using a multifaceted school counselor identity lens to support students’ success.

scholarly journals Identifying subgroups within at-risk populations that drive late HIV diagnosis in a Southern U.S. state

2020 ◽  
pp. 095646242094756
Author(s):  
Sabina O Nduaguba ◽  
Kentya H Ford ◽  
James P Wilson ◽  
Kenneth A Lawson ◽  
Robert L Cook
Keyword(s):  
At Risk ◽  
Older Individuals ◽  
Hiv Diagnosis ◽  
Interaction Terms ◽  
Late Hiv Diagnosis ◽  
Increased Risk ◽  
At Risk Populations ◽  
Sex With Men ◽  
Aids Diagnosis ◽  
Racial Ethnic

We aimed to identify subgroups within age, racial/ethnic, and transmission categories that drive increased risk for late HIV diagnosis (LHD). A 1996–2013 retrospective study of HIV-diagnosed individuals (N = 77,844) was conducted. The proportion of individuals with LHD (AIDS diagnosis within 365 days of HIV diagnosis) was determined, stratified by age, race/ethnicity, and transmission category. Logistic regression with interaction terms was used to identify groups/subgroups at risk for LHD during 1996–2001, 2002–2007, and 2008–2013. Respectively, 78%, 27%, 38%, and 31% were male, White, Black, and Hispanic. Overall, 39% had LHD with a 6.7% reduction for each year increase (OR = 0.93, 95% CI = 0.93–0.94, p < 0.01). Older age was significantly associated with increased odds of LHD (OR range = 1.90–4.55). Compared to their White counterparts, all Hispanic transmission categories (OR range = 1.31–2.58) and only Black female heterosexuals and men who have sex with men (MSM) (OR range = 1.14–1.33) had significantly higher odds of LHD during 1996–2001 and/or 2002–2007. Significance was limited to Hispanic MSM (all age categories), MSM/IDUs (30–59 years), and heterosexuals (18–29 years) and Black MSM (30–39 years) during 2008–2013. Older individuals and Hispanics (driven by MSM) are at increased risk for LHD. HIV testing interventions directed at seniors and Hispanic MSM can further reduce rates of LHD.

scholarly journals CD4 Cell Counts at HIV Diagnosis among HIV Outpatient Study Participants, 2000–2009

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Kate Buchacz ◽  
Carl Armon ◽  
Frank J. Palella ◽  
Rose K. Baker ◽  
Ellen Tedaldi ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Population Level ◽  
Cd4 Count ◽  
Hiv Diagnosis ◽  
Cell Counts ◽  
Late Hiv Diagnosis ◽  
Cd4 Cell Counts ◽  
The Usa ◽  
Study Participants ◽  
Cd4 Cell

Background. It is unclear if CD4 cell counts at HIV diagnosis have improved over a 10-year period of expanded HIV testing in the USA.Methods. We studied HOPS participants diagnosed with HIV infection ≤6 months prior to entry into care during 2000–2009. We assessed the correlates of CD4 count <200 cells/mm3at HIV diagnosis (late HIV diagnosis) by logistic regression.Results. Of 1,203 eligible patients, 936 (78%) had a CD4 count within 3 months after HIV diagnosis. Median CD4 count at HIV diagnosis was 299 cells/mm3and did not significantly improve over time (P=0.13). Comparing periods 2000-2001 versus 2008-2009, respectively, 39% and 35% of patients had a late HIV diagnosis (P=0.34). Independent correlates of late HIV diagnosis were having an HIV risk other than being MSM, age ≥35 years at diagnosis, and being of nonwhite race/ethnicity.Conclusions. There is need for routine universal HIV testing to reduce the frequency of late HIV diagnosis and increase opportunity for patient- and potentially population-level benefits associated with early antiretroviral treatment.

Temporal Trend and Factors Associated with Late HIV Diagnosis in Hong Kong, a Low HIV Prevalence Locality

2003 ◽  
Vol 17 (9) ◽  
pp. 461-469 ◽  
Author(s):  
Ka-Hing Wong ◽  
Shui-Shan Lee ◽  
Kelvin Hon-Kei Low ◽  
Wai-Yee Wan
Keyword(s):  
Hong Kong ◽  
Temporal Trend ◽  
Hiv Prevalence ◽  
Hiv Diagnosis ◽  
Factors Associated ◽  
Late Hiv Diagnosis

scholarly journals Voluntary counseling and testing (VCT) services and their contribution to access to HIV diagnosis in Brazil

2009 ◽  
Vol 25 (9) ◽  
pp. 2053-2063 ◽  
Author(s):  
Alexandre Grangeiro ◽  
Maria Mercedes Escuder ◽  
Maria Amélia Veras ◽  
Draurio Barreira ◽  
Dulce Ferraz ◽  
...  
Keyword(s):  
Social Indicators ◽  
National Health System ◽  
Hiv Diagnosis ◽  
Chi Square ◽  
Voluntary Counseling ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Chi Square Test ◽  
Limited Health ◽  
Using Data

The Voluntary Counseling and Testing (VCT) Network was implemented in Brazil in the 1980s to promote anonymous and confidential access to HIV diagnosis. As a function of the population and dimensions of the local epidemic, the study assessed the network's coverage, using data from a self-applied questionnaire and data from the Information Technology Department of the Unified National Health System (SUS), UNDP, and National STD/AIDS Program. The Student t test was used for comparison of means and the chi-square test for proportions. Brazil has 383 VCT centers, covering 48.9% of the population and 69.2% of the AIDS cases. The network has been implemented predominantly in regions where the epidemic shows a relevant presence, but 85.3% of the cities with high HIV incidence lack VCT centers; absence of VCT was associated with more limited health infrastructure and worse social indicators. A slowdown in expansion of the network was observed, with VCT Centers implemented on average 16 years after the first AIDS case in the given municipality. The number of HIV tests performed under the SUS is 2.3 times higher in cities with VCT centers. The network's scope is limited, thus minimizing the contribution by these services to the supply of HIV diagnosis in Brazil.

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