scholarly journals Exploring the Spatial Determinants of Late HIV Diagnosis in Texas

2020 ◽  
Vol 17 ◽  
Author(s):  
Sonia I. Arbona ◽  
Alassane S. Barro
Keyword(s):  
Hiv Diagnosis ◽  
Late Hiv Diagnosis

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 Infrequent HIV Testing and Late HIV Diagnosis Are Common Among a Cohort of Black Men Who Have Sex With Men in 6 US Cities

2014 ◽  
Vol 67 (4) ◽  
pp. 438-445 ◽  
Author(s):  
Sharon B. Mannheimer ◽  
Lei Wang ◽  
Leo Wilton ◽  
Hong Van Tieu ◽  
Carlos del Rio ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Black Men ◽  
Hiv Diagnosis ◽  
Late Hiv Diagnosis ◽  
Sex With Men ◽  
Us Cities

scholarly journals Late HIV Diagnosis: Differences by Rural/Urban Residence, Florida, 2007–2011

2014 ◽  
Vol 28 (4) ◽  
pp. 188-197 ◽  
Author(s):  
Mary Jo Trepka ◽  
Kristopher P. Fennie ◽  
Diana M. Sheehan ◽  
Khaleeq Lutfi ◽  
Lorene Maddox ◽  
...  
Keyword(s):  
Urban Residence ◽  
Hiv Diagnosis ◽  
Late Hiv Diagnosis

Tailoring HIV testing in a setting of late HIV diagnosis: is the tide turning?

2015 ◽  
Vol 76 (10) ◽  
pp. 592-595 ◽  
Author(s):  
Monica Lascar ◽  
Joseph Freer ◽  
Elias Phiri
Keyword(s):  
Hiv Testing ◽  
Hiv Diagnosis ◽  
Late Hiv Diagnosis

scholarly journals The potential impact of routine testing of individuals with HIV indicator diseases in order to prevent late HIV diagnosis

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Paola Scognamiglio ◽  
◽  
Giacomina Chiaradia ◽  
Gabriella De Carli ◽  
Massimo Giuliani ◽  
...  
Keyword(s):  
Hiv Diagnosis ◽  
Routine Testing ◽  
Late Hiv Diagnosis ◽  
Potential Impact

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.

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