Late presentation of HIV infection among adults in New Zealand from 2011 to 2020.

التفاصيل البيبلوغرافية
العنوان:	Late presentation of HIV infection among adults in New Zealand from 2011 to 2020.
المؤلفون:	Bateman JP; AIDS Epidemiology Group, Department of Preventive and Social Medicine, 2495University of Otago, Dunedin, New Zealand., Saxton PJW; AIDS Epidemiology Group, Department of Preventive and Social Medicine, 2495University of Otago, Dunedin, New Zealand.; Department of Social and Community Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand., de Gouw A; AIDS Epidemiology Group, Department of Preventive and Social Medicine, 2495University of Otago, Dunedin, New Zealand., Kolodziej J; Burnett Foundation Aotearoa, Auckland, New Zealand., Priest PC; AIDS Epidemiology Group, Department of Preventive and Social Medicine, 2495University of Otago, Dunedin, New Zealand., McAllister SM; AIDS Epidemiology Group, Department of Preventive and Social Medicine, 2495University of Otago, Dunedin, New Zealand.
المصدر:	International journal of STD & AIDS [Int J STD AIDS] 2023 Apr; Vol. 34 (5), pp. 332-337. Date of Electronic Publication: 2023 Jan 11.
نوع المنشور:	Journal Article; Research Support, Non-U.S. Gov't
اللغة:	English
بيانات الدورية:	Publisher: Sage Country of Publication: England NLM ID: 9007917 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1758-1052 (Electronic) Linking ISSN: 09564624 NLM ISO Abbreviation: Int J STD AIDS Subsets: MEDLINE
أسماء مطبوعة:	Publication: Dec. 2012- : London : Sage Original Publication: London, U.K. : Royal Society of Medicine Services, c1990-
مواضيع طبية MeSH:	HIV Infections/diagnosis , HIV Infections/epidemiology , Acquired Immunodeficiency Syndrome* , Sexual and Gender Minorities*, Male ; Humans ; Adult ; Female ; Aged ; Homosexuality, Male ; New Zealand/epidemiology ; Risk Factors ; Delayed Diagnosis ; CD4 Lymphocyte Count
مستخلص:	Objectives: Early diagnosis of HIV is essential for successful treatment and controlling HIV spread in a population. We examined the frequency and characteristics of adults diagnosed late with HIV in New Zealand from 2011-2020. Methods: Routine surveillance data were analysed. Those previously diagnosed overseas or as part of immigration screening, or with missing CD4 count were excluded. 'Late presentation' was defined as a CD4 count <350 cells/μL or an AIDS-defining event. 'Advanced HIV disease' were those with a CD4 count <200 cells/μL or an AIDS-defining event. Relative risks were calculated using Poisson regression. Results: Of 1145 people, 40.5% presented late; 24.9% had advanced HIV disease. Of the 464 late diagnoses, 65.5% occurred among men-who-have-sex-with-men (MSM), 26.1% among heterosexuals, 8.4% among others. Heterosexual men and women were more likely to present late (55.3%) compared to MSM (35.6%). Amongst MSM, those who were older, of an ethnicity other than European, acquired HIV overseas, tested because symptomatic, or had their last negative test >2 years prior were more likely to present late and have advanced disease. Amongst heterosexuals, older age, tested because symptomatic, and Pacific ethnicity were associated with late presentation, and Māori, Pacific and Asian people were more likely to have advanced disease. Conclusions: There continues to be a high proportion of people diagnosed late with HIV. Identifying barriers for testing, missed opportunities for screenings and other factors that delay HIV diagnosis could help develop effective strategies to reduce this burden of late presentation - particularly among heterosexual individuals, non-Europeans, and older people.
فهرسة مساهمة:	Keywords: HIV; New Zealand; late presentation
تواريخ الأحداث:	Date Created: 20230111 Date Completed: 20230405 Latest Revision: 20230511
رمز التحديث:	20240628
DOI:	10.1177/09564624231151458
PMID:	36629794
قاعدة البيانات:	MEDLINE

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تدمد:	1758-1052
DOI:	10.1177/09564624231151458