Reasons for late presentation to HIV care in Switzerland

Hachfeld, Anna; Ledergerber, Bruno; Darling, Katharine E A; Weber, Rainer; Calmy, Alexandra; Battegay, Manuel; Sugimoto, Kiyoshi; Benedetto, Caroline Di; Fux, Christoph A; Tarr, Philip E.; Kouyos, Roger D.; Furrer, Hansjakob; Wandeler, Gilles

doi:10.7448/ias.18.1.20317

Cited by 53 publications

(76 citation statements)

References 25 publications

(36 reference statements)

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“…‘Feeling healthy’ is a common reason reported for not linking to care and treatment services [42, 43]. As self-rated general health questions are commonly used in national surveys and are good predictors of morbidity and mortality [44], we created a general health variable based on the question ‘In general, how was your health in the last week?’ A binary variable was created to identify individuals who reported good or very good health.…”

Section: Methodsmentioning

confidence: 99%

Readiness for Antiretroviral Therapy: Implications for Linking HIV-Infected Individuals to Care and Treatment

Maughan-Brown

Kuo

et al. 2017

AIDS Behav

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Using survey data collected immediately after referral for ART (N = 87), this study examined ART-readiness among individuals (18 years and older) attending a mobile health clinic in South Africa. Most participants reported being very ready (84%) and motivated (85%) to start ART, but only 72% were assessed as ready for ART on all measures. Treatment readiness was lower among individuals who did not think they would test HIV-positive (aOR 0.26, p < 0.05) and among individuals who reported being in good health (aOR 0.44, p < 0.1). In contrast, higher readiness was associated with better ART knowledge (aOR 4.31, p < 0.05) and knowing someone who had experienced positive health effects from ART (aOR 2.65, p < 0.05). Results indicate that post-test counselling will need to be designed to deal with surprise at HIV diagnosis, and that health messaging needs to be carefully crafted to support uptake of ART among HIV-positive but healthy individuals. Further research is needed on effective post-test counselling approaches and effective framing of health messaging to increase awareness of the multiple positive benefits of early ART initiation and corresponding readiness to engage in treatment.

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Section: Methodsmentioning

confidence: 99%

Readiness for Antiretroviral Therapy: Implications for Linking HIV-Infected Individuals to Care and Treatment

Maughan-Brown

Kuo

et al. 2017

AIDS Behav

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“…In Europe for example, the prevalence of DP has been reported to be roughly between 15 and 66 % [18, 19]. Higher prevalence of 72–83.3 % [20, 21] has been reported from Asia.…”

Section: Introductionmentioning

confidence: 99%

The prevalence and associated factors for delayed presentation for HIV care among tuberculosis/HIV co-infected patients in Southwest Ethiopia: a retrospective observational cohort

et al. 2016

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BackgroundA delay presentation for human immunodeficiency virus (HIV) patient’s care (that is late engagement to HIV care due to delayed HIV testing or delayed linkage for HIV care after the diagnosis of HIV positive) is a critical step in the series of HIV patient care continuum. In Ethiopia, delayed presentation (DP) for HIV care among vulnerable groups such as tuberculosis (Tb) /HIV co-infected patients has not been assessed. We aimed to assess the prevalence of and factors associated with DP (CD4 < 200 cells/μl at first visit) among Tb/HIV co-infected patients in southwest Ethiopia.MethodsA retrospective observational cohort study collated Tb/HIV data from Jimma University Teaching Hospital for the period of September 2010 and August 2012. The data analysis used logistic regression model at P value of ≤ 0.05 in the final model.ResultsThe prevalence of DP among Tb/HIV co-infected patients was 59.9 %. Tb/HIV co-infected patients who had a house with at least two rooms were less likely (AOR, 0.5; 95 % CI: 0.3–1.0) to present late than those having only single room. Tobacco non-users of Tb/HIV co-infected participants were also 50 % less likely (AOR, 0.5; 95 % CI: 0.3–0.8) to present late for HIV care compared to tobacco users. The relative odds of DP among Tb/HIV co-infected patients with ambulatory (AOR, 1.8; 95 % CI, 1.0–3.1) and bedridden (AOR, 8.3; 95 % CI, 2.8–25.1) functional status was higher than with working status.ConclusionsThree out of five Tb/HIV co-infected patients presented late for HIV care. Higher proportions of DP were observed in bedridden patients, tobacco smokers, and those who had a single room residence. These findings have intervention implications and call for effective management strategies for Tb/HIV co-infection including early HIV diagnosis and early linkage to HIV care services.Electronic supplementary materialThe online version of this article (doi:10.1186/s40249-016-0193-y) contains supplementary material, which is available to authorized users.

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“…These perceptions and feelings of isolation can act as a significant barrier for women to access HIV testing, treatment, care and support 8 . These barriers result in women being diagnosed later in their infection in countries with a low HIV prevalence among the general population and where women have not traditionally been considered a key risk population 9–12 …”

mentioning

confidence: 99%

Two decades of surveillance data show late presentation among a diverse group of women diagnosed with HIV in Victoria, Australia

Moreira

Boughey

Ryan

et al. 2019

Australian and New Zealand Journal of Public Health

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Objective: To develop an HIV response suited to women and to inform appropriate services, we describe the characteristics of women diagnosed and living with HIV using 22 years of high‐quality surveillance data. Methods: Data on women newly diagnosed with HIV between 1994 and 2016 and women living with diagnosed HIV in Victoria at 31 December 2016 were extracted from the Victorian Public Health Surveillance System. Descriptive analysis by place of birth was performed and Poisson regression used to assess trends over time. Results: There were 465 new diagnoses among women in Victoria between 1994 and 2016 and 613 women living with HIV in 2016. Women were diagnosed late, and frequently reported no HIV testing history, AIDS‐defining illness or other symptoms of HIV at diagnosis. These indicators of delayed diagnosis were even greater for non‐Australian‐born women. Conclusions and implications for public health: For Victoria to reach the ambitious targets for diagnosis, treatment and viral suppression in 95% of people living with HIV, prevention programs and efforts to increase early diagnosis as well as support services must consider the epidemiology and diversity of women.

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Reasons for late presentation to HIV care in Switzerland

Cited by 53 publications

References 25 publications

Readiness for Antiretroviral Therapy: Implications for Linking HIV-Infected Individuals to Care and Treatment

Readiness for Antiretroviral Therapy: Implications for Linking HIV-Infected Individuals to Care and Treatment

The prevalence and associated factors for delayed presentation for HIV care among tuberculosis/HIV co-infected patients in Southwest Ethiopia: a retrospective observational cohort

Two decades of surveillance data show late presentation among a diverse group of women diagnosed with HIV in Victoria, Australia

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