Factors associated with delayed linkage to care following HIV diagnosis in the WHO European Region

HIV Medicine
Sara CroxfordOptTEST by HIV in Europe

Abstract

To describe linkage to HIV care following diagnosis in Europe and to identify factors associated with delayed linkage. We analysed data of adults (aged ≥ 15 years) diagnosed with HIV from 2010 to 2014 in 31 European countries. Linkage to care was calculated using the time between HIV diagnosis and first CD4 count. Linkage was considered delayed if the CD4 count was taken more than 3 months after diagnosis. Logistic regression was used to determine factors for delayed linkage. Of the 120 129 adults diagnosed from 2010 to 2014, 4560 were previously diagnosed elsewhere, 808 died within 3 months of diagnosis and 54 731 people were missing CD4 count and/or date information. Among the 60 030 people included, linkage to care within 3 months was 96%. A lower bound (LB) for this was 55%, when those missing CD4 data were assumed not to be linked. Prompt linkage varied significantly by region [Western: 97% (LB: 65%); Central: 90% (LB: 65%); Eastern: 91% (LB: 11%)] and risk group. In multivariable analysis, delayed linkage to care was associated with: acquiring HIV through injecting drug use/heterosexual contact, being diagnosed in Central/Eastern Europe and having a first CD4 count > 200 cells/μL. People of older age at diagnosis and thos...Continue Reading

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Citations

Dec 27, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·James AyiekoAnnelies Van Rie
Oct 30, 2019·Open Forum Infectious Diseases·Joseph SharpJonathan A Colasanti
Mar 12, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Tracy R GlassHansjakob Furrer
Feb 27, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·James AyiekoAnnelies Van Rie
Dec 6, 2018·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Sara Croxford On Behalf Of OptTEST By Hiv In Europe
Apr 6, 2021·International Quarterly of Community Health Education·Nosipho ShangaseAudrey Pettifor

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