ArticleAIDS research and therapy2011
Epidemiological characteristics and predictors of late presentation of HIV infection in Barcelona (Spain) during the period 2001-2009.
Article in AIDS research and therapy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Effectiveness of a pilot partner notification program for new HIV cases in Barcelona, Spain.PloS one · 2015Trial
- Variability in Human Immunodeficiency Virus infection screening: impact of the COVID-19 pandemic.Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2025Observational
- Trends of Cause of Death among Human Immunodeficiency Virus Patients and the Impact of Low CD4 Counts on Diagnosis to Death: a Retrospective Cohort Study.Journal of Korean medical science · 2020Article
- Delayed Treatment for People Living With HIV in China, 2004-2016: An Analysis of An Observational Cohort.International journal of environmental research and public health · 2020Article
- Article
- HIV Testing in Clinical and Community Settings for an International Sample of Latino Immigrants and Nonimmigrants.Journal of latinx psychology · 2019Article
- Sociodemographic and Health Profile of Heterosexual Men Living With HIV in Ontario, Canada.American journal of men's health · 2017Article
- Psychosocial determinants of HIV testing across stages of change in Spanish population: a cross-sectional national survey.BMC public health · 2017Article
- Late presentation increases risk and costs of non-infectious comorbidities in people with HIV: an Italian cost impact study.AIDS research and therapy · 2017Article
- Cascade of care among HIV patients diagnosed in 2013 in Georgia: Risk factors for late diagnosis and attrition from HIV care.SAGE open medicine · 2017Article
- Barriers to HIV testing, linkage to care, and treatment adherence: a cross-sectional study from a large urban center of Brazil.Revista panamericana de salud publica = Pan American journal of public health · 2016Article
- Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual.Revista de saude publica · 2016Article
- Article
- Mortality, Causes of Death and Associated Factors Relate to a Large HIV Population-Based Cohort.PloS one · 2015Observational
- Making the invisible, visible: a cross-sectional study of late presentation to HIV/AIDS services among men who have sex with men from a large urban center of Brazil.BMC public health · 2014Article
- Article
- What's pregnancy got to do with it? Late presentation to HIV/AIDS services in Northeastern Brazil.AIDS care · 2014Article
- Getting to zero HIV deaths: progress, challenges and ways forward.Journal of the International AIDS Society · 2013Review
- No association found between traditional healer use and delayed antiretroviral initiation in rural Uganda.AIDS and behavior · 2013Article
- Late diagnosis and entry to care after diagnosis of human immunodeficiency virus infection: a country comparison.PloS one · 2013Article
Corrections and comments
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly diagnosis of HIV infection can prevent morbidity and mortality as well as reduce HIV transmission. The aim of the present study was to assess prevalence, describe trends and identify factors associated with late presentation of HIV infection in Barcelona (Spain) during the period 2001-09.
methodsDemographic and epidemiological characteristics of cases reported to the Barcelona HIV surveillance system were analysed. Late presentation was defined for individuals with a CD4 count below 350 cells/ml upon HIV diagnosis or diagnosis of AIDS within 3 months of HIV diagnosis. Multivariate logistic regression were used to identify predictors of late presentation.
resultsOf the 2,938 newly diagnosed HIV-infected individuals, 2,507 (85,3%) had either a CD4 cell count or an AIDS diagnosis available. A total of 1,139 (55.6%) of the 2,507 studied cases over these nine years were late presenters varying from 48% among men who have sex with men to 70% among heterosexual men. The proportion of late presentation was 62.7% in 2001-2003, 51.9% in 2004-2005, 52.6% in 2006-2007 and 52.1% in 2008-2009. A decrease over time only was observed between 2001-2003 and 2004-2005 (p = 0.001) but remained constant thereafter (p = 0.9). Independent risk factors for late presentation were older age at diagnosis (p < 0.0001), use of injected drugs by men (p < 0.0001), being a heterosexual men (p < 0.0001), and being born in South America (p < 0.0001) or sub-Saharan Africa (p = 0.002).
conclusionLate presentation of HIV is still too frequent in all transmission groups in spite of a strong commitment with HIV prevention in our city. It is necessary to develop interventions that increase HIV testing and facilitate earlier entry into HIV care.
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