Evidence map›Paper›PMID 33788120›Full record

ArticleAIDS and behavior2021

Understanding Reasons for HIV Late Diagnosis: A Qualitative Study Among HIV-Positive Individuals in Amsterdam, The Netherlands.

Maarten Bedert, Udi Davidovich, Godelieve de Bree, Ward van Bilsen, Ard van Sighem, Wim Zuilhof, Kees Brinkman, Marc van der Valk, John de Wit

Abstract read
In one paragraph

Article in AIDS and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Late HIV diagnosis: trends, risk factors, and progress toward the 2025 target of <20% late diagnosis in 23 EU/EEA countries, 2022 to 2024.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Maarten BedertAmsterdam UMC, Location AMC, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. m.r.d.bedert@amsterdamumc.nl.ORCID http://orcid.org/0000-0002-5899-0663
Udi DavidovichDepartment of Infectious Diseases, Public Health Service Amsterdam, Amsterdam, The Netherlands.
Godelieve de BreeAmsterdam UMC, Location AMC, Amsterdam, The Netherlands.
Ward van BilsenPublic Health Service Amsterdam, Amsterdam, The Netherlands.
Ard van SighemFoundation HIV Monitoring, Amsterdam, The Netherlands.
Wim ZuilhofSOA AIDS Nederland, Amsterdam, The Netherlands.
Kees BrinkmanOnze Lieve Vrouwenziekenhuis, Amsterdam, The Netherlands.
Marc van der ValkAmsterdam UMC, Location AMC & DC Klinieken Valeriusplein, Amsterdam, The Netherlands.
John de WitUtrecht University, Utrecht, The Netherlands.

Funding

City of Amsterdam (NL) 79/225Stichting Amsterdam Diner Foundation 2013169
6 · The paper itself

Abstract

Since the introduction of effective anti-retroviral therapy, early diagnosis and treatment of HIV have become increasingly important from individual and public health perspectives. People who are diagnosed with a CD4 count below 350 cells/µL blood are today considered to be "late" diagnoses. In an effort to understand the reasons for late diagnosis, we conducted in-depth interviews (n = 14) in Amsterdam, the Netherlands. Two main factors were identified: psychosocial factors and health-system factors. Psychosocial factors relate to people's personal relationship with health professionals, low risk perception, fear related to the outcome of testing, and trauma from observed past experiences of living with HIV. Health-system factors relate to institutional barriers and missed opportunities during client-provider interactions. We conclude that in order to mitigate late diagnosis, the social and institutional context within which HIV testing is conducted should be addressed.

Indexed as

HIV InfectionsCD4 Lymphocyte CountDelayed DiagnosisHumansNetherlandsQualitative Research

Identifiers

PMID33788120
PMCPMC8373722

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.