Bibliographic Details
| Title: |
Socio-demographic and psycho-social determinants of HIV late presentation in Germany – results from the FindHIV study. |
| Authors: |
Lauscher, Paul, Hanhoff, Nikola, Valbert, Frederik, Schewe, Knud, Koegl, Christine, Bickel, Markus, Hoffmann, Christian, Stephan, Christoph, Pauli, Ramona, Preis, Stefan, Neumann, Anja, Wolf, Eva |
| Source: |
AIDS Care; Nov2023, Vol. 35 Issue 11, p1749-1759, 11p |
| Subject Terms: |
HIV infections, DELAYED diagnosis, RESEARCH, SOCIAL determinants of health, PHYSICIAN-patient relations, MULTIPLE regression analysis, INTERVIEWING, PHYSICIANS' attitudes, PATIENTS' attitudes, RESEARCH funding, DESCRIPTIVE statistics, INFECTIOUS disease transmission, SOCIODEMOGRAPHIC factors |
| Geographic Terms: |
GERMANY |
| Abstract: |
Delayed HIV diagnosis at advanced stages of disease remains common (33%–64%). This analysis of the multi-center FindHIV study including newly diagnosed HIV-infected adults in Germany, focused on the potential role of socio-demographic and psychological factors on late diagnosis (formerly "late presentation", AIDS diagnosis or CD4 cells <350/µL). These data were collected from patient profiles, physician-patient interviews and questionnaires. Participating centers (n = 40) represented the diverse health care settings in HIV care and geographic regions. Of 706 newly diagnosed adults (92% male, median age 39 years) between 2019 and 2020, 55% (388/706) were diagnosed late with a median CD4 cell count of 147/µL; 20% (142/706) presented with AIDS. From the physicians' perspective, earlier diagnosis would have been possible in 45% of participants (late versus non-late presentation 58% versus 29%). The most common physician-perceived reason was an underestimated risk for HIV infection by the patient (37%). In multivariable logistic regression analysis, older age, sexual contacts with both sexes as possible route of HIV transmission, being married, and a poor level of knowledge about HIV treatment were found to be associated with a significantly elevated risk for late presentation. Education, employment status, sexual relations, migration background and personality traits were not. Trial registration: German Clinical Trials Register (DRKS00016351). [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
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