Factors associated with the continuum of care of HIV‐infected patients in Belgium

Introduction We studied factors associated with the continuum of HIV care in Belgium. Methods Data of the national registration of new HIV diagnosis and of the national cohort of HIV‐infected patients in care were combined to obtain estimates of and factors related with proportions of HIV‐infected patients in each step of the continuum of care from diagnosis to suppressed viral load (VL). Factors associated with ignorance of HIV seropositivity were analyzed among patients co‐infected with HIV and STI in the Belgian STI sentinel surveillance network. Associated factors were identified by multiv... Mehr ...

Verfasser: Van Beckhoven, Dominique
Lacor, Patrick
Moutschen, Michel
Piérard, Denis
Sasse, André
Vaira, Dolorès
Van den Wijngaert, Sigi
Vandercam, Bernard
Van Ranst, Marc
Van Wijngaerden, Eric
Vandekerckhove, Linos
Verhofstede, Chris
Verbrugge, Ruth
Demeester, Rémy
De Wit, Stéphane
Florence, Eric
Fransen, Katrien
Delforge, Marie‐Luce
Goffard, Jean‐Christophe
Goubau, Patrick
Dokumenttyp: Artikel
Erscheinungsdatum: 2014
Reihe/Periodikum: Journal of the International AIDS Society ; volume 17, issue 4S3 ; ISSN 1758-2652 1758-2652
Verlag/Hrsg.: Wiley
Schlagwörter: Infectious Diseases / Public Health / Environmental and Occupational Health
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-26607121
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://dx.doi.org/10.7448/ias.17.4.19534

Introduction We studied factors associated with the continuum of HIV care in Belgium. Methods Data of the national registration of new HIV diagnosis and of the national cohort of HIV‐infected patients in care were combined to obtain estimates of and factors related with proportions of HIV‐infected patients in each step of the continuum of care from diagnosis to suppressed viral load (VL). Factors associated with ignorance of HIV seropositivity were analyzed among patients co‐infected with HIV and STI in the Belgian STI sentinel surveillance network. Associated factors were identified by multivariate logistic regression. Results Among 4038 individuals diagnosed with HIV between 2007 and 2010, 90.3% were linked to care. Of 11684 patients in care in 2010, 90.8% were retained in care up to the following year, 88.3% of those were on ART, of whom 95.3% had suppressed VL (<500 cp/ml) ( Figure 1 ). In multivariate analyses, factors associated with ignoring HIV+ status were being younger (p<0.001), being heterosexual compared to MSM, and of a region of origin other than Belgium, Sub‐Saharan Africa and Europe. Non‐Belgian regions of origin were associated with lower entry and retention in care (p<0.001 for both). Preoperative HIV testing was associated with lower entry in care (p=0.003). MSM had a higher retention in care (p<0.001), whilst IDU had lower retention (p=0.004). Low CD4 at first clinical contact and clinical reasons for HIV testing were independently associated with being on ART (p<0.001 for both); whilst prenatal HIV diagnosis was associated with lower proportion on ART (p=0.016) and lower proportion with suppressed VL among those on ART (p=0.005). Older age was associated with both being on ART and having suppressed VL among those on ART (p=0.007 and p<0.001 respectively), independently of time since HIV diagnosis ( Table 1 ). Conclusions Regions of origin and risk groups (MSM/heterosexual/IDU) are the main factors associated with ignorance of HIV seropositivity, entry and retention in ...