Good continuum of HIV care in Belgium despite weaknesses in retention and linkage to care among migrants ; Bon continuum de soins de l'infection HIV en Belgique malgré les faiblesses observées au sein de la population des migrants
peer reviewed ; Background: The Belgian HIV epidemic is largely concentrated among men who have sex with men and Sub-Saharan Africans. We studied the continuum of HIV care of those diagnosed with HIV living in Belgium and its associated factors. Methods: Data on new HIV diagnoses 2007-2010 and HIV-infected patients in care in 2010-2011 were analysed. Proportions were estimated for each sequential stage of the continuum of HIV care and factors associated with attrition at each stage were studied. Results: Of all HIV diagnosed patients living in Belgium in 2011, an estimated 98.2 % were linked t... Mehr ...
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Dokumenttyp: | journal article |
Erscheinungsdatum: | 2015 |
Verlag/Hrsg.: |
BioMed Central Ltd.
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Schlagwörter: | Belgium / Cascade / Continuum of care / HIV / Migrants / Africa south of the Sahara / Article / CD4 lymphocyte count / Human immunodeficiency virus infection / Black person / HIV Infections / Adult / African Continental Ancestry Group / Anti-Retroviral Agents / Continuity of Patient Care / Drug Users / Female / Health Surveys / Humans / Male / Patient Acceptance of Health Care / Transients and Migrants / Viral Load / Human health sciences / Immunology & infectious disease / Sciences de la santé humaine / Immunologie & maladie infectieuse |
Sprache: | Englisch |
Permalink: | https://search.fid-benelux.de/Record/base-28534572 |
Datenquelle: | BASE; Originalkatalog |
Powered By: | BASE |
Link(s) : | https://orbi.uliege.be/handle/2268/232916 |
peer reviewed ; Background: The Belgian HIV epidemic is largely concentrated among men who have sex with men and Sub-Saharan Africans. We studied the continuum of HIV care of those diagnosed with HIV living in Belgium and its associated factors. Methods: Data on new HIV diagnoses 2007-2010 and HIV-infected patients in care in 2010-2011 were analysed. Proportions were estimated for each sequential stage of the continuum of HIV care and factors associated with attrition at each stage were studied. Results: Of all HIV diagnosed patients living in Belgium in 2011, an estimated 98.2 % were linked to HIV care, 90.8 % were retained in care, 83.3 % received antiretroviral therapy and 69.5 % had an undetectable viral load (<50 copies/ml). After adjustment for sex, age at diagnosis, nationality and mode of transmission, we found lower entry into care in non-Belgians and after preoperative HIV diagnoses; lower retention in non-Belgians and injecting drug users; higher retention in men who have sex with men and among those on ART. Younger patients had lower antiretroviral therapy uptake and less viral suppression; those with longer time from diagnosis had higher ART uptake and more viral suppression; Sub-Saharan Africans on ART had slightly less viral suppression. Conclusions: The continuum of HIV care in Belgium presents low attrition rates over all stages. The undiagnosed HIV-infected population, although not precisely estimated, but probably close to 20 % based on available survey and surveillance results, could be the weakest stage of the continuum of HIV care. Its identification is a priority along with improving the HIV care continuum of migrants. © 2015 Van Beckhoven et al.