Effects of region of birth, educational level and age on late presentation among men who have sex with men newly diagnosed with HIV in a network of STI/HIV counselling and testing clinics in Spain

Diaz Franco, Asuncion; Del Romero, Jorge; Rodriguez, C; Alastrue, I; Belda, J; Bru, F J; Cámara, M M; Junquera, M L; Sanz, I; Viloria, L J; Gil, L; Martínez, E; Gual, F; Landa, M C; Pueyo, I; Ureña, José Manuel; Martínez, B; Varela, J A; Polo, A; Azpiri, M A; Diez Ruiz-Navarro, Mercedes; EPI-VIH Study Group

Effects of region of birth, educational level and age on late presentation among men who have sex with men newly diagnosed with HIV in a network of STI/HIV counselling and testing clinics in Spain

This paper analyses late presentation (LP) of HIV infection, and its determinants, among men who have sex with men (MSM) in Spain, newly diagnosed with HIV (2003-2011) in 15 sexually transmitted infection/HIV counselling and testing clinics. LP was defined as <350 CD4 cells/µL or AIDS. In total,...

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Autores:	Diaz Franco, Asuncion, Del Romero, Jorge, Rodriguez, C, Alastrue, I, Belda, J, Bru, F J, Cámara, M M, Junquera, M L, Sanz, I, Viloria, L J, Gil, L, Martínez, E, Gual, F, Landa, M C, Pueyo, I, Ureña, José Manuel, Martínez, B, Varela, J A, Polo, A, Azpiri, M A, Diez Ruiz-Navarro, Mercedes, EPI-VIH Study Group
Tipo de recurso:	artículo
Fecha de publicación:	2015
País:	España
Institución:	Instituto de Salud Carlos III (ISCIII)
Repositorio:	Repisalud
Idioma:	inglés
OAI Identifier:	oai:repisalud.isciii.es:20.500.12105/9002
Acceso en línea:	http://hdl.handle.net/20.500.12105/9002
Access Level:	acceso abierto
Palabra clave:	Adult Africa Age of Onset Community Health Centers Counseling Educational Status HIV Infections Humans Latin America Male Middle Aged Sexual Partners Sexually Transmitted Diseases Spain Delayed Diagnosis Homosexuality, Male

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spelling	Effects of region of birth, educational level and age on late presentation among men who have sex with men newly diagnosed with HIV in a network of STI/HIV counselling and testing clinics in SpainDiaz Franco, AsuncionDel Romero, JorgeRodriguez, CAlastrue, IBelda, JBru, F JCámara, M MJunquera, M LSanz, IViloria, L JGil, LMartínez, EGual, FLanda, M CPueyo, IUreña, José ManuelMartínez, BVarela, J APolo, AAzpiri, M ADiez Ruiz-Navarro, MercedesEPI-VIH Study GroupAdultAfricaAge of OnsetCommunity Health CentersCounselingEducational StatusHIV InfectionsHumansLatin AmericaMaleMiddle AgedSexual PartnersSexually Transmitted DiseasesSpainDelayed DiagnosisHomosexuality, MaleThis paper analyses late presentation (LP) of HIV infection, and its determinants, among men who have sex with men (MSM) in Spain, newly diagnosed with HIV (2003-2011) in 15 sexually transmitted infection/HIV counselling and testing clinics. LP was defined as <350 CD4 cells/µL or AIDS. In total, 3,081 MSM were included (2,499 having CD4/AIDS); overall LP was 25.3%. LP was higher in men older than 34 years, those not previously HIV-tested (adjusted odds ratio (aOR):3.1; 95% confidence intervals (CI):2.3-4.2) , and those tested > 12 months before diagnosis (12-24 months (aOR:1.4; 95% CI:1.0-2.0); > 24 months (aOR:2.2; 95% CI:1.7-3.0)). LP was less likely in MSM reporting a known HIV-infected partner as infection source or symptoms compatible with acute retroviral syndrome. 'Region of birth' interacted with 'educational level' and 'steady partner as infection source': only African and Latin-American MSM with low educational level were more likely to present late; Latin-American men attributing their infection to steady partner, but no other MSM, had LP more frequently. In Spain, HIV testing among MSM should be promoted, especially those > 34 years old and migrants with low educational level. The current recommendation that MSM be tested at least once a year is appropriate.European Centre for Disease Prevention and Control (ECDC)Fundación para la Investigación y la Prevención del Sida en España20202020-02-0320152015-04-0920152015-04-09research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/20.500.12105/9002reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)InglésengES 36303 02ES 36537 05ES 36794 08open accesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial-CompartirIgual 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/90022026-06-12T12:43:37Z
dc.title.none.fl_str_mv	Effects of region of birth, educational level and age on late presentation among men who have sex with men newly diagnosed with HIV in a network of STI/HIV counselling and testing clinics in Spain
title	Effects of region of birth, educational level and age on late presentation among men who have sex with men newly diagnosed with HIV in a network of STI/HIV counselling and testing clinics in Spain
spellingShingle	Effects of region of birth, educational level and age on late presentation among men who have sex with men newly diagnosed with HIV in a network of STI/HIV counselling and testing clinics in Spain Diaz Franco, Asuncion Adult Africa Age of Onset Community Health Centers Counseling Educational Status HIV Infections Humans Latin America Male Middle Aged Sexual Partners Sexually Transmitted Diseases Spain Delayed Diagnosis Homosexuality, Male
title_short	Effects of region of birth, educational level and age on late presentation among men who have sex with men newly diagnosed with HIV in a network of STI/HIV counselling and testing clinics in Spain
title_full	Effects of region of birth, educational level and age on late presentation among men who have sex with men newly diagnosed with HIV in a network of STI/HIV counselling and testing clinics in Spain
title_fullStr	Effects of region of birth, educational level and age on late presentation among men who have sex with men newly diagnosed with HIV in a network of STI/HIV counselling and testing clinics in Spain
title_full_unstemmed	Effects of region of birth, educational level and age on late presentation among men who have sex with men newly diagnosed with HIV in a network of STI/HIV counselling and testing clinics in Spain
title_sort	Effects of region of birth, educational level and age on late presentation among men who have sex with men newly diagnosed with HIV in a network of STI/HIV counselling and testing clinics in Spain
dc.creator.none.fl_str_mv	Diaz Franco, Asuncion Del Romero, Jorge Rodriguez, C Alastrue, I Belda, J Bru, F J Cámara, M M Junquera, M L Sanz, I Viloria, L J Gil, L Martínez, E Gual, F Landa, M C Pueyo, I Ureña, José Manuel Martínez, B Varela, J A Polo, A Azpiri, M A Diez Ruiz-Navarro, Mercedes EPI-VIH Study Group
author	Diaz Franco, Asuncion
author_facet	Diaz Franco, Asuncion Del Romero, Jorge Rodriguez, C Alastrue, I Belda, J Bru, F J Cámara, M M Junquera, M L Sanz, I Viloria, L J Gil, L Martínez, E Gual, F Landa, M C Pueyo, I Ureña, José Manuel Martínez, B Varela, J A Polo, A Azpiri, M A Diez Ruiz-Navarro, Mercedes EPI-VIH Study Group
author_role	author
author2	Del Romero, Jorge Rodriguez, C Alastrue, I Belda, J Bru, F J Cámara, M M Junquera, M L Sanz, I Viloria, L J Gil, L Martínez, E Gual, F Landa, M C Pueyo, I Ureña, José Manuel Martínez, B Varela, J A Polo, A Azpiri, M A Diez Ruiz-Navarro, Mercedes EPI-VIH Study Group
author2_role	author author author author author author author author author author author author author author author author author author author author author
dc.contributor.none.fl_str_mv	Fundación para la Investigación y la Prevención del Sida en España
dc.subject.none.fl_str_mv	Adult Africa Age of Onset Community Health Centers Counseling Educational Status HIV Infections Humans Latin America Male Middle Aged Sexual Partners Sexually Transmitted Diseases Spain Delayed Diagnosis Homosexuality, Male
topic	Adult Africa Age of Onset Community Health Centers Counseling Educational Status HIV Infections Humans Latin America Male Middle Aged Sexual Partners Sexually Transmitted Diseases Spain Delayed Diagnosis Homosexuality, Male
description	This paper analyses late presentation (LP) of HIV infection, and its determinants, among men who have sex with men (MSM) in Spain, newly diagnosed with HIV (2003-2011) in 15 sexually transmitted infection/HIV counselling and testing clinics. LP was defined as <350 CD4 cells/µL or AIDS. In total, 3,081 MSM were included (2,499 having CD4/AIDS); overall LP was 25.3%. LP was higher in men older than 34 years, those not previously HIV-tested (adjusted odds ratio (aOR):3.1; 95% confidence intervals (CI):2.3-4.2) , and those tested > 12 months before diagnosis (12-24 months (aOR:1.4; 95% CI:1.0-2.0); > 24 months (aOR:2.2; 95% CI:1.7-3.0)). LP was less likely in MSM reporting a known HIV-infected partner as infection source or symptoms compatible with acute retroviral syndrome. 'Region of birth' interacted with 'educational level' and 'steady partner as infection source': only African and Latin-American MSM with low educational level were more likely to present late; Latin-American men attributing their infection to steady partner, but no other MSM, had LP more frequently. In Spain, HIV testing among MSM should be promoted, especially those > 34 years old and migrants with low educational level. The current recommendation that MSM be tested at least once a year is appropriate.
publishDate	2015
dc.date.none.fl_str_mv	2015 2015-04-09 2015 2015-04-09 2020 2020-02-03
dc.type.none.fl_str_mv	research article http://purl.org/coar/resource_type/c_2df8fbb1 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv	info:eu-repo/semantics/article
format	article
dc.identifier.none.fl_str_mv	http://hdl.handle.net/20.500.12105/9002
url	http://hdl.handle.net/20.500.12105/9002
dc.language.none.fl_str_mv	Inglés eng
language_invalid_str_mv	Inglés
language	eng
dc.relation.none.fl_str_mv	ES 36303 02 ES 36537 05 ES 36794 08
dc.rights.none.fl_str_mv	open access http://purl.org/coar/access_right/c_abf2 Atribución-NoComercial-CompartirIgual 4.0 Internacional http://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.openaire.fl_str_mv	info:eu-repo/semantics/openAccess
rights_invalid_str_mv	open access http://purl.org/coar/access_right/c_abf2 Atribución-NoComercial-CompartirIgual 4.0 Internacional http://creativecommons.org/licenses/by-nc-sa/4.0/
eu_rights_str_mv	openAccess
dc.format.none.fl_str_mv	application/pdf
dc.publisher.none.fl_str_mv	European Centre for Disease Prevention and Control (ECDC)
publisher.none.fl_str_mv	European Centre for Disease Prevention and Control (ECDC)
dc.source.none.fl_str_mv	reponame:Repisalud instname:Instituto de Salud Carlos III (ISCIII)
instname_str	Instituto de Salud Carlos III (ISCIII)
reponame_str	Repisalud
collection	Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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Effects of region of birth, educational level and age on late presentation among men who have sex with men newly diagnosed with HIV in a network of STI/HIV counselling and testing clinics in Spain

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