Details

Autor(en) / Beteiligte

• Lauscher, Paul
• Hanhoff, Nikola
• Valbert, Frederik
• Schewe, Knud
• Koegl, Christine
• Bickel, Markus
• Hoffmann, Christian
• Stephan, Christoph
• Pauli, Ramona
• Preis, Stefan
• Neumann, Anja
• Wolf, Eva

Titel

Socio-demographic and psycho-social determinants of HIV late presentation in Germany - results from the FindHIV study

Ist Teil von

• AIDS care, 2023-11, Vol.35 (11), p.1749-1759

Ort / Verlag

England: Taylor & Francis

Erscheinungsjahr

2023

Quelle

Applied Social Sciences Index & Abstracts (ASSIA)

Beschreibungen/Notizen

• 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).