Title |
Late Presentation and Loss to Follow-Up of Immigrants Newly Diagnosed with HIV in the HAART Era
|
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Published in |
Journal of Immigrant and Minority Health, August 2013
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DOI | 10.1007/s10903-013-9863-z |
Pubmed ID | |
Authors |
A. Saracino, A. Tartaglia, G. Trillo, C. Muschitiello, C. Bellacosa, G. Brindicci, L. Monno, G. Angarano |
Abstract |
To compare clinical characteristics and therapeutic management of newly HIV-diagnosed immigrants to natives. Patients with a first HIV diagnosis from 1996 to 2010 were included. Of 716 new diagnoses, 85 (12 %) were immigrants. Migrants were younger, more frequently females and sexually infected, less likely to voluntarily request testing, and less HCV-coinfected. Late presenters (CD4 <350 or AIDS) were 76 % among migrants versus 56 % in natives (p = 0.006) with an increasing trend over time. HAART was initiated in 76.5 % of natives and 72.4 % of immigrants; the number/type of adverse events and treatment discontinuation were similar. Immigrants received more NNRTIs-based regimens. A similar proportion of patients reached virological suppression at month 1-3-6 after HAART initiation, but 43 % of immigrants versus 27 % of natives resulted lost to follow-up (p < 0.001). Diagnosis of HIV was often delayed among migrants, who also presented a higher rate of lost to follow-up. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 67% |
Unknown | 1 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 67% |
Practitioners (doctors, other healthcare professionals) | 1 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Italy | 1 | 2% |
Unknown | 49 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 12 | 24% |
Student > Master | 8 | 16% |
Student > Ph. D. Student | 6 | 12% |
Other | 4 | 8% |
Unspecified | 3 | 6% |
Other | 6 | 12% |
Unknown | 11 | 22% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 24 | 48% |
Social Sciences | 4 | 8% |
Unspecified | 3 | 6% |
Psychology | 3 | 6% |
Nursing and Health Professions | 2 | 4% |
Other | 5 | 10% |
Unknown | 9 | 18% |