Determinants and Outcomes of Late Presentation of HIV Infection in Migrants in Catalonia, Spain: PISCIS Cohort 2004-2016
Por:
Conway, AS, Esteve, A, Fernandez-Quevedo, M, Casabona, J, Miro, JM, Riera, AB, Montoliu, A, Reyes, J, Muntada, E, Bruguera, A, Podzamczer, D, Domingo, P, Llibre, JM, Riera, S, Navarro, G, Cortes, C, Falco, V, Gatell, JM, Manzardo, C, Clotet, B, Ferrer, E, Segura, F, Force, L, Vilaro, J, Masabeu, A, Leon, E, Cifuentes, C, Homar, F, Dalmau, D, Jaen, A, Mateo, MG, Gutierrez, MD, Loureiro, E, Curran, A, Puig, T, Agusti, C, Vidal, F, Peraire, J, Orti, A, Almuedo, A, Montoliu, A, De Lazzari, E, Giralt, D, Gargoulas, F, Rubia, JC, Vila, J, Ambrosioni, J, Zamora, L, Blanco, JL, Garcia-Alcaide, F, Martinez, E, Mallolas, J, Sirera, G, Romeu, J, Jou, A, Negredo, E, Saumoy, M, Imaz, A, Bolao, F, Cabellos, C, Pena, C, DiYacovo, S, Van Den Eynde, E, Sala, M, Cervantes, M, Amengual, MJ, Navarro, M, Segura, V, Barrufet, P, Payeras, T, Gurgui, M, Utrillo, L, Meyer, S and Hernandez, J
Publicada:
1 oct 2019
Resumen:
This study using the Catalan PISCIS cohort explores risk factors of migrants' late presentation and the impact of late presentation on their health outcomes. We analyse 9590 new HIV diagnoses enrolled in the cohort between 2004 and 2016. Univariate and multivariate logistic regression models are used to identify risk factors associated with late presentation among migrants, giving crude and adjusted odds ratios and their 95% confidence intervals. Cox regression models are estimated to identify risk factors associated with AIDS/death, and crude and adjusted hazard ratios and 95% confidence intervals are reported. Late presentation is higher in migrants than non-migrants. Among migrants, region of origin is associated with late presentation and AIDS/death during follow-up. The results highlight persisting inequalities in HIV diagnosis and care among migrants in Catalonia. Targeted interventions addressed to specific subgroups in the migrant population are needed.
Filiaciones:
:
Generalitat Catalunya, Dept Salut, Ctr Epidemiol Studies Sexually Transmitted Dis &, Barcelona, Catalonia, Spain
Inst Hlth Sci Res Germans Trias & Pujol IGTP, Badalona, Spain
:
Generalitat Catalunya, Dept Salut, Ctr Epidemiol Studies Sexually Transmitted Dis &, Barcelona, Catalonia, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Inst Hlth Sci Res Germans Trias & Pujol IGTP, Badalona, Spain
Univ Autonoma Barcelona, Dept Paediat Obstet & Gynaecol, Badalona, Spain
Univ Autonoma Barcelona, Prevent Med, Badalona, Spain
Fernandez-Quevedo, M:
Agencia Salut Publ Barcelona, Barcelona, Spain
:
Generalitat Catalunya, Dept Salut, Ctr Epidemiol Studies Sexually Transmitted Dis &, Barcelona, Catalonia, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Inst Hlth Sci Res Germans Trias & Pujol IGTP, Badalona, Spain
Univ Autonoma Barcelona, Dept Paediat Obstet & Gynaecol, Badalona, Spain
Univ Autonoma Barcelona, Prevent Med, Badalona, Spain
CIBERESP, Ctr Estudis Epidemiol Infecc Transmissio Sexual &, Madrid, Spain
CIBERESP, CEEISCAT, Madrid, Spain
Miro, JM:
Univ Barcelona, Hosp Clin, IDIBAPS, Barcelona, Spain
Riera, AB:
CEEISCAT, Madrid, Spain
:
CEEISCAT, Madrid, Spain
:
CEEISCAT, Madrid, Spain
:
CEEISCAT, Madrid, Spain
:
CEEISCAT, Madrid, Spain
Podzamczer, D:
Hosp Univ Bellvitge, IDIBELL, Lhospitalet De Llobregat, Spain
Domingo, P:
Hosp Santa Creu & Sant Pau, Barcelona, Spain
:
Hosp Badalona Germans Trias & Pujol, Barcelona, Spain
Riera, S:
Hosp Son Espases, Mallorca, Spain
Navarro, G:
Univ Autonoma Barcelona, Corp Sanitaria & Univ Parc Tauli, Barcelona, Spain
Cortes, C:
Hosp Gen Hospitalet, Lhospitalet De Llobregat, Spain
Falco, V:
Hosp Univ Vall dHebron, Barcelona, Spain
Gatell, JM:
Univ Barcelona, Hosp Clin, IDIBAPS, Barcelona, Spain
Manzardo, C:
Univ Barcelona, Hosp Clin, IDIBAPS, Barcelona, Spain
:
Univ Autonoma Barcelona, Hosp Univ Germans Trias & Pujol, Fundacio Irsicaixa, Fundacio Lluita Sida, Barcelona, Spain
Ferrer, E:
Hosp Univ Bellvitge, IDIBELL, Lhospitalet De Llobregat, Spain
Segura, F:
Univ Autonoma Barcelona, Corp Sanitaria & Univ Parc Tauli, Barcelona, Spain
Force, L:
Consorci Sanitari Maresme, Hosp Mataro, Mataro, Spain
Vilaro, J:
Hosp Gen Vic, Vic, Spain
Masabeu, A:
Hosp Palamos, Palamos, Spain
Leon, E:
Hosp Gen Hospitalet, Lhospitalet De Llobregat, Spain
Cifuentes, C:
Hosp Son Llatzer, Palma De Mallorca, Spain
Homar, F:
Hosp Son Llatzer, Palma De Mallorca, Spain
Dalmau, D:
Hosp Univ Mutua Terrassa, Terrassa, Spain
Jaen, A:
Hosp Univ Mutua Terrassa, Terrassa, Spain
Mateo, MG:
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Gutierrez, MD:
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Loureiro, E:
CEEISCAT, Madrid, Spain
Curran, A:
Hosp Univ Vall dHebron, Barcelona, Spain
Puig, T:
Hosp Santa Maria, Cadiz, Spain
:
CEEISCAT, Madrid, Spain
Vidal, F:
Hosp Joan 23, Tarragona, Spain
Peraire, J:
Hosp Joan 23, Tarragona, Spain
Orti, A:
Hosp Verge Cinta Tortosa, Tortosa, Spain
Almuedo, A:
Hosp Gen Granollers, Granollers, Spain
Montoliu, A:
CEEISCAT, Madrid, Spain
De Lazzari, E:
Univ Barcelona, Hosp Clin, IDIBAPS, Barcelona, Spain
Giralt, D:
Hosp Univ Bellvitge, IDIBELL, Lhospitalet De Llobregat, Spain
Gargoulas, F:
Hosp Son Espases, Mallorca, Spain
Hosp Son Llatzer, Palma De Mallorca, Spain
Rubia, JC:
Hosp Gen Hospitalet, Lhospitalet De Llobregat, Spain
Vila, J:
Serv Salut Integrats Baix Emporda, Palamos, Spain
Ambrosioni, J:
Univ Barcelona, Hosp Clin, IDIBAPS, Barcelona, Spain
Zamora, L:
Univ Barcelona, Hosp Clin, IDIBAPS, Barcelona, Spain
Blanco, JL:
Univ Barcelona, Hosp Clin, IDIBAPS, Barcelona, Spain
Garcia-Alcaide, F:
Univ Barcelona, Hosp Clin, IDIBAPS, Barcelona, Spain
Martinez, E:
Univ Barcelona, Hosp Clin, IDIBAPS, Barcelona, Spain
Mallolas, J:
Univ Barcelona, Hosp Clin, IDIBAPS, Barcelona, Spain
:
Univ Autonoma Barcelona, Hosp Univ Germans Trias & Pujol, Fundacio Irsicaixa, Fundacio Lluita Sida, Barcelona, Spain
Romeu, J:
Univ Autonoma Barcelona, Hosp Univ Germans Trias & Pujol, Fundacio Irsicaixa, Fundacio Lluita Sida, Barcelona, Spain
:
Univ Autonoma Barcelona, Hosp Univ Germans Trias & Pujol, Fundacio Irsicaixa, Fundacio Lluita Sida, Barcelona, Spain
:
Univ Autonoma Barcelona, Hosp Univ Germans Trias & Pujol, Fundacio Irsicaixa, Fundacio Lluita Sida, Barcelona, Spain
Saumoy, M:
Hosp Univ Bellvitge, IDIBELL, Lhospitalet De Llobregat, Spain
Imaz, A:
Hosp Univ Bellvitge, IDIBELL, Lhospitalet De Llobregat, Spain
Bolao, F:
Hosp Univ Bellvitge, IDIBELL, Lhospitalet De Llobregat, Spain
Cabellos, C:
Hosp Univ Bellvitge, IDIBELL, Lhospitalet De Llobregat, Spain
Pena, C:
Hosp Univ Bellvitge, IDIBELL, Lhospitalet De Llobregat, Spain
DiYacovo, S:
Hosp Univ Bellvitge, IDIBELL, Lhospitalet De Llobregat, Spain
Van Den Eynde, E:
Hosp Univ Bellvitge, IDIBELL, Lhospitalet De Llobregat, Spain
Sala, M:
Univ Autonoma Barcelona, Corp Sanitaria & Univ Parc Tauli, Barcelona, Spain
Cervantes, M:
Univ Autonoma Barcelona, Corp Sanitaria & Univ Parc Tauli, Barcelona, Spain
Amengual, MJ:
Univ Autonoma Barcelona, Corp Sanitaria & Univ Parc Tauli, Barcelona, Spain
Navarro, M:
Univ Autonoma Barcelona, Corp Sanitaria & Univ Parc Tauli, Barcelona, Spain
Segura, V:
Univ Autonoma Barcelona, Corp Sanitaria & Univ Parc Tauli, Barcelona, Spain
Barrufet, P:
Consorci Sanitari Maresme, Hosp Mataro, Mataro, Spain
Payeras, T:
Hosp Son Llatzer, Palma De Mallorca, Spain
Gurgui, M:
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Utrillo, L:
Hosp Santa Maria, Cadiz, Spain
Meyer, S:
Comite Ler Desembre, Madrid, Spain
Hernandez, J:
Comite Ler Desembre, Madrid, Spain
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