Journal of Immigrant and Minority Health
Volume 21, Issue 5, 2019, Pages 920-930

Determinants and Outcomes of Late Presentation of HIV Infection in Migrants in Catalonia, Spain: PISCIS Cohort 2004–2016 (Article)

Conway A.S.* , Esteve A. , Fernández-Quevedo M. , Casabona J. , PISCIS Study Group
  • a Centre for Epidemiological Studies of Sexually Transmitted Disease and AIDS in Catalonia (CEEISCAT), Dept Salut, Generalitat de Catalunya, Barcelona, Catalonia, Spain, Institute for Health Science Research Germans Trias i Pujol (IGTP), Badalona, Spain
  • b Centre for Epidemiological Studies of Sexually Transmitted Disease and AIDS in Catalonia (CEEISCAT), Dept Salut, Generalitat de Catalunya, Barcelona, Catalonia, Spain, CIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain, Institute for Health Science Research Germans Trias i Pujol (IGTP), Badalona, Spain, Department Paediatrics, Obstetrics and Gynaecology, and Preventive Medicine, Univ. Autonoma de Barcelona, Badalona, Spain
  • c Agència de Salut Pública de Barcelona, Barcelona, Spain
  • d Centre for Epidemiological Studies of Sexually Transmitted Disease and AIDS in Catalonia (CEEISCAT), Dept Salut, Generalitat de Catalunya, Barcelona, Catalonia, Spain, CIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain, Institute for Health Science Research Germans Trias i Pujol (IGTP), Badalona, Spain, Department Paediatrics, Obstetrics and Gynaecology, and Preventive Medicine, Univ. Autonoma de Barcelona, Badalona, Spain
  • e [Affiliation not available]

Abstract

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. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

Author Keywords

Cohort Late presentation with HIV HIV inequalities Spain HIV Migrant health

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85071735880&doi=10.1007%2fs10903-018-0834-2&partnerID=40&md5=c9d516dabb8a27376a034a1d2e6db297
DOI: 10.1007/s10903-018-0834-2
ISSN: 15571912
Original Language: English