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Factors associated with presenting late or with advanced HIV disease in the Netherlands, 1996-2014: results from a national observational cohort
- Source :
- Op De Coul, E L M, Van Sighem, A, Brinkman, K, Van Benthem, B H, Van Der Ende, M E, Geerlings, S, Reiss, P, Prins, J M, Kuijpers, T W, Scherpbier, H J, Van Der Meer, J T M, Wit, F W N M, Godfried, M H, Reiss, P, Van Der Poll, T, Nellen, F J B, Geerlings, S E, Van Vugt, M, Pajkrt, D, Bos, J C, Wiersinga, W J, Van Der Valk, M, Goorhuis, A, Hovius, J W, Van Eden, J, Henderiks, A, Van Hes, A M H, Mutschelknauss, M, Nobel, H E, Pijnappel, F J J, Westerman, A M, Jurriaans, S, Back, N K T, Zaaijer, H L, Berkhout, B, Cornelissen, M T E, Schinkel, C J, Thomas, X V, De Ruyter Ziekenhuis, A, Van Den Berge, M, Stegeman, A, Baas, S, De Looff, L H, Versteeg, D, Pronk, M J H, Ammerlaan, H S M, Korsten-Vorstermans, E M H M, De Munnik, E S, Tjhie, J, Wegdam, M C A, Weijsenfeld, A M, Van Der Ende, M E, De Vries-Sluijs, T E M S, Van Gorp, E C M, Schurink, C A M, Nouwen, J L, Verbon, A, Rijnders, B J A, Bax, H I, Hassing, R J, Van Der Feltz, M, Bassant, N, Van Beek, J E A, Vriesde, M, Van Zonneveld, L M, De Oude-Lubbers, A, Van Den Berg-Cameron, H J, Bruinsma-Broekman, F B, De Groot, J, De Zeeuw-De Man, M, Broekhoven-Kruijne, M J, Schutten, M, Osterhaus, A D M E, Boucher, C A B, Driessen, G J A, Van Rossum, A M C, Van Der Knaap, L C, Visser, E, Branger, J, Duijf-Van De Ven, C J H M, Schippers, E F, Van Nieuwkoop, C, Brimicombe, R W, VanJperen, J M, Van Der Hut, G, Franck, P F H, Van Eeden, A, Groot, M, Kwa, I S, Bouwhuis, J W, Van Hulzen, A G W, Bor, P C J, Bloembergen, P, Wolfhagen, M J H M, Ruijs, G J H M, Soetekouw, R, Van Der Prijt, L M M, Schoemaker, M, Van Der Reijden, W A, Jansen, R, Herpers, B L, Kroon, F P, Arend, S M, De Boer, M G J, Bauer, M P, Jolink, H, Vollaard, A M, Moons, C, Kroes, A C M, Pogany, K, Smit, J V, Smit, E, Van Niekerk, T, Pontesilli, O, Lashof, A O, Posthouwer, D, Schippers, J, Vergoossen, R, Loo, I H, El Moussaoui, R, Van Twillert, G, Stuart, J W T C, Diederen, B M W, Van Truijen-Oud, F A, Jansen, R, Gelinck, L B S, Meerkerk, C, Wildenbeest, G S, Jansen, C L, Van Houte, D P F, Faber, S, Delsing, C E, Heins, H, Frissen, P H J, Blok, W L, Schouten, W E M, Van Den Berk, G E L, Brouwer, C J, Geerders, G F, Hoeksema, K, Kleene, M J, Van Der Meché, I B, Toonen, A J M, Wijnands, S, Keuter, M, Van Der Ven, A J A M, Hofstede, H T, Dofferhoff, A S M, Van Crevel, R, Bosch, M E W, Grintjes-Huisman, K J T, Zomer, B J, Van Der Berg, J P, Gisolf, E H, Van Bentum, P H M, Langebeek, N, Swanink, C M A, Lettinga, K D, Sulman, H, Witte, E, Vrouenraets, S M E, Lauw, F N, Paap, H, Vlasblom, D J, Rosingh, A W, Brouwer, A E, Kuipers, M, Santegoets, R M W J, Van Der Ven, B, Buiting, A G M, Kabel, P J, Sprenger, H G, Scholvinck, E H, Van Assen, S, Wilting, K R, Stienstra, Y, Van Der Meulen, P A, De Weerd, D A, Riezebos-Brilman, A, Van Leer-Buter, C C, Schneider, M M E, Mudrikova, T, Ellerbroek, P M, Oosterheert, J J, Arends, J E, Barth, R E, Wassenberg, M W M, Laan, L M, Van Oers-Hazelzet, E E B, Patist, J, Vervoort, S, Frauenfelder, R, Verduyn-Lunel, F, Wensing, A M J, Van Agtmael, M A, Perenboom, R M, Bomers, M, De Vocht, J, Vandenbroucke-Grauls, C M J E, Ang, C W, Wolfs, T F W, Bont, L J, Gras, L, Van Sighem, A I, Smit, C, Hillebregt, M, Kimmel, V, Tong, Y, Van Den Boogaard, R, Hoekstra, P, De Lang, A, Berkhout, M, Grivell, S, Jansen, A, Van Den Akker, M, Bergsma, D, Lodewijk, C, Meijering, R, Peeck, B, Raethke, M, Ree, C, Regtop, R, Ruijs, Y, Schoorl, M, Tuijn, E, Veenenberg, L, Woudstra, T, Bakker, Y, De Jong, A, Broekhoven, M, Claessen, E, Rademaker, M J, Munjishvili, L & Kruijne, E 2016, ' Factors associated with presenting late or with advanced HIV disease in the Netherlands, 1996 2014 : Results from a national observational cohort ', BMJ Open, vol. 6, no. 1, e009688 . https://doi.org/10.1136/bmjopen-2015-009688, BMJ open, 6(1). BMJ Publishing Group, BMJ Open, 6, 1, pp. e009688, BMJ Open, 6(1). BMJ Publishing Group, BMJ Open, 6, e009688, BMJ Open, 6(1):e009688. BMJ Publishing Group, BMJ Open, 6(1), BMJ Open
- Publication Year :
- 2016
-
Abstract
- Contains fulltext : 172538.pdf (Publisher’s version ) (Open Access) OBJECTIVES: Early testing for HIV and entry into care are crucial to optimise treatment outcomes of HIV-infected patients and to prevent spread of HIV. We examined risk factors for presentation with late or advanced disease in HIV-infected patients in the Netherlands. METHODS: HIV-infected patients registered in care between January 1996 and June 2014 were selected from the ATHENA national observational HIV cohort. Risk factors for late presentation and advanced disease were analysed by multivariable logistic regression. Furthermore, geographical differences and time trends were examined. RESULTS: Of 20 965 patients, 53% presented with late-stage HIV infection, and 35% had advanced disease. Late presentation decreased from 62% (1996) to 42% (2013), while advanced disease decreased from 46% to 26%. Late presentation only declined significantly among men having sex with men (MSM; p /=50 years (1.46; CI 1.33 to 1.60 vs 30-49 years), region of origin (South-East Asia 2.14; 1.80 to 2.54, sub-Saharan Africa 2.11; 1.88 to 2.36, Surinam 1.59; 1.37 to 1.84, Caribbean 1.31; 1.13 to 1.53, Latin America 1.23; 1.04 to 1.46 vs the Netherlands), and location of HIV diagnosis (hospital 3.27; 2.94 to 3.63, general practitioner 1.66; 1.50 to 1.83, antenatal screening 1.76; 1.38 to 2.34 vs sexually transmitted infection clinic). No association was found for socioeconomic status or level of urbanisation. Compared with Amsterdam, 2 regions had higher adjusted odds and 2 regions had lower odds of late presentation. Results were highly similar for advanced disease. CONCLUSIONS: Although the overall rate of late presentation is declining in the Netherlands, targeted programmes to reduce late HIV diagnoses remain needed for all risk groups, but should be prioritised for heterosexual males, migrant populations, people aged >/=50 years and certain regions in the Netherlands.
- Subjects :
- Male
Pediatrics
Delayed Diagnosis
Epidemiology
General Practice
Health Behavior
lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4]
HIV Infections
Logistic regression
Cohort Studies
0302 clinical medicine
Risk Factors
Ethnicity
030212 general & internal medicine
Young adult
Netherlands
Transients and Migrants
Age Factors
Prenatal Care
General Medicine
Middle Aged
Hospitals
Cohort
Disease Progression
Female
0305 other medical science
Sexuality
Cohort study
Adult
medicine.medical_specialty
Emigrants and Immigrants
Prenatal care
03 medical and health sciences
Young Adult
Acquired immunodeficiency syndrome (AIDS)
SDG 3 - Good Health and Well-being
medicine
Humans
Socioeconomic status
030505 public health
business.industry
Research
medicine.disease
lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4]
business
Demography
Subjects
Details
- ISSN :
- 20446055
- Database :
- OpenAIRE
- Journal :
- Op De Coul, E L M, Van Sighem, A, Brinkman, K, Van Benthem, B H, Van Der Ende, M E, Geerlings, S, Reiss, P, Prins, J M, Kuijpers, T W, Scherpbier, H J, Van Der Meer, J T M, Wit, F W N M, Godfried, M H, Reiss, P, Van Der Poll, T, Nellen, F J B, Geerlings, S E, Van Vugt, M, Pajkrt, D, Bos, J C, Wiersinga, W J, Van Der Valk, M, Goorhuis, A, Hovius, J W, Van Eden, J, Henderiks, A, Van Hes, A M H, Mutschelknauss, M, Nobel, H E, Pijnappel, F J J, Westerman, A M, Jurriaans, S, Back, N K T, Zaaijer, H L, Berkhout, B, Cornelissen, M T E, Schinkel, C J, Thomas, X V, De Ruyter Ziekenhuis, A, Van Den Berge, M, Stegeman, A, Baas, S, De Looff, L H, Versteeg, D, Pronk, M J H, Ammerlaan, H S M, Korsten-Vorstermans, E M H M, De Munnik, E S, Tjhie, J, Wegdam, M C A, Weijsenfeld, A M, Van Der Ende, M E, De Vries-Sluijs, T E M S, Van Gorp, E C M, Schurink, C A M, Nouwen, J L, Verbon, A, Rijnders, B J A, Bax, H I, Hassing, R J, Van Der Feltz, M, Bassant, N, Van Beek, J E A, Vriesde, M, Van Zonneveld, L M, De Oude-Lubbers, A, Van Den Berg-Cameron, H J, Bruinsma-Broekman, F B, De Groot, J, De Zeeuw-De Man, M, Broekhoven-Kruijne, M J, Schutten, M, Osterhaus, A D M E, Boucher, C A B, Driessen, G J A, Van Rossum, A M C, Van Der Knaap, L C, Visser, E, Branger, J, Duijf-Van De Ven, C J H M, Schippers, E F, Van Nieuwkoop, C, Brimicombe, R W, VanJperen, J M, Van Der Hut, G, Franck, P F H, Van Eeden, A, Groot, M, Kwa, I S, Bouwhuis, J W, Van Hulzen, A G W, Bor, P C J, Bloembergen, P, Wolfhagen, M J H M, Ruijs, G J H M, Soetekouw, R, Van Der Prijt, L M M, Schoemaker, M, Van Der Reijden, W A, Jansen, R, Herpers, B L, Kroon, F P, Arend, S M, De Boer, M G J, Bauer, M P, Jolink, H, Vollaard, A M, Moons, C, Kroes, A C M, Pogany, K, Smit, J V, Smit, E, Van Niekerk, T, Pontesilli, O, Lashof, A O, Posthouwer, D, Schippers, J, Vergoossen, R, Loo, I H, El Moussaoui, R, Van Twillert, G, Stuart, J W T C, Diederen, B M W, Van Truijen-Oud, F A, Jansen, R, Gelinck, L B S, Meerkerk, C, Wildenbeest, G S, Jansen, C L, Van Houte, D P F, Faber, S, Delsing, C E, Heins, H, Frissen, P H J, Blok, W L, Schouten, W E M, Van Den Berk, G E L, Brouwer, C J, Geerders, G F, Hoeksema, K, Kleene, M J, Van Der Meché, I B, Toonen, A J M, Wijnands, S, Keuter, M, Van Der Ven, A J A M, Hofstede, H T, Dofferhoff, A S M, Van Crevel, R, Bosch, M E W, Grintjes-Huisman, K J T, Zomer, B J, Van Der Berg, J P, Gisolf, E H, Van Bentum, P H M, Langebeek, N, Swanink, C M A, Lettinga, K D, Sulman, H, Witte, E, Vrouenraets, S M E, Lauw, F N, Paap, H, Vlasblom, D J, Rosingh, A W, Brouwer, A E, Kuipers, M, Santegoets, R M W J, Van Der Ven, B, Buiting, A G M, Kabel, P J, Sprenger, H G, Scholvinck, E H, Van Assen, S, Wilting, K R, Stienstra, Y, Van Der Meulen, P A, De Weerd, D A, Riezebos-Brilman, A, Van Leer-Buter, C C, Schneider, M M E, Mudrikova, T, Ellerbroek, P M, Oosterheert, J J, Arends, J E, Barth, R E, Wassenberg, M W M, Laan, L M, Van Oers-Hazelzet, E E B, Patist, J, Vervoort, S, Frauenfelder, R, Verduyn-Lunel, F, Wensing, A M J, Van Agtmael, M A, Perenboom, R M, Bomers, M, De Vocht, J, Vandenbroucke-Grauls, C M J E, Ang, C W, Wolfs, T F W, Bont, L J, Gras, L, Van Sighem, A I, Smit, C, Hillebregt, M, Kimmel, V, Tong, Y, Van Den Boogaard, R, Hoekstra, P, De Lang, A, Berkhout, M, Grivell, S, Jansen, A, Van Den Akker, M, Bergsma, D, Lodewijk, C, Meijering, R, Peeck, B, Raethke, M, Ree, C, Regtop, R, Ruijs, Y, Schoorl, M, Tuijn, E, Veenenberg, L, Woudstra, T, Bakker, Y, De Jong, A, Broekhoven, M, Claessen, E, Rademaker, M J, Munjishvili, L & Kruijne, E 2016, ' Factors associated with presenting late or with advanced HIV disease in the Netherlands, 1996 2014 : Results from a national observational cohort ', BMJ Open, vol. 6, no. 1, e009688 . https://doi.org/10.1136/bmjopen-2015-009688, BMJ open, 6(1). BMJ Publishing Group, BMJ Open, 6, 1, pp. e009688, BMJ Open, 6(1). BMJ Publishing Group, BMJ Open, 6, e009688, BMJ Open, 6(1):e009688. BMJ Publishing Group, BMJ Open, 6(1), BMJ Open
- Accession number :
- edsair.doi.dedup.....576366761cc6d44570d1cf504bf4793c
- Full Text :
- https://doi.org/10.1136/bmjopen-2015-009688