P17.24 Delayed linkage to care in a third of hiv positive individuals in the netherlands: opportunities to improve the second step in the cascade of care
| Autor: | S Zaheri, Scm Trienekens, F. De Wolf, M G van Veen, Georgia A. F. Ladbury, J. B. F. De Wit, Mab van der Sande, Hannelore M Götz, Titia Heijman, Jsa Fennema |
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| Rok vydání: | 2015 |
| Předmět: |
Pediatrics
medicine.medical_specialty Risk behaviour business.industry media_common.quotation_subject Ethnic group Human immunodeficiency virus (HIV) Dermatology medicine.disease_cause Men who have sex with men Social support Infectious Diseases medicine Christian ministry business Welfare Viral load media_common |
| Zdroj: | Sexually Transmitted Infections. 91:A232.1-A232 |
| ISSN: | 1472-3263 1368-4973 |
| DOI: | 10.1136/sextrans-2015-052270.602 |
| Popis: | Introduction The HIV cascade of care can identify missed opportunities to optimise control. The first step entails early testing, the second step is to ensure prompt linkage to care once diagnosed. To determine time to linkage to HIV-care following diagnosis at an STI centre, and to identify risk factors for delayed linkage. Methods Patients newly diagnosed with HIV at STI clinics in the Netherlands were followed until linkage to care. Data were collected at time of diagnosis and at first consultation in care, including demographics, behavioural information, CD4 + counts and HIV viral load measurements. Delayed linkage to care was defined as >4 weeks between HIV diagnosis and first consultation. Results 310 participants were included; the majority (90%) men who have sex with men. For 259 participants (84%) a date of first consultation in care was known; median time to linkage was 9 days (range 0–435). Overall, 95 (31%) of participants were not linked within 4 weeks of diagnosis; among them, 44 were linked late and 51 were not linked at all by the end of study follow-up. Being young ( + count, viral load, perceived social support and stigma at diagnosis were not associated with delayed linkage. Risk behaviour and CD4 + counts declined between diagnosis and linkage to care. Conclusions Although most newly diagnosed HIV patients were linked to care within 4 weeks, delay was observed for a third, with over half of them not yet linked at the end of follow-up. Vulnerable subpopulations (young, uninsured, ethnic minority) were at risk for delayed linkage. Testing those at risk is not sufficient, timely linkage to care needs to be assured. Disclosure of interest statement This study was funded by the Netherlands Organisation for Health Research and Development (ZonMW) and the Ministry of Health, Welfare and Sport, the Netherlands. No pharmaceutical grants were received in the development of this study. |
| Databáze: | OpenAIRE |
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