A forgotten population: older adults with newly diagnosed HIV
| Autor: | Magdalena E. Sobieszczyk, Mary Elizabeth Sexton, Daniel Warshafsky, Tanya M. Ellman, Ellen A.B. Morrison |
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| Rok vydání: | 2014 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Multivariate analysis Delayed Diagnosis Population Psychological intervention HIV Infections Logistic regression Acquired immunodeficiency syndrome (AIDS) Risk Factors Medicine Humans Mass Screening Medical diagnosis Risk factor Sex Distribution education Aged Retrospective Studies Aged 80 and over education.field_of_study Health Services Needs and Demand Primary Health Care business.industry Public Health Environmental and Occupational Health Age Factors Retrospective cohort study Middle Aged medicine.disease Infectious Diseases Early Diagnosis Logistic Models Population Surveillance Multivariate Analysis Female New York City business Needs Assessment |
| Zdroj: | AIDS patient care and STDs. 28(10) |
| ISSN: | 1557-7449 |
| Popis: | Limited data are available regarding adults age ≥50 at initial HIV diagnosis. Improved understanding of this group is critical in designing interventions to facilitate earlier diagnosis and linkage to HIV care. We characterize individuals newly diagnosed with HIV, particularly those ≥50 years old, and examine the relationship between age and late diagnosis defined as concurrent HIV and AIDS diagnoses. This is a retrospective study of individuals newly diagnosed with HIV from 2006-2011 at an academic medical center in New York City. Multivariable logistic regression was performed to evaluate the effect of age, gender, race/ethnicity, risk factor, and prior medical visits on late diagnosis. Adults age ≥50 comprised 21.3% of all newly diagnosed individuals. Among these older adults, 70.0% were diagnosed as inpatients and 68.9% concurrent with AIDS, compared to 41.7% and 38.9% of younger adults, respectively. On adjusted analyses, age ≥50 (OR 3.13, 95% CI 1.63, 5.98) and injection drug use (OR 4.4, 95% CI 1.31, 14.75) were positively associated with late diagnosis, whereas female gender was negatively associated with late diagnosis (OR 0.52, 95% CI 0.28, 0.98). Our data suggest that HIV testing efforts targeting older adults are essential to address the unmet needs of this population, including implementation of HIV screening guidelines in primary care settings. |
| Databáze: | OpenAIRE |
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