Late HIV presentation among AIDS cases in Australia, 1992–2001
Abstract Objective: To describe time trends and demographic, exposure and clinical factors associated with late HIV presentation among notified AIDS cases diagnosed in Australia in 1992–2001. Methods: AIDS cases, diagnosed in Australia and notified to the National AIDS Registry, were included in the...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2003-12-01
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| Series: | Australian and New Zealand Journal of Public Health |
| Online Access: | https://doi.org/10.1111/j.1467-842X.2003.tb00607.x |
| _version_ | 1797764100842848256 |
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| author | Ann M. McDonald Yueming Li Gregory J. Dore Hugo Ree John M. Kaldor |
| author_facet | Ann M. McDonald Yueming Li Gregory J. Dore Hugo Ree John M. Kaldor |
| author_sort | Ann M. McDonald |
| collection | DOAJ |
| description | Abstract Objective: To describe time trends and demographic, exposure and clinical factors associated with late HIV presentation among notified AIDS cases diagnosed in Australia in 1992–2001. Methods: AIDS cases, diagnosed in Australia and notified to the National AIDS Registry, were included in the analysis. AIDS cases newly diagnosed with HIV infection within three months of AIDS diagnosis were defined as cases of late HIV presentation. Results: The percentage of AIDS cases with late HIV presentation increased significantly from 18% in 1992–96 to 33.1% in 1997 (adjusted odds ratio (AOR)=1.79, p<0.005) and to 49.6% in 2001 (AOR=3.01, p<0.005). Older age, having been born in Asia, a HIV exposure history of heterosexual contact or an ‘other/undetermined’ exposure and a diagnosis of PCP only or of multiple AIDS illnesses, were associated with late HIV presentation among AIDS cases diagnosed in 1992–96 and in 1997–2001, and among overseas‐born cases diagnosed in 1992–2001. In 1997–2001, a low CD4+ cell count was also associated with late HIV presentation. Among homosexually active men diagnosed with AIDS in 1997–2001, older age, a diagnosis of PCP or multiple AIDS illnesses and a low CD4+ cell count were associated with late HIV presentation. Conclusion: Predictors of late HIV presentation have remained substantially unchanged over time and among population subgroups, suggesting a need for innovation in HIV/AIDS testing and counselling strategies. |
| first_indexed | 2024-03-12T19:50:56Z |
| format | Article |
| id | doaj.art-496ac857aae84bfab27c4b883ad6a71c |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T19:50:56Z |
| publishDate | 2003-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-496ac857aae84bfab27c4b883ad6a71c2023-08-02T03:09:03ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052003-12-0127660861310.1111/j.1467-842X.2003.tb00607.xLate HIV presentation among AIDS cases in Australia, 1992–2001Ann M. McDonald0Yueming Li1Gregory J. Dore2Hugo Ree3John M. Kaldor4National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, for the National HIV Surveillance CommitteeNational Centre in HIV Epidemiology and Clinical Research, University of New South Wales, for the National HIV Surveillance CommitteeNational Centre in HIV Epidemiology and Clinical Research, University of New South Wales, for the National HIV Surveillance CommitteeAIDS Medical Unit, The Prince Charles Hospital and Health Services, Queensland, for the National HIV Surveillance CommitteeNational Centre in HIV Epidemiology and Clinical Research, University of New South Wales, for the National HIV Surveillance CommitteeAbstract Objective: To describe time trends and demographic, exposure and clinical factors associated with late HIV presentation among notified AIDS cases diagnosed in Australia in 1992–2001. Methods: AIDS cases, diagnosed in Australia and notified to the National AIDS Registry, were included in the analysis. AIDS cases newly diagnosed with HIV infection within three months of AIDS diagnosis were defined as cases of late HIV presentation. Results: The percentage of AIDS cases with late HIV presentation increased significantly from 18% in 1992–96 to 33.1% in 1997 (adjusted odds ratio (AOR)=1.79, p<0.005) and to 49.6% in 2001 (AOR=3.01, p<0.005). Older age, having been born in Asia, a HIV exposure history of heterosexual contact or an ‘other/undetermined’ exposure and a diagnosis of PCP only or of multiple AIDS illnesses, were associated with late HIV presentation among AIDS cases diagnosed in 1992–96 and in 1997–2001, and among overseas‐born cases diagnosed in 1992–2001. In 1997–2001, a low CD4+ cell count was also associated with late HIV presentation. Among homosexually active men diagnosed with AIDS in 1997–2001, older age, a diagnosis of PCP or multiple AIDS illnesses and a low CD4+ cell count were associated with late HIV presentation. Conclusion: Predictors of late HIV presentation have remained substantially unchanged over time and among population subgroups, suggesting a need for innovation in HIV/AIDS testing and counselling strategies.https://doi.org/10.1111/j.1467-842X.2003.tb00607.x |
| spellingShingle | Ann M. McDonald Yueming Li Gregory J. Dore Hugo Ree John M. Kaldor Late HIV presentation among AIDS cases in Australia, 1992–2001 Australian and New Zealand Journal of Public Health |
| title | Late HIV presentation among AIDS cases in Australia, 1992–2001 |
| title_full | Late HIV presentation among AIDS cases in Australia, 1992–2001 |
| title_fullStr | Late HIV presentation among AIDS cases in Australia, 1992–2001 |
| title_full_unstemmed | Late HIV presentation among AIDS cases in Australia, 1992–2001 |
| title_short | Late HIV presentation among AIDS cases in Australia, 1992–2001 |
| title_sort | late hiv presentation among aids cases in australia 1992 2001 |
| url | https://doi.org/10.1111/j.1467-842X.2003.tb00607.x |
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