Delayed diagnosis of HIV infection in Victoria 1994 to 2006

Chris Lemoh, Rebecca Guy, Keflemariam Yohannes, Jenny Lewis, Alan Street, Bev Biggs, Margaret Hellard

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18 Citations (Scopus)

Abstract

Background: The identification of factors associated with delayed diagnosis of HIV infection in Victoria, Australia was the aim of the present study. Methods: Demographic and epidemiological characteristics of cases notified to the Victorian HIV surveillance database between 1 January 1994 and 31 December 2006 were analysed. Delayed diagnosis was defined as: CD4 count below 200cellsmm-3 at HIV diagnosis or diagnosis of AIDS earlier than 3 months after HIV diagnosis. Results: Diagnosis of HIV was delayed in 627 (22.6%) of 2779 cases. Of these, 528 (84.2%) had either a high-risk exposure or were born in a high-prevalence country. The most common exposure was male homosexual contact in 64.3% of cases. Independent risk factors for delayed diagnosis were: older age at diagnosis (3039 years odds ratio [OR] 2.15,≥50 years OR 7.50, P

Original languageEnglish
Pages (from-to)117-122
Number of pages6
JournalSexual Health
Volume6
Issue number2
DOIs
Publication statusPublished - 2009
Externally publishedYes

Keywords

  • AIDS
  • CD4 lymphocyte count
  • Diagnostic errors
  • Early diagnosis
  • Healthcare disparities
  • Physician's practice patterns
  • Population characteristics
  • Public health
  • Quality of health care
  • Sexual behaviour

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