No relationship between late HIV diagnosis and social deprivation in newly diagnosed patients in France. Issue 3 (18th August 2017)

• Record Type: Journal Article
• Authors: Cuzin, L; Yazdanpanah, Y; Huleux, T; Cotte, L; Pugliese, P; Allavena, C; Reynes, J; Poizot‐Martin, I; Bani‐Sadr, F; Delpierre, C
• Other Names: Brégigeon S investigator.; Zaegel‐Faucher O investigator.; Obry‐Roguet V investigator.; Orticoni M investigator.; Soavi MJ investigator.; Luquet‐Besson I investigator.; Ressiot E investigator.; Carta‐Padovani M investigator.; Ducassou MJ investigator.; Bertone H investigator.; Galie S investigator.; Galinier A investigator.; Monclar M investigator.; Martinet P investigator.; Ritleng AS investigator.; Ivanova A investigator.; Blanco‐Betancourt C investigator.; Lions C investigator.; Alvarez M investigator.; Biezunski N investigator.; Debard A investigator.; Delobel P investigator.; Fourcade C investigator.; Marchou B investigator.; Martin‐Blondel G investigator.; Porte L investigator.; Mularczyk M investigator.; Garipuy D investigator.; Saune K investigator.; Lepain I investigator.; Marcel M investigator.; Puntis E investigator.; Ceppi C investigator.; Cua E investigator.; Cottalorda J investigator.; Dellamonica P investigator.; Demonchy E investigator.; Dunais B investigator.; Durant J investigator.; Etienne C investigator.; Ferrando S investigator.; Fuzibet JG investigator.; Garraffo R investigator.; Risso K investigator.; Mondain V investigator.; Naqvi A investigator.; Oran N investigator.; Perbost I investigator.; Pillet S investigator.; Prouvost‐Keller B investigator.; Pradier C investigator.; Wehrlen‐Pugliese S investigator.; Rosenthal E investigator.; Sausse S investigator.; Roger PM investigator.; Bernaud C investigator.; Billaud E investigator.; Biron C investigator.; Bonnet B investigator.; Bouchez S investigator.; Boutoille D investigator.; Brunet‐Cartier C investigator.; Hall N investigator.; Jovelin T investigator.; Morineau P investigator.; Raffi F investigator.; Reliquet V investigator.; Hue H investigator.; Larmet L investigator.; Pineau So investigator.; Ferré V investigator.; André‐Garnier E investigator.; Rodallec A investigator.; Vivrel F investigator.; Lefebvre M investigator.; Grossi O investigator.; Biron C investigator.; Point P investigator.; Aubry O investigator.; Cheret A investigator.; Choisy P investigator.; Landman R investigator.; Duvivier C investigator.; Valantin MA investigator.; Agher R investigator.; Katlama C investigator.; Lortholary investigator.; Avettand‐Fenoel V investigator.; Rouzioux C investigator.; Consigny PH investigator.; Cessot G investigator.; Touam F investigator.; Usubillaga R investigator.; Benhadj K investigator.; Cabié A investigator.; Abel S investigator.; Pierre‐François S investigator.; Ouka M investigator.; Martial J investigator.; Rey D investigator.; Ebel E investigator.; Fischer P investigator.; Partisani M investigator.; Cheneau C investigator.; Priester M investigator.; Batard ML investigator.; Bernard‐Henry C investigator.; e Mautort E investigator.; Chirouze C investigator.; Drobacheff‐Thiébaut C investigator.; Faller JP investigator.; Faucher JF investigator.; Foltzer A investigator.; Gil H investigator.; Hustache‐Mathieu L investigator.; Hoen B investigator.; Jacomet C investigator.; Laurichesse H investigator.; Lesens O investigator.; Vidal M investigator.; Mrozek N investigator.; Aumeran C investigator.; Baud O investigator.; Beytout J investigator.; Coban D investigator.; Casanova S investigator.; Rouger C investigator.; Berger JL investigator.; N'Guyen Y investigator.; Lambert D investigator.; Kmiec I investigator.; Hentzien M investigator.; Peyramond D investigator.; Chidiac C investigator.; Ader F investigator.; Biron F investigator.; Boibieux A investigator.; Ferry T investigator.; Miailhes P investigator.; Perpoint T investigator.; Degroodt S investigator.; Atoui N investigator.; Casanova ML investigator.; Le Moing V investigator.; Makinson A investigator.; Meftah N investigator.; Merle De Boever C investigator.; Montes B investigator.; Psomas C investigator.;
• Is Part Of: HIV medicine. Volume 19:Issue 3(2018)
• Page Start: 238
• Page End: 242
• Publication Date: 2017-08-18
• Subjects: age -- deprivation -- HIV -- key population -- late diagnosis; HIV infections -- Treatment -- Periodicals; HIV-positive persons -- Periodicals; HIV infections -- Treatment -- Decision making -- Periodicals; 616.9792
• DOI: 10.1111/hiv.12545
• Languages: English
• ISSNs: 1464-2662

Abstract

Abstract : Objectives: The aim of the study was to determine whether there is a relationship between social deprivation and time of HIV diagnosis in France. Methods: Prospectively collected data from a multicentre database were used in the study. Patients with a first HIV diagnosis between 1 January 2014 and 31 December 2015 were selected from the database. Deprivation was measured using the European Deprivation Index (EDI), which is an ecological index constructed from the address of residence and based on the smallest geographical census unit, in which individuals are classified so as to be comparable with national quintiles. Time of diagnosis was classified as being at an early, intermediate, late, or advanced stage of disease. Age, gender, distance from home to HIV centre, most probable route of infection, and hepatitis B or C coinfection were considered in the analysis. Because of a strong interaction between gender and most probable route of infection, we constructed a 'population' variable: men who have sex with men (MSM), heterosexual men and women. Results: Of 1421 newly diagnosed patients, 44% were diagnosed either late or at an advanced stage of disease, and 46.3% were in the highest deprivation quintile. Using multivariate logistic regression, 'population' [odds ratio (OR) 0.62 (95% confidence interval (CI) 0.48–0.78) for MSM compared with women] and age [OR 1.39 (95% CI 1.07–1.80), 1.72 (1.32–2.23) and 1.86 (1.40–2.47) for the second, third and fourth quartiles, respectively, compared with the first quartile] were found to be related to late diagnosis. EDI level was not related to late HIV diagnosis. Conclusions: 'Population' seems to be more relevant than EDI to define evidence‐based interventions to limit late diagnosis.