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Journal of Immigrant and Minority Health
Published in: Journal of Immigrant and Minority Health 5/2019

01-10-2019 | Original Paper

Determinants and Outcomes of Late Presentation of HIV Infection in Migrants in Catalonia, Spain: PISCIS Cohort 2004–2016

Authors: Anna S. Conway, Anna Esteve, Manuel Fernández-Quevedo, Jordi Casabona, PISCIS Study Group

Published in: Journal of Immigrant and Minority Health | Issue 5/2019

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Abstract

This study using the Catalan PISCIS cohort explores risk factors of migrants’ late presentation and the impact of late presentation on their health outcomes. We analyse 9590 new HIV diagnoses enrolled in the cohort between 2004 and 2016. Univariate and multivariate logistic regression models are used to identify risk factors associated with late presentation among migrants, giving crude and adjusted odds ratios and their 95% confidence intervals. Cox regression models are estimated to identify risk factors associated with AIDS/death, and crude and adjusted hazard ratios and 95% confidence intervals are reported. Late presentation is higher in migrants than non-migrants. Among migrants, region of origin is associated with late presentation and AIDS/death during follow-up. The results highlight persisting inequalities in HIV diagnosis and care among migrants in Catalonia. Targeted interventions addressed to specific subgroups in the migrant population are needed.
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Metadata
Title
Determinants and Outcomes of Late Presentation of HIV Infection in Migrants in Catalonia, Spain: PISCIS Cohort 2004–2016
Authors
Anna S. Conway
Anna Esteve
Manuel Fernández-Quevedo
Jordi Casabona
PISCIS Study Group
Publication date
01-10-2019
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 5/2019
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-018-0834-2

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