Reference : Good continuum of HIV care in Belgium despite weaknesses in retention and linkage to ...
Scientific journals : Article
Human health sciences : Immunology & infectious disease
http://hdl.handle.net/2268/232916
Good continuum of HIV care in Belgium despite weaknesses in retention and linkage to care among migrants
English
[fr] Bon continuum de soins de l'infection HIV en Belgique malgré les faiblesses observées au sein de la population des migrants
Van Beckhoven, D. [Scientific Institute of Public Health, Epidemiology of Infectious Diseases Unit, Rue J. Wytsman 14, Brussels, Belgium]
Florence, E. mailto []
Ruelle, J. [Institute of Experimental and Clinical Research (IREC), Unit of Medical Microbiology (MBLG), Université Catholique de Louvain, Brussels, Belgium]
Deblonde, J. [Scientific Institute of Public Health, Epidemiology of Infectious Diseases Unit, Rue J. Wytsman 14, Brussels, Belgium]
Verhofstede, C. [Ghent University, AIDS Reference Laboratory, Department of Clinical Chemistry, Microbiology and Immunology, Ghent, Belgium]
Callens, S. [Universitair Ziekenhuis Gent, Department of Internal Medicine, Ghent, Belgium]
Vancutsem, E. [Universitair Ziekenhuis Brussel, Department of Microbiology and Infection Control, Brussels, Belgium]
Lacor, P. [Universitair Ziekenhuis Brussel, Department of Internal Medicine, Brussels, Belgium]
Demeester, R. [CHU de Charleroi, Department of Internal Medicine and Infectious Diseases, Charleroi, Belgium]
Goffard, J.-C. [Service of Internal Medicine, Hôpital Erasme, Brussels, Belgium]
Sasse, A. [Scientific Institute of Public Health, Epidemiology of Infectious Diseases Unit, Rue J. Wytsman 14, Brussels, Belgium]
De Wit, S. [ARC CHU Saint-Pierre, Belgium]
Vogelaers, D. [ARC UZ Gent, Belgium]
Delforge, M.-L. [ARL Hôpital Erasme, Belgium]
Florence, E. mailto []
Fransen, K. [ARL ITG, Belgium]
Goffard, J.-C. [ARC Hôpital Erasme, Belgium]
Hayette, Marie-Pierre mailto [Université de Liège - ULiège > Département des sciences biomédicales et précliniques > Bactériologie, mycologie, parasitologie, virologie >]
Lacor, P. [ARC UZ Brussel, Belgium]
Legrand, J.-C. [ARC CHU Charleroi, Belgium]
Moutschen, Michel mailto [Université de Liège - ULiège > Département des sciences cliniques > GIGA-R:Immunopath. - Maladies infect. et médec. inter. gén. >]
Piérard, D. [ARL UZ Brussel, Belgium]
Ruelle, J. [ARL UCL, Belgium]
VAIRA, Dolorès mailto [Centre Hospitalier Universitaire de Liège - CHU > > Service de microbiologie clinique >]
Vandekerckhove, L. [ARC UZ Gent, Belgium]
Van den Wijngaert, S. [ARL Hôpital Saint-Pierre, Belgium]
Vandercam, B. [ARC Cliniques Universitaires Saint-Luc, Belgium]
Van Ranst, M. [ARL KUL, Belgium]
Van Wijngaerden, E. [ARC UZ Leuven, Belgium]
Verhofstede, C. [ARL UZ Gent, Belgium]
2015
BMC Infectious Diseases
BioMed Central Ltd.
15
1
Yes (verified by ORBi)
International
1471-2334
[en] Belgium ; Cascade ; Continuum of care ; HIV ; Migrants ; Africa south of the Sahara ; Article ; CD4 lymphocyte count ; Human immunodeficiency virus infection ; Black person ; HIV Infections ; Adult ; African Continental Ancestry Group ; Anti-Retroviral Agents ; Continuity of Patient Care ; Drug Users ; Female ; Health Surveys ; HIV Infections ; Humans ; Male ; Patient Acceptance of Health Care ; Transients and Migrants ; Viral Load
[en] Background: The Belgian HIV epidemic is largely concentrated among men who have sex with men and Sub-Saharan Africans. We studied the continuum of HIV care of those diagnosed with HIV living in Belgium and its associated factors. Methods: Data on new HIV diagnoses 2007-2010 and HIV-infected patients in care in 2010-2011 were analysed. Proportions were estimated for each sequential stage of the continuum of HIV care and factors associated with attrition at each stage were studied. Results: Of all HIV diagnosed patients living in Belgium in 2011, an estimated 98.2 % were linked to HIV care, 90.8 % were retained in care, 83.3 % received antiretroviral therapy and 69.5 % had an undetectable viral load (<50 copies/ml). After adjustment for sex, age at diagnosis, nationality and mode of transmission, we found lower entry into care in non-Belgians and after preoperative HIV diagnoses; lower retention in non-Belgians and injecting drug users; higher retention in men who have sex with men and among those on ART. Younger patients had lower antiretroviral therapy uptake and less viral suppression; those with longer time from diagnosis had higher ART uptake and more viral suppression; Sub-Saharan Africans on ART had slightly less viral suppression. Conclusions: The continuum of HIV care in Belgium presents low attrition rates over all stages. The undiagnosed HIV-infected population, although not precisely estimated, but probably close to 20 % based on available survey and surveillance results, could be the weakest stage of the continuum of HIV care. Its identification is a priority along with improving the HIV care continuum of migrants. © 2015 Van Beckhoven et al.
Researchers ; Professionals ; Students
http://hdl.handle.net/2268/232916
10.1186/s12879-015-1230-3

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