Article (Scientific journals)
Good continuum of HIV care in Belgium despite weaknesses in retention and linkage to care among migrants
Van Beckhoven, D.; Florence, E.; Ruelle, J. et al.
2015In BMC Infectious Diseases, 15 (1)
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Keywords :
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; Humans; Male; Patient Acceptance of Health Care; Transients and Migrants; Viral Load
Abstract :
[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.
Disciplines :
Immunology & infectious disease
Author, co-author :
Van Beckhoven, D.;  Scientific Institute of Public Health, Epidemiology of Infectious Diseases Unit, Rue J. Wytsman 14, Brussels, Belgium
Florence, E.
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.
Fransen, K.;  ARL ITG, Belgium
Goffard, J.-C.;  ARC Hôpital Erasme, Belgium
Hayette, Marie-Pierre ;  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  ;  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 ;  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
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Language :
English
Title :
Good continuum of HIV care in Belgium despite weaknesses in retention and linkage to care among migrants
Alternative titles :
[fr] Bon continuum de soins de l'infection HIV en Belgique malgré les faiblesses observées au sein de la population des migrants
Publication date :
2015
Journal title :
BMC Infectious Diseases
eISSN :
1471-2334
Publisher :
BioMed Central Ltd.
Volume :
15
Issue :
1
Peer reviewed :
Peer Reviewed verified by ORBi
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