Limits...
Good continuum of HIV care in Belgium despite weaknesses in retention and linkage to care among migrants.

Van Beckhoven D, Florence E, Ruelle J, Deblonde J, Verhofstede C, Callens S, Vancutsem E, Lacor P, Demeester R, Goffard JC, Sasse A, BREACH (Belgian Research on AIDS and HIV Consortiu - BMC Infect. Dis. (2015)

Bottom Line: We studied the continuum of HIV care of those diagnosed with HIV living in Belgium and its associated factors.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.

View Article: PubMed Central - PubMed

Affiliation: Epidemiology of Infectious Diseases Unit, Scientific Institute of Public Health, Rue J. Wytsman 14, 1050, Brussels, Belgium. dvanbeckhoven@wiv-isp.be.

ABSTRACT

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.

No MeSH data available.


Related in: MedlinePlus

Estimated percentage of diagnosed HIV individuals living in Belgium by stage of the continuum of HIV care, 2011
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Fig3: Estimated percentage of diagnosed HIV individuals living in Belgium by stage of the continuum of HIV care, 2011

Mentions: The continuum of HIV care of the diagnosed HIV patients living in Belgium is illustrated in Fig. 3.Fig. 3


Good continuum of HIV care in Belgium despite weaknesses in retention and linkage to care among migrants.

Van Beckhoven D, Florence E, Ruelle J, Deblonde J, Verhofstede C, Callens S, Vancutsem E, Lacor P, Demeester R, Goffard JC, Sasse A, BREACH (Belgian Research on AIDS and HIV Consortiu - BMC Infect. Dis. (2015)

Estimated percentage of diagnosed HIV individuals living in Belgium by stage of the continuum of HIV care, 2011
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4631021&req=5

Fig3: Estimated percentage of diagnosed HIV individuals living in Belgium by stage of the continuum of HIV care, 2011
Mentions: The continuum of HIV care of the diagnosed HIV patients living in Belgium is illustrated in Fig. 3.Fig. 3

Bottom Line: We studied the continuum of HIV care of those diagnosed with HIV living in Belgium and its associated factors.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.

View Article: PubMed Central - PubMed

Affiliation: Epidemiology of Infectious Diseases Unit, Scientific Institute of Public Health, Rue J. Wytsman 14, 1050, Brussels, Belgium. dvanbeckhoven@wiv-isp.be.

ABSTRACT

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.

No MeSH data available.


Related in: MedlinePlus