Testing and healthcare seeking behavior preceding HIV diagnosis among migrant and non-migrant individuals living in the Netherlands: Directions for early-case finding
To assess differences in socio-demographics, HIV testing and healthcare seeking behavior between individuals diagnosed late and those diagnosed early after HIV-acquisition. Cross-sectional study among recently HIV-diagnosed migrant and non-migrant individuals living in the Netherlands. Participants...
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| Veröffentlicht in: | PloS one 2022-03, Vol.17 (3), p.e0264435-e0264435 |
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| creator | van Bilsen, Ward P H Bil, Janneke P Prins, Jan M Brinkman, Kees Leyten, Eliane van Sighem, Ard Bedert, Maarten Davidovich, Udi Burns, Fiona Prins, Maria |
| description | To assess differences in socio-demographics, HIV testing and healthcare seeking behavior between individuals diagnosed late and those diagnosed early after HIV-acquisition.
Cross-sectional study among recently HIV-diagnosed migrant and non-migrant individuals living in the Netherlands.
Participants self-completed a questionnaire on socio-demographics, HIV-testing and healthcare seeking behavior preceding HIV diagnosis between 2013-2015. Using multivariable logistic regression, socio-demographic determinants of late diagnosis were explored. Variables on HIV-infection, testing and access to care preceding HIV diagnosis were compared between those diagnosed early and those diagnosed late using descriptive statistics.
We included 143 individuals with early and 101 with late diagnosis, of whom respectively 59/143 (41%) and 54/101 (53%) were migrants. Late diagnosis was significantly associated with older age and being heterosexual. Before HIV diagnosis, 89% of those with early and 62% of those with late diagnosis had ever been tested for HIV-infection (p |
| doi_str_mv | 10.1371/journal.pone.0264435 |
| format | Article |
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Cross-sectional study among recently HIV-diagnosed migrant and non-migrant individuals living in the Netherlands.
Participants self-completed a questionnaire on socio-demographics, HIV-testing and healthcare seeking behavior preceding HIV diagnosis between 2013-2015. Using multivariable logistic regression, socio-demographic determinants of late diagnosis were explored. Variables on HIV-infection, testing and access to care preceding HIV diagnosis were compared between those diagnosed early and those diagnosed late using descriptive statistics.
We included 143 individuals with early and 101 with late diagnosis, of whom respectively 59/143 (41%) and 54/101 (53%) were migrants. Late diagnosis was significantly associated with older age and being heterosexual. Before HIV diagnosis, 89% of those with early and 62% of those with late diagnosis had ever been tested for HIV-infection (p<0.001), and respectively 99% and 97% reported healthcare usage in the Netherlands in the two years preceding HIV diagnosis (p = 0.79). Individuals diagnosed late most frequently visited a general practitioner (72%) or dentist (62%), and 20% had been hospitalized preceding diagnosis. In these settings, only in respectively 20%, 2%, and 6% HIV-testing was discussed.
A large proportion of people diagnosed late had previously tested for HIV and had high levels of healthcare usage. For earlier-case finding of HIV it therefore seems feasible to successfully roll out interventions within the existing healthcare system. Simultaneously, efforts should be made to encourage future repeated or routine HIV testing among individuals whenever they undergo an HIV test.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0264435</identifier><identifier>PMID: 35245293</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; AIDS ; Biology and Life Sciences ; Cross-Sectional Studies ; Delayed Diagnosis ; Delivery of Health Care ; Demographic variables ; Demographics ; Demography ; Diagnosis ; Evaluation ; Gays & lesbians ; Health aspects ; Health behavior ; Health care ; Health insurance ; Health services ; Hepatitis ; HIV ; HIV infection ; HIV Infections - diagnosis ; HIV Infections - epidemiology ; Human immunodeficiency virus ; Humans ; Illnesses ; Immigrants ; Infections ; Infectious diseases ; Internal medicine ; Medical diagnosis ; Medical tests ; Medicine ; Medicine and health sciences ; Mens health ; Migration ; Netherlands - epidemiology ; People and places ; Public health ; Questionnaires ; Self completed questionnaires ; Sexual orientation ; Sociodemographics ; Transients and Migrants</subject><ispartof>PloS one, 2022-03, Vol.17 (3), p.e0264435-e0264435</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 van Bilsen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 van Bilsen et al 2022 van Bilsen et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-9c746f8327d9fe88da78c13391bcebdc316f35509dd4330e7020b75bcdcc91973</citedby><cites>FETCH-LOGICAL-c692t-9c746f8327d9fe88da78c13391bcebdc316f35509dd4330e7020b75bcdcc91973</cites><orcidid>0000-0002-6656-0516 ; 0000-0002-8238-0638</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8896686/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8896686/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35245293$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Bilsen, Ward P H</creatorcontrib><creatorcontrib>Bil, Janneke P</creatorcontrib><creatorcontrib>Prins, Jan M</creatorcontrib><creatorcontrib>Brinkman, Kees</creatorcontrib><creatorcontrib>Leyten, Eliane</creatorcontrib><creatorcontrib>van Sighem, Ard</creatorcontrib><creatorcontrib>Bedert, Maarten</creatorcontrib><creatorcontrib>Davidovich, Udi</creatorcontrib><creatorcontrib>Burns, Fiona</creatorcontrib><creatorcontrib>Prins, Maria</creatorcontrib><title>Testing and healthcare seeking behavior preceding HIV diagnosis among migrant and non-migrant individuals living in the Netherlands: Directions for early-case finding</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To assess differences in socio-demographics, HIV testing and healthcare seeking behavior between individuals diagnosed late and those diagnosed early after HIV-acquisition.
Cross-sectional study among recently HIV-diagnosed migrant and non-migrant individuals living in the Netherlands.
Participants self-completed a questionnaire on socio-demographics, HIV-testing and healthcare seeking behavior preceding HIV diagnosis between 2013-2015. Using multivariable logistic regression, socio-demographic determinants of late diagnosis were explored. Variables on HIV-infection, testing and access to care preceding HIV diagnosis were compared between those diagnosed early and those diagnosed late using descriptive statistics.
We included 143 individuals with early and 101 with late diagnosis, of whom respectively 59/143 (41%) and 54/101 (53%) were migrants. Late diagnosis was significantly associated with older age and being heterosexual. Before HIV diagnosis, 89% of those with early and 62% of those with late diagnosis had ever been tested for HIV-infection (p<0.001), and respectively 99% and 97% reported healthcare usage in the Netherlands in the two years preceding HIV diagnosis (p = 0.79). Individuals diagnosed late most frequently visited a general practitioner (72%) or dentist (62%), and 20% had been hospitalized preceding diagnosis. In these settings, only in respectively 20%, 2%, and 6% HIV-testing was discussed.
A large proportion of people diagnosed late had previously tested for HIV and had high levels of healthcare usage. For earlier-case finding of HIV it therefore seems feasible to successfully roll out interventions within the existing healthcare system. Simultaneously, efforts should be made to encourage future repeated or routine HIV testing among individuals whenever they undergo an HIV test.</description><subject>Acquired immune deficiency syndrome</subject><subject>AIDS</subject><subject>Biology and Life Sciences</subject><subject>Cross-Sectional Studies</subject><subject>Delayed Diagnosis</subject><subject>Delivery of Health Care</subject><subject>Demographic variables</subject><subject>Demographics</subject><subject>Demography</subject><subject>Diagnosis</subject><subject>Evaluation</subject><subject>Gays & lesbians</subject><subject>Health aspects</subject><subject>Health behavior</subject><subject>Health care</subject><subject>Health insurance</subject><subject>Health services</subject><subject>Hepatitis</subject><subject>HIV</subject><subject>HIV infection</subject><subject>HIV Infections - diagnosis</subject><subject>HIV Infections - epidemiology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Immigrants</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Internal medicine</subject><subject>Medical diagnosis</subject><subject>Medical tests</subject><subject>Medicine</subject><subject>Medicine and health sciences</subject><subject>Mens health</subject><subject>Migration</subject><subject>Netherlands - epidemiology</subject><subject>People and places</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Self completed questionnaires</subject><subject>Sexual orientation</subject><subject>Sociodemographics</subject><subject>Transients and Migrants</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk99u0zAUxiMEYmPwBggiISG4SHHs2Im5QJrGn1WamARjt5Zjn6QeqV3spGIvxHPitOnUol2gSIlz8vu-Ex-fkyTPczTLSZm_u3GDt7KbrZyFGcKsKAh9kBznnOCMYUQe7q2Pkich3CBEScXY4-SIUFxQzMlx8ucKQm9sm0qr0wXIrl8o6SENAD_HcA0LuTbOpysPCvQYOp9fp9rI1rpgQiqXLsaWpvXS9hsX62y2ezdWm7XRg-xC2sVVRI1N-wWkXyHefRcF4X360UT33jgb0ibmAum720zJAGkzOtj2afKoiR7wbHqeJD8-f7o6O88uLr_Mz04vMsU47jOuyoI1FcGl5g1UlZZlpXJCeF4rqLUiOWsIpYhrXRCCoEQY1SWtlVaK57wkJ8nLre-qc0FMJQ4CM0IrijEqIjHfEtrJG7HyZin9rXDSiE3A-VZI3xvVgeCMYShizZtRiGtJq7pikiJJcRMPInp9mLIN9RK0Att72R2YHn6xZiFatxZVFb2r0eDNZODdryGepFiaoKCLZQU3bP6b5UVZoCqir_5B79_dRLUybsDYxsW8ajQVp4xTxguGeKRm91Dx0rA0KvZjY2L8QPD2QBCZHn73rRxCEPPv3_6fvbw-ZF_vsdv2Da4bNq10CBZbUHkXgofmrsg5EuM47aohxnES0zhF2Yv9A7oT7eaH_AVNzBzg</recordid><startdate>20220304</startdate><enddate>20220304</enddate><creator>van Bilsen, Ward P H</creator><creator>Bil, Janneke P</creator><creator>Prins, Jan M</creator><creator>Brinkman, Kees</creator><creator>Leyten, Eliane</creator><creator>van Sighem, Ard</creator><creator>Bedert, Maarten</creator><creator>Davidovich, Udi</creator><creator>Burns, Fiona</creator><creator>Prins, Maria</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-6656-0516</orcidid><orcidid>https://orcid.org/0000-0002-8238-0638</orcidid></search><sort><creationdate>20220304</creationdate><title>Testing and healthcare seeking behavior preceding HIV diagnosis among migrant and non-migrant individuals living in the Netherlands: Directions for early-case finding</title><author>van Bilsen, Ward P H ; Bil, Janneke P ; Prins, Jan M ; Brinkman, Kees ; Leyten, Eliane ; van Sighem, Ard ; Bedert, Maarten ; Davidovich, Udi ; Burns, Fiona ; Prins, Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-9c746f8327d9fe88da78c13391bcebdc316f35509dd4330e7020b75bcdcc91973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>AIDS</topic><topic>Biology and Life Sciences</topic><topic>Cross-Sectional Studies</topic><topic>Delayed Diagnosis</topic><topic>Delivery of Health Care</topic><topic>Demographic variables</topic><topic>Demographics</topic><topic>Demography</topic><topic>Diagnosis</topic><topic>Evaluation</topic><topic>Gays & lesbians</topic><topic>Health aspects</topic><topic>Health behavior</topic><topic>Health care</topic><topic>Health insurance</topic><topic>Health services</topic><topic>Hepatitis</topic><topic>HIV</topic><topic>HIV infection</topic><topic>HIV Infections - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Bilsen, Ward P H</au><au>Bil, Janneke P</au><au>Prins, Jan M</au><au>Brinkman, Kees</au><au>Leyten, Eliane</au><au>van Sighem, Ard</au><au>Bedert, Maarten</au><au>Davidovich, Udi</au><au>Burns, Fiona</au><au>Prins, Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Testing and healthcare seeking behavior preceding HIV diagnosis among migrant and non-migrant individuals living in the Netherlands: Directions for early-case finding</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2022-03-04</date><risdate>2022</risdate><volume>17</volume><issue>3</issue><spage>e0264435</spage><epage>e0264435</epage><pages>e0264435-e0264435</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To assess differences in socio-demographics, HIV testing and healthcare seeking behavior between individuals diagnosed late and those diagnosed early after HIV-acquisition.
Cross-sectional study among recently HIV-diagnosed migrant and non-migrant individuals living in the Netherlands.
Participants self-completed a questionnaire on socio-demographics, HIV-testing and healthcare seeking behavior preceding HIV diagnosis between 2013-2015. Using multivariable logistic regression, socio-demographic determinants of late diagnosis were explored. Variables on HIV-infection, testing and access to care preceding HIV diagnosis were compared between those diagnosed early and those diagnosed late using descriptive statistics.
We included 143 individuals with early and 101 with late diagnosis, of whom respectively 59/143 (41%) and 54/101 (53%) were migrants. Late diagnosis was significantly associated with older age and being heterosexual. Before HIV diagnosis, 89% of those with early and 62% of those with late diagnosis had ever been tested for HIV-infection (p<0.001), and respectively 99% and 97% reported healthcare usage in the Netherlands in the two years preceding HIV diagnosis (p = 0.79). Individuals diagnosed late most frequently visited a general practitioner (72%) or dentist (62%), and 20% had been hospitalized preceding diagnosis. In these settings, only in respectively 20%, 2%, and 6% HIV-testing was discussed.
A large proportion of people diagnosed late had previously tested for HIV and had high levels of healthcare usage. For earlier-case finding of HIV it therefore seems feasible to successfully roll out interventions within the existing healthcare system. Simultaneously, efforts should be made to encourage future repeated or routine HIV testing among individuals whenever they undergo an HIV test.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>35245293</pmid><doi>10.1371/journal.pone.0264435</doi><tpages>e0264435</tpages><orcidid>https://orcid.org/0000-0002-6656-0516</orcidid><orcidid>https://orcid.org/0000-0002-8238-0638</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2022-03, Vol.17 (3), p.e0264435-e0264435 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2635852204 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Acquired immune deficiency syndrome AIDS Biology and Life Sciences Cross-Sectional Studies Delayed Diagnosis Delivery of Health Care Demographic variables Demographics Demography Diagnosis Evaluation Gays & lesbians Health aspects Health behavior Health care Health insurance Health services Hepatitis HIV HIV infection HIV Infections - diagnosis HIV Infections - epidemiology Human immunodeficiency virus Humans Illnesses Immigrants Infections Infectious diseases Internal medicine Medical diagnosis Medical tests Medicine Medicine and health sciences Mens health Migration Netherlands - epidemiology People and places Public health Questionnaires Self completed questionnaires Sexual orientation Sociodemographics Transients and Migrants |
| title | Testing and healthcare seeking behavior preceding HIV diagnosis among migrant and non-migrant individuals living in the Netherlands: Directions for early-case finding |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T11%3A40%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Testing%20and%20healthcare%20seeking%20behavior%20preceding%20HIV%20diagnosis%20among%20migrant%20and%20non-migrant%20individuals%20living%20in%20the%20Netherlands:%20Directions%20for%20early-case%20finding&rft.jtitle=PloS%20one&rft.au=van%20Bilsen,%20Ward%20P%20H&rft.date=2022-03-04&rft.volume=17&rft.issue=3&rft.spage=e0264435&rft.epage=e0264435&rft.pages=e0264435-e0264435&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0264435&rft_dat=%3Cgale_plos_%3EA695694609%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2635852204&rft_id=info:pmid/35245293&rft_galeid=A695694609&rft_doaj_id=oai_doaj_org_article_9662e4538f20432ba58b86a50a52f866&rfr_iscdi=true |