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2022-03-17Zeitschriftenartikel
The impact of regional socioeconomic deprivation on the timing of HIV diagnosis: a cross-sectional study in Germany
dc.contributor.authorPantke, Annemarie
dc.contributor.authorHoebel, Jens
dc.contributor.authoran der Heiden, Matthias
dc.contributor.authorMichalski, Niels
dc.contributor.authorGunsenheimer‑Bartmeyer, Barbara
dc.contributor.authorHanke, Kirsten
dc.contributor.authorBannert, Norbert
dc.contributor.authorBremer, Viviane
dc.contributor.authorKoppe, Uwe
dc.date.accessioned2022-08-23T06:49:57Z
dc.date.available2022-08-23T06:49:57Z
dc.date.issued2022-03-17none
dc.identifier.other10.1186/s12879-022-07168-x
dc.identifier.urihttp://edoc.rki.de/176904/10080
dc.description.abstractBackground: HIV infections which are diagnosed at advanced stages are associated with significantly poorer health outcomes. In Germany, the proportion of persons living with HIV who are diagnosed at later stages has remained continuously high. This study examined the impact of regional socioeconomic deprivation on the timing of HIV diagnosis. Methods: We used data from the national statutory notification of newly diagnosed HIV infections between 2011 and 2018 with further information on the timing of diagnosis determined by the BED-Capture-ELISA test (BED-CEIA) and diagnosing physicians. Data on regional socioeconomic deprivation were derived from the German Index of Socioeconomic Deprivation (GISD). Outcome measures were a non-recent infection based on the BED-CEIA result or an infection at the stage of AIDS. The effect of socioeconomic deprivation on the timing of diagnosis was analysed using multivariable Poisson regression models with cluster-robust error variance. Results: Overall, 67.5% (n = 10,810) of the persons were diagnosed with a non-recent infection and 15.2% (n = 2746) with AIDS. The proportions were higher among persons with heterosexual contact compared to men who have sex with men (MSM) (76.8% non-recent and 14.9% AIDS vs. 61.7% non-recent and 11.4% AIDS). MSM living in highly deprived regions in the countryside (< 100 k residents) were more likely to have a non-recent infection (aPR: 1.16, 95% CI: 1.05–1.28) as well as AIDS (aPR: 1.41, 95% CI: 1.08–1.85) at the time of diagnosis compared to MSM in less deprived regions in the countryside. No differences were observed among MSM from towns (100 k ≤ 1 million residents) or major cities (≥ 1 million residents), and no differences overall in the heterosexual transmission group. Conclusions: An effect of socioeconomic deprivation on the timing of HIV diagnosis was found only in MSM from countryside regions. We suggest that efforts in promoting HIV awareness and regular HIV testing are increased for heterosexual persons irrespective of socioeconomic background, and for MSM with a focus on those living in deprived regions in the countryside.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjectHIV recency testingeng
dc.subjectAIDSeng
dc.subjectSocioeconomic factorseng
dc.subjectSocial inequalitieseng
dc.subjectHeterosexualseng
dc.subjectMen who have sex with meneng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleThe impact of regional socioeconomic deprivation on the timing of HIV diagnosis: a cross-sectional study in Germanynone
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/10080-2
dc.type.versionpublishedVersionnone
local.edoc.container-titleBMC Infectious Diseasesnone
local.edoc.container-issn1471-2334none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-022-07168-xnone
local.edoc.container-publisher-nameBioMed Centralnone
local.edoc.container-volume22none
local.edoc.container-issue258none
local.edoc.container-year2022none
dc.description.versionPeer Reviewednone

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