Correlates of late HIV diagnosis: implications for testing policy.
- Delpierre, Cyrille
- Dray-Spira, Rosemary
- Cuzin, Lise
- Marchou, Bruno
- Massip, Patrice
- Lang, Thierry
- Lert, France
- Study Group, The Vespa
DOIAbstract
To develop new strategies aimed to reduce the delay in seeking HIV diagnosis, we proposed to identify correlates of late diagnosis of HIV infection in France. Late testing was studied among the 1077 patients diagnosed from 1996 and enrolled in the ANRS-EN12-VESPA, a representative sample of the French HIV-infected population. Patients were defined as 'late testers' if they had presented either clinical AIDS events or CD4 cell count <200/mm(3) at diagnosis. In all, 33.1% were classified as late testers, among whom 42.6% had discovered their HIV infection at the time of AIDS events. This proportion increased with age and was higher for heterosexual men and migrants. Among the non-migrants heterosexual population, late diagnosis was more frequ...
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