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2 results on '"K Wissel"'

1. Why do sub‐Saharan Africans present late for HIV care in Switzerland?

Author

A, Hachfeld, K, Darling, A, Calmy, B, Ledergerber, R, Weber, M, Battegay, K, Wissel, C, Di Benedetto, C A, Fux, P E, Tarr, R, Kouyos, L S, Ruggia, H J, Furrer, G, Wandeler, and S, Yerly

Subjects
Adult, Male, 0301 basic medicine, Delayed Diagnosis, Sub saharan, Population, Human immunodeficiency virus (HIV), Emigrants and Immigrants, HIV Infections, medicine.disease_cause, Health Services Accessibility, Late presentation, 03 medical and health sciences, 0302 clinical medicine, Or education, Humans, Medicine, Pharmacology (medical), In patient, Prospective Studies, 030212 general & internal medicine, education, Africa South of the Sahara, education.field_of_study, Pregnancy, business.industry, Health Policy, Middle Aged, Patient Acceptance of Health Care, medicine.disease, 030112 virology, 3. Good health, stomatognathic diseases, Infectious Diseases, Female, business, Switzerland, Cohort study, Demography
Abstract

OBJECTIVES Late presentation (LP) to HIV care disproportionally affects individuals from sub-Saharan Africa (SSA). We explored the reasons for late presentation to care among this group of patients in the Swiss HIV Cohort Study. METHODS The prevalence of LP was compared between patients from Western Europe (WE) and those from SSA enrolled between 2009 and 2012. Patients were asked about HIV testing, including access to testing and reasons for deferring it, during face-to-face interviews. RESULTS The proportion of LP was 45.8% (435/950) among patients from WE, and 64.6% (126/195) among those from SSA (P

Published
2019

2. Why do sub-Saharan Africans present late for HIV care in Switzerland?

Author

Hachfeld A, Darling K, Calmy A, Ledergerber B, Weber R, Battegay M, Wissel K, Di Benedetto C, Fux CA, Tarr PE, Kouyos R, Ruggia LS, Furrer HJ, and Wandeler G

Subjects
Adult, Africa South of the Sahara, Female, Health Services Accessibility, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Prospective Studies, Switzerland, Delayed Diagnosis statistics & numerical data, Emigrants and Immigrants, HIV Infections diagnosis
Abstract

Objectives: Late presentation (LP) to HIV care disproportionally affects individuals from sub-Saharan Africa (SSA). We explored the reasons for late presentation to care among this group of patients in the Swiss HIV Cohort Study., Methods: The prevalence of LP was compared between patients from Western Europe (WE) and those from SSA enrolled between 2009 and 2012. Patients were asked about HIV testing, including access to testing and reasons for deferring it, during face-to-face interviews., Results: The proportion of LP was 45.8% (435/950) among patients from WE, and 64.6% (126/195) among those from SSA (P < 0.001). Women from WE were slightly more likely to present late than men (52.6% versus 44.5%, respectively; P = 0.06), whereas there was no sex difference in patients from SSA (65.6% versus 63.2%, respectively; P = 0.73). Compared with late presenters from WE, those from SSA were more likely to be diagnosed during pregnancy (9.1% versus 0%, respectively; P < 0.001), but less likely to be tested by general practitioners (25.0% versus 44.6%, respectively; P = 0.001). Late presenters from SSA more frequently reported 'not knowing about anonymous testing possibilities' (46.4% versus 27.3%, respectively; P = 0.04) and 'fear about negative reaction in relatives' (39.3% versus 21.7%, respectively; P = 0.05) as reasons for late testing. Fear of being expelled from Switzerland was reported by 26.1% of late presenters from SSA., Conclusions: The majority of patients from SSA were late presenters, independent of sex or education level. Difficulties in accessing testing facilities, lack of knowledge about HIV testing and fear-related issues are important drivers for LP in this population., (© 2019 British HIV Association.)

Published
2019
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