1. New HIV diagnoses among adults aged 50 years or older in 31 European countries, 2004–15: an analysis of surveillance data
- Author
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André Sasse, Anastasia Pharris, Dominique Van Beckhoven, Maria Dudas, Helena Gomes Dias, Irma Caplinskiene, Tatjana Nemeth Blazic, Valerie Delpech, Françoise Cazein, Joana Gomes Dias, Lara Tavoschi, Tonka Varleva, Barbara Gunsenheimer-Bartmeyer, Darina O'Flanagan, Kirsi Liitsola, Isabel Aldir, Mika Salminen, Sabine Erne, Jackie M. Melillo, Mariana Mardarescu, Aurélie Fischer, Barbara Suligoi, Marek Maly, Daniela Schmid, Susan Cowan, Kristi Rüütel, Linos Hadjihannas, Maria Koliou, Eline L. M. Op de Coul, Dimitra Paraskeva, Tanya Melillo, Gudrun Sigmundsdottir, Peter Truska, Magdalena Rosińska, Haraldur Briem, Derval Igoe, Florence Lot, Kate O'Donnell, Stavros Patrinos, Maria Axelsson, Irena Klavs, Asunción Díaz, Hans Blystad, Šarlote Konova, and Josiane Pillonel
- Subjects
Male ,0301 basic medicine ,Epidemiology ,Psychological intervention ,Human immunodeficiency virus (HIV) ,HIV Infections ,medicine.disease_cause ,HIV Diagnoses ,Older Adults ,Drug Users ,0302 clinical medicine ,Cost of Illness ,Medicine ,030212 general & internal medicine ,Medical diagnosis ,media_common ,education.field_of_study ,Surveillance ,Transmission (medicine) ,Age Factors ,Middle Aged ,Europe ,Infectious Diseases ,Population Surveillance ,Female ,Adult ,medicine.medical_specialty ,Surveillance data ,Adolescent ,Immunology ,Virology ,Population ,European Economic Area ,Young Adult ,03 medical and health sciences ,Sex Factors ,Humans ,media_common.cataloged_instance ,European Union ,Infecções Sexualmente Transmissíveis ,European union ,education ,Aged ,business.industry ,030112 virology ,CD4 Lymphocyte Count ,HIV ,surveillance ,epidemiology ,elderly people, Europa ,business ,Demography - Abstract
EU/EEA HIV Surveillance Network: Daniela Schmid, André Sasse, Dominique Van Beckhoven, Tonka Varleva, Tatjana Nemeth Blazic, Linos Hadjihannas, Maria Koliou, Marek Maly, Susan Cowan, Kristi Rüütel, Kirsi Liitsola, Mika Salminen, Françoise Cazein, Josiane Pillonel, Florence Lot, Barbara Gunsenheimer-Bartmeyer, Stavros Patrinos, Dimitra Paraskeva, Maria Dudas, Haraldur Briem, Gudrun Sigmundsdottir, Derval Igoe, Kate O'Donnell, Darina O'Flanagan, Barbara Suligoi, Šarlote Konova, Sabine Erne, Irma Caplinskiene, Aurélie Fischer, Jackie Maistre Melillo, Tanya Melillo, Eline Op de Coul, Hans Blystad, Magdalena Rosinska, Isabel Aldir, Helena Cortes Martins, Mariana Mardarescu, Peter Truska, Irena Klavs, Asunción Díaz, Maria Axelsson, Valerie Delpech Helena Cortes Martins: Departamento de Doenças Infeciosas do Instituto Nacional de Saúde Doutor Ricardo Jorge. Background: The HIV burden is increasing in older adults in the European Union (EU) and European Economic Area (EEA). We investigated factors associated with HIV diagnosis in older adults in the 31 EU/EEA countries during a 12 year period. Methods: In this analysis of surveillance data, we compared data from older people (aged ≥50 years) with those from younger people (aged 15–49 years). We extracted new HIV diagnoses reported to the European Surveillance System between Jan 1, 2004, and Dec 31, 2015, and stratified them by age, sex, migration status, transmission route, and CD4 cell count. We defined late diagnosis as CD4 count of less than 350 cells per μL at diagnosis and diagnosis with advanced HIV disease as less than 200 cells per μL. We compared the two age groups with the χ² test for difference, and used linear regression analysis to assess temporal trends. Findings: During the study period 54 102 new HIV diagnoses were reported in older adults. The average notification rate of new diagnoses was 2·6 per 100 000 population across the whole 12 year period, which significantly increased over time (annual average change [AAC] 2·1%, 95% CI 1·1–3·1; p=0·0009). Notification rates for new HIV diagnoses in older adults increased significantly in 16 countries in 2004–15, clustering in central and eastern EU/EEA countries. In 2015, compared with younger adults, older individuals were more likely to originate from the reporting country, to have acquired HIV via heterosexual contact, and to present late (p
- Published
- 2017