Centre for Epidemiological Studies of Sexually Transmitted Disease and AIDS in Catalonia (CEEISCAT), Dept Salut, Generalitat de Catalunya, Barcelona, Catalonia, Spain.
Institute for Health Science Research Germans Trias i Pujol (IGTP), Badalona, Spain.
J Immigr Minor Health. 2019 Oct;21(5):920-930. doi: 10.1007/s10903-018-0834-2.
This study using the Catalan PISCIS cohort explores risk factors of migrants' late presentation and the impact of late presentation on their health outcomes. We analyse 9590 new HIV diagnoses enrolled in the cohort between 2004 and 2016. Univariate and multivariate logistic regression models are used to identify risk factors associated with late presentation among migrants, giving crude and adjusted odds ratios and their 95% confidence intervals. Cox regression models are estimated to identify risk factors associated with AIDS/death, and crude and adjusted hazard ratios and 95% confidence intervals are reported. Late presentation is higher in migrants than non-migrants. Among migrants, region of origin is associated with late presentation and AIDS/death during follow-up. The results highlight persisting inequalities in HIV diagnosis and care among migrants in Catalonia. Targeted interventions addressed to specific subgroups in the migrant population are needed.
本研究使用加泰罗尼亚 PISCIS 队列探讨了移民延迟就诊的风险因素以及延迟就诊对其健康结局的影响。我们分析了 2004 年至 2016 年间在该队列中登记的 9590 例新的 HIV 诊断。使用单变量和多变量逻辑回归模型来确定与移民延迟就诊相关的风险因素，给出粗比值比和调整比值比及其 95%置信区间。使用 Cox 回归模型来确定与 AIDS/死亡相关的风险因素，并报告粗比值比和调整比值比及其 95%置信区间。与非移民相比，移民的延迟就诊率更高。在移民中，原籍地区与随访期间的延迟就诊和 AIDS/死亡相关。研究结果突出了加泰罗尼亚移民中 HIV 诊断和护理方面持续存在的不平等现象。需要针对移民群体中的特定亚群实施有针对性的干预措施。
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