Timeliness of diagnosis of HIV in Newfoundland and Labrador, Canada: A mixed-methods study
BACKGROUND: Late diagnosis of HIV is associated with poor outcomes and increased cost. Novel HIV testing promotion strategies may reduce late diagnosis. The purpose of this study was to determine the timeliness of HIV testing in Newfoundland and Labrador (NL), missed opportunities for testing, and b...
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ftpubmed:oai:pubmedcentral.nih.gov:9603191 2023-05-15T17:21:51+02:00 Timeliness of diagnosis of HIV in Newfoundland and Labrador, Canada: A mixed-methods study Boyd, Sarah Elizabeth Allison, Jill Penney, Carla Chantil Burt, Kimberley Allison, David Daley, Peter Kenneth 2019-03-11 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9603191/ https://doi.org/10.3138/jammi.2018-0029 en eng University of Toronto Press http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9603191/ http://dx.doi.org/10.3138/jammi.2018-0029 Copyright © 2019, Association of Medical Microbiology and Infectious Disease Canada (AMMI Canada) J Assoc Med Microbiol Infect Dis Can Original Research Text 2019 ftpubmed https://doi.org/10.3138/jammi.2018-0029 2022-11-06T01:47:28Z BACKGROUND: Late diagnosis of HIV is associated with poor outcomes and increased cost. Novel HIV testing promotion strategies may reduce late diagnosis. The purpose of this study was to determine the timeliness of HIV testing in Newfoundland and Labrador (NL), missed opportunities for testing, and barriers to HIV testing. METHODS: Demographic and clinical information from individuals diagnosed with HIV in NL from 2006–2016 was retrospectively reviewed. Patients were also invited to participate in semi-structured interviews regarding knowledge about HIV transmission, risk associated with their behaviour, testing decision making, and testing opportunities. RESULTS: Fifty-eight new HIV diagnoses occurred during the study period: 53/58 (91.4%) were male and 33/58 (56.9%) were men who have sex with men. The mean age at diagnosis was 40.6 (SD 11.05) years. CD4 count at diagnosis ranged from 2 to 1,408 cells/mm(3), with a mean of 387 cells/mm(3). For 39/58 (67.2%) of individuals, the first-ever HIV test was positive. Of the 58 patients, 55 (94.8%) had had health care contact within the 5 years prior to diagnosis (mean 13.7 contacts). Heterosexual men were more likely to present with a late diagnosis (p = 0.049). Ten (17.2%) individuals agreed to an interview. Thematic analysis revealed that barriers to testing were stigma, negative health care interactions, denial, and fear of the diagnosis. CONCLUSIONS: HIV diagnosis is made later in NL than in other Canadian provinces. Late diagnosis may be prevented if HIV testing became a routine testing procedure. Text Newfoundland PubMed Central (PMC) Canada Newfoundland Official Journal of the Association of Medical Microbiology and Infectious Disease Canada 4 1 15 23 |
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Original Research Boyd, Sarah Elizabeth Allison, Jill Penney, Carla Chantil Burt, Kimberley Allison, David Daley, Peter Kenneth Timeliness of diagnosis of HIV in Newfoundland and Labrador, Canada: A mixed-methods study |
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Original Research |
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BACKGROUND: Late diagnosis of HIV is associated with poor outcomes and increased cost. Novel HIV testing promotion strategies may reduce late diagnosis. The purpose of this study was to determine the timeliness of HIV testing in Newfoundland and Labrador (NL), missed opportunities for testing, and barriers to HIV testing. METHODS: Demographic and clinical information from individuals diagnosed with HIV in NL from 2006–2016 was retrospectively reviewed. Patients were also invited to participate in semi-structured interviews regarding knowledge about HIV transmission, risk associated with their behaviour, testing decision making, and testing opportunities. RESULTS: Fifty-eight new HIV diagnoses occurred during the study period: 53/58 (91.4%) were male and 33/58 (56.9%) were men who have sex with men. The mean age at diagnosis was 40.6 (SD 11.05) years. CD4 count at diagnosis ranged from 2 to 1,408 cells/mm(3), with a mean of 387 cells/mm(3). For 39/58 (67.2%) of individuals, the first-ever HIV test was positive. Of the 58 patients, 55 (94.8%) had had health care contact within the 5 years prior to diagnosis (mean 13.7 contacts). Heterosexual men were more likely to present with a late diagnosis (p = 0.049). Ten (17.2%) individuals agreed to an interview. Thematic analysis revealed that barriers to testing were stigma, negative health care interactions, denial, and fear of the diagnosis. CONCLUSIONS: HIV diagnosis is made later in NL than in other Canadian provinces. Late diagnosis may be prevented if HIV testing became a routine testing procedure. |
format |
Text |
author |
Boyd, Sarah Elizabeth Allison, Jill Penney, Carla Chantil Burt, Kimberley Allison, David Daley, Peter Kenneth |
author_facet |
Boyd, Sarah Elizabeth Allison, Jill Penney, Carla Chantil Burt, Kimberley Allison, David Daley, Peter Kenneth |
author_sort |
Boyd, Sarah Elizabeth |
title |
Timeliness of diagnosis of HIV in Newfoundland and Labrador, Canada: A mixed-methods study |
title_short |
Timeliness of diagnosis of HIV in Newfoundland and Labrador, Canada: A mixed-methods study |
title_full |
Timeliness of diagnosis of HIV in Newfoundland and Labrador, Canada: A mixed-methods study |
title_fullStr |
Timeliness of diagnosis of HIV in Newfoundland and Labrador, Canada: A mixed-methods study |
title_full_unstemmed |
Timeliness of diagnosis of HIV in Newfoundland and Labrador, Canada: A mixed-methods study |
title_sort |
timeliness of diagnosis of hiv in newfoundland and labrador, canada: a mixed-methods study |
publisher |
University of Toronto Press |
publishDate |
2019 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9603191/ https://doi.org/10.3138/jammi.2018-0029 |
geographic |
Canada Newfoundland |
geographic_facet |
Canada Newfoundland |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_source |
J Assoc Med Microbiol Infect Dis Can |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9603191/ http://dx.doi.org/10.3138/jammi.2018-0029 |
op_rights |
Copyright © 2019, Association of Medical Microbiology and Infectious Disease Canada (AMMI Canada) |
op_doi |
https://doi.org/10.3138/jammi.2018-0029 |
container_title |
Official Journal of the Association of Medical Microbiology and Infectious Disease Canada |
container_volume |
4 |
container_issue |
1 |
container_start_page |
15 |
op_container_end_page |
23 |
_version_ |
1766107703932878848 |