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. 2019 Mar 16;16(1):6.
doi: 10.1186/s12981-019-0221-7.

HIV late presentation and advanced HIV disease among patients with newly diagnosed HIV/AIDS in Southwestern China: a large-scale cross-sectional study

Xi Hu  1   2 , Bingyu Liang  1   2 , Chongxing Zhou  3 , Junjun Jiang  1   2 , Jiegang Huang  1   2 , Chuanyi Ning  1   2 , Jie Liu  1   2 , Bo Zhou  1   2 , Ning Zang  1   2 , Jinzhen Lai  1   2 , Rongfeng Chen  1   2 , Yanyan Liao  1   2 , Peijiang Pan  1   2 , Xin Liu  1   2 , Guanghua Lan  3 , Xianwu Pang  3 , Li Ye  4   5 , Zhiyong Shen  6 , Hao Liang  7   8
Affiliations

HIV late presentation and advanced HIV disease among patients with newly diagnosed HIV/AIDS in Southwestern China: a large-scale cross-sectional study

Xi Hu et al. AIDS Res Ther. .

Abstract

Objective: This study aimed to investigate the prevalence of HIV late presentation and advanced HIV disease and to identify the factors associated with HIV late presentation and advanced HIV disease among patients with newly diagnosed HIV/AIDS in the Guangxi Zhuang Autonomous Region, in Southwestern China.

Methods: Patients with newly diagnosed HIV registered in the HIV surveillance system of Guangxi Centers for Disease Control between January 2012 and December 2016 were included in this study.

Results: Of 45,118 newly diagnosed patients, 70.2% had late presentation, and 45.1% had advanced HIV disease. A higher prevalence of late presentation and advanced HIV disease was found in male heterosexuals and female people who use drugs (PWID). Heterosexuals (OR 2.11 [95% CI 1.90-2.34]) and PWID (OR 1.55 [95% CI 1.30-1.84]) had a higher risk of late presentation than men who have sex with men (MSM). Blood testing of the blood receivers (OR 1.75 [95% CI 1.36-2.26]) and diagnosed in hospital (OR 1.74 [95% CI 1.65-1.84]) had an increased risk of late presentation compared to those who diagnosis in voluntary counseling and testing (VCT). Heterosexuals (OR 2.86 [95% CI 2.51-3.27]), PWID (OR 2.23 [95% CI 1.83-2.71]), blood testing of the blood receivers (OR 1.58 [95% CI 1.29-1.94]) and diagnosed in hospital (OR 1.85 [95% CI 1.76-1.94]) were also independent risk factors associated with advanced HIV disease. Older age, lower level of education and being divorced or widowed were also associated with late presentation and advanced HIV disease.

Conclusions: Late presentation and advanced HIV disease were very common among patients with newly diagnosed HIV in Guangxi, China during 2012-2016. Targeted programs are urgently required to reduce HIV late diagnosis in Guangxi, especially for male heterosexuals, PWID, and patients with characteristics such as older age, lower level of education, divorced or widowed.

Keywords: Advanced HIV disease; HIV/AIDS; Late presentation; Southwestern China.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Chart of the inclusion and exclusion criteria in this study
Fig. 2
Fig. 2
Percentages of HIV late presentation and advanced HIV disease for 2012–2016, by transmission groups (MSM men who have sex with men, PWID people who use drugs) and gender
Fig. 3
Fig. 3
Changes of late presentation and advanced HIV disease by year of diagnosis (a) and transmission groups (MSM men who have sex with men, PWID people who use drugs) (b)
See this image and copyright information in PMC

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