XIX International AIDS Conference


THAB03 HIV Diagnosis and HAART Initiation: Don't Be Late!
  Oral Abstract Session : Track B
Venue: Session Room 2
Time: 26.07.2012, 16:30 - 18:00
Co-Chairs: James Hakim, Zimbabwe
Cristina Mussini, Italy
 
 

16:30
THAB0301
Abstract
Powerpoint
Webcast
Non-adherence to HIV testing guidelines and late HIV diagnosis is common among U.S. black men who have sex with men (MSM)
S. Mannheimer1,2, L. Wang3, H.V. Tieu4, C. del Rio5, S. Buchbinder6, L. Wilton7, S. Glick8, V. Cummings9, K.H. Mayer10, on behalf of the HPTN 061 Study Team
1Harlem Hospital/ Columbia University, Medicine, New York, United States, 2Mailman School of Public Health, Columbia University, Epidemiology, New York, United States, 3Statistical Center for HIV/AIDS Research & Prevention (SCHARP), Seattle, United States, 4New York Blood Center, New York, United States, 5Emory University Rollins School of Public Health, Department of Global Health, Atlanta, United States, 6San Francisco Department of Health, HIV Research Section, San Francisco, United States, 7Binghamton University, Department of Human Development, Binghamton, United States, 8The George Washington University School of Public Health and Health Services, Department of Epidemiology and Biostatistics, Washington, United States, 9Johns Hopkins University Medical School, Pathology Department, Baltimore, United States, 10The Fenway Institute/Harvard Medical School, Boston, United States
S. Mannheimer, United States

16:45
THAB0302
Abstract
Cost-effectiveness of more frequent HIV screening of men who have sex with men in the United States
A. Hutchinson, S. Sansom, P. Farnham
Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention, Atlanta, United States
A. Hutchinson, United States

17:00
THAB0303
Abstract
Powerpoint
Webcast
Characteristics of individuals presenting late for care across Europe: results from the Collaboration of Observational HIV Epidemiological Research Europe (COHERE)
J. Lundgren1,2, on behalf of the late presenters working group of the Collaboration of Observational HIV Epidemiological Research in Europe
1University of Copenhagen, Copenhagen HIV Programme, Copenhagen, Denmark, 2Rigshospitalet, Copenhagen, Denmark
J. Lundgren, Denmark

17:15
THAB0304
Abstract
Powerpoint
Webcast
Trends over time in underlying causes of death in the D:A:D study from 1999 to 2011
R. Weber1, C. Smith2, D:A:D Study Group
1University Hospital, Zurich, Switzerland, 2UCL, Infection and Population Health, London, United Kingdom
C. Smith, United Kingdom

17:30
THAB0305
Powerpoint
Webcast
The challenge and consequences of late diagnosis and late initiation of ART


B. Crabtree, Mexico

Powerpoints presentations
Non-adherence to HIV testing guidelines and late HIV diagnosis is common among U.S. black men who have sex with men (MSM) - Sharon Mannheimer

Characteristics of individuals presenting late for care across Europe: results from the Collaboration of Observational HIV Epidemiological Research Europe (COHERE) - Jens Lundgren

Trends over time in underlying causes of death in the D:A:D study from 1999 to 2011 - Colette Smith

The challenge and consequences of late diagnosis and late initiation of ART - Brenda Crabtree



Rapporteur report

Track B report by Dr. John McKinnon


a.      Non-adherence to HIV testing guidelines and late HIV diagnosis is common among U.S. black men who have sex with men (MSM). S. Mannheimer. THAB0301

a.      Conclusion: 23% of study participants had reported no HIV testing in prior 12 months and 14% had never been tested before enrollment. Non-adherence to testing guidelines was associated with age 35, unemployment and not having seen a medical provider in the last 6 months. Late HIV diagnosis was associated with age 35.

b.      Action: Promoting increase testing and to address barriers to access to care for U.S. black MSM.

 

b.      Cost-effectiveness of more frequent HIV screening of men who have sex with men in the United States. A. Hutchinson. THAB0302

a.      Conclusion: Increased testing frequency for high risk MSM to 3-6 months was determined to be cost-effective. The analysis supported the use of 4th generation HIV Ag/Ab tests to detect acute HIV infection, even at increased costs.

b.      Action: Promoting HIV testing in high risk MSM with increase frequency to 3-6 months.

 

c.      Characteristics of individuals presenting late for care across Europe: results from the Collaboration of Observational HIV Epidemiological Research Europe (COHERE). J. Lundgren. THAB0303

a.      Conclusion: Over 50% of newly diagnosed HIV patients in Europe had a  late presentation when first evaluated.  There was a trend towards a 4% decrease per year in LP cases from 2000 to 2009. Older non-MSM originating from outside of Europe, presenting in South or North Europe were more likely to be LP.

b.      Action: Increase interventions to reach non-MSM, “low risk” and non-native Europeans to achieve earlier detection of HIV infection

 

d.      Trends over time in underlying causes of death in the D:A:D study from 1999 to 2011. C. Smith. THAB0303

a.      Conclusion: Death rates in HIV positive populations with access to care has continued in the cART era, supporting the net benefits of therapy. AIDS remains the leading cause of death but has declined overall.  Non-AIDS defining malignancies are now the leading non-AIDS cause of death rates have remained stable over time.

b.      Action: Continued monitoring of specific causes of death in HIV patients is important to determine changing patterns and implement interventions.

 

e.      The challenge and consequences of late diagnosis and late initiation of ART. B. Crabtree. THAB0305

Review: Late diagnosis and presentation to care is a significant barrier that limits the benefit of ART with increased early mortality and morbidity, and transmission of infection.  Innovative strategies to improve linkage to care and retention should be evaluated and implemented


   

    The organizers reserve the right to amend the programme.


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