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首页> 外文期刊>AIDS care. >Late diagnosis of HIV in Europe: definitional and public health challenges.
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Late diagnosis of HIV in Europe: definitional and public health challenges.

机译：欧洲对艾滋病的晚期诊断：定义和公共卫生方面的挑战。

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With universal access to antiretroviral therapy (ART), people can access effective treatment but are only able to benefit from these advances if they are aware of their status and are effectively accessing testing services. Although it was anticipated in the mid-1990s that the availability of ART would lead to earlier testing, this trend has not been observed in practice, with stagnant or even increasing rates of late diagnosis in Europe. Ahead of a gathering of key European stakeholders in Brussels in November 2007, we reviewed definitions of late diagnosis and approaches to surveillance of late HIV diagnosis in Europe. We found that there is no common or consistent reporting of late diagnosis across Europe and that the multiplicity of definitions for late diagnosis is likely proving a hindrance to providing information on the magnitude of the problem, determining trends, and informing understanding of reasons for changes in trends. We also show that existing evidence points to high rates of late diagnosis across Europe - between 15 and 38% of all HIV cases - and concur that trends that are increasing or at best stagnant. We identify risk factors that are associated with individuals being more likely to present late and we explore the reasons for late presentation. We reflect on the need to review surveillance and testing policies, notably in relation for population groups that are heavily represented in late presenters and make recommendations for a coherent, cross-European approach to surveillance and monitoring in order to support improvements in service provision and, ultimately, public health.
机译：通过普遍获得抗逆转录病毒疗法（ART），人们可以使用有效的治疗方法，但只有在了解自己的状况并有效使用测试服务的情况下，才能从这些进步中受益。尽管人们预计在1990年代中期可获得抗逆转录病毒治疗会导致更早的检测，但这种趋势在实践中并未观察到，欧洲的晚期诊断停滞甚至上升。在2007年11月于布鲁塞尔召开的欧洲主要利益相关者聚会之前，我们回顾了欧洲晚期诊断的定义和晚期HIV诊断的监测方法。我们发现，在欧洲，没有关于晚期诊断的通用或一致的报告，并且晚期诊断的定义繁多可能会阻碍提供有关问题严重程度的信息，确定趋势并告知对变化原因的理解。趋势。我们还表明，现有证据表明，欧洲的晚期诊断率很高-在所有HIV病例中占15％至38％-并同意这种趋势正在增加或最好处于停滞状态。我们确定与个人更可能迟到的风险因素，并探讨迟到的原因。我们认为有必要审查监视和测试政策，尤其是与在后期演示者中代表较多的人口群体相关的政策，并就采用一致的跨欧洲监视和监视方法提出建议，以支持改善服务提供，以及最终，公共卫生。

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