2026-07-22T08:14:26Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/90022025-04-03T18:29:42Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608

00925njm 22002777a 4500 dc Diaz Franco, Asuncion author Del Romero, Jorge author Rodriguez, C author Alastrue, I author Belda, J author Bru, F J author Cámara, M M author Junquera, M L author Sanz, I author Viloria, L J author Gil, L author Martínez, E author Gual, F author Landa, M C author Pueyo, I author Ureña, José Manuel author Martínez, B author Varela, J A author Polo, A author Azpiri, M A author Diez Ruiz-Navarro, Mercedes author EPI-VIH Study Group author 2015-04-09 This paper analyses late presentation (LP) of HIV infection, and its determinants, among men who have sex with men (MSM) in Spain, newly diagnosed with HIV (2003-2011) in 15 sexually transmitted infection/HIV counselling and testing clinics. LP was defined as <350 CD4 cells/µL or AIDS. In total, 3,081 MSM were included (2,499 having CD4/AIDS); overall LP was 25.3%. LP was higher in men older than 34 years, those not previously HIV-tested (adjusted odds ratio (aOR):3.1; 95% confidence intervals (CI):2.3-4.2) , and those tested > 12 months before diagnosis (12-24 months (aOR:1.4; 95% CI:1.0-2.0); > 24 months (aOR:2.2; 95% CI:1.7-3.0)). LP was less likely in MSM reporting a known HIV-infected partner as infection source or symptoms compatible with acute retroviral syndrome. 'Region of birth' interacted with 'educational level' and 'steady partner as infection source': only African and Latin-American MSM with low educational level were more likely to present late; Latin-American men attributing their infection to steady partner, but no other MSM, had LP more frequently. In Spain, HIV testing among MSM should be promoted, especially those > 34 years old and migrants with low educational level. The current recommendation that MSM be tested at least once a year is appropriate. Euro Surveill. 2015 Apr 9;20(14). pii: 21088. 10.2807/1560-7917.es2015.20.14.21088 1560-7917 Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin 25884148 http://hdl.handle.net/20.500.12105/9002 Effects of region of birth, educational level and age on late presentation among men who have sex with men newly diagnosed with HIV in a network of STI/HIV counselling and testing clinics in Spain