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Prevalence and characteristics of people with HIV who had late, delayed and timely HIV diagnoses in Florida, 2015–2021.

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Title: Prevalence and characteristics of people with HIV who had late, delayed and timely HIV diagnoses in Florida, 2015–2021.
Authors: Parisi, Christina E., Canidate, Shantrel S., Kwara, Awewura, Li, Zhigang, Zhou, Zhi, Cohen, Colby, Cook, Robert L., Chichetto, Natalie
Source: AIDS Care. Jul2025, Vol. 37 Issue 7, p1131-1139. 9p.
Subjects: HIV infection risk factors, Diagnosis of HIV infections, HIV infection epidemiology, Risk assessment, Research funding, CD4 lymphocyte count, Multiple regression analysis, Symptoms, Descriptive statistics, Chi-squared test, Disease prevalence, HIV infections, Psychology of HIV-positive persons, Odds ratio, AIDS serodiagnosis, Delayed diagnosis, Comparative studies, Early diagnosis, Medical screening
Geographic Terms: Florida
Abstract: Different definitions of late HIV diagnosis are used to represent people diagnosed at an advanced stage of their illness. How well varying definitions represent those at risk for poor outcomes is unclear. Our aim was to examine proportions of late, delayed and timely HIV diagnoses in Florida and identify factors associated with diagnosis status. Using the first laboratory test in the Enhanced HIV/AIDS Reporting System, we determined annual proportions of late (CD4 < 200 cells/μL), delayed (200 ≤ CD4 < 350 cells/μL) and timely (CD4 ≥ 350 cells/μL) diagnoses in Florida between 2015 and 2021 and assessed characteristics associated with diagnosis status using multinomial logistic regression models. Among 30,411 individuals (20% female, 39% non-Hispanic Black, 34% Hispanic, mean age 37.1 years), 22% had a late and 17% had a delayed diagnosis. Non-Hispanic Black race, older age, and diagnosis at an inpatient facility were associated with greater odds of having a late or delayed diagnosis compared with having a timely diagnosis. There was no change in the prevalence of late, delayed, and timely diagnoses each year during the study period. Nearly 40% of HIV diagnoses in Florida were late or delayed. Given those with late and delayed diagnoses were similar, strategies to improve timeliness of diagnosis among these groups are needed. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Prevalence and characteristics of people with HIV who had late, delayed and timely HIV diagnoses in Florida, 2015–2021.
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  Data: Different definitions of late HIV diagnosis are used to represent people diagnosed at an advanced stage of their illness. How well varying definitions represent those at risk for poor outcomes is unclear. Our aim was to examine proportions of late, delayed and timely HIV diagnoses in Florida and identify factors associated with diagnosis status. Using the first laboratory test in the Enhanced HIV/AIDS Reporting System, we determined annual proportions of late (CD4 &lt; 200 cells/μL), delayed (200 ≤ CD4 &lt; 350 cells/μL) and timely (CD4 ≥ 350 cells/μL) diagnoses in Florida between 2015 and 2021 and assessed characteristics associated with diagnosis status using multinomial logistic regression models. Among 30,411 individuals (20% female, 39% non-Hispanic Black, 34% Hispanic, mean age 37.1 years), 22% had a late and 17% had a delayed diagnosis. Non-Hispanic Black race, older age, and diagnosis at an inpatient facility were associated with greater odds of having a late or delayed diagnosis compared with having a timely diagnosis. There was no change in the prevalence of late, delayed, and timely diagnoses each year during the study period. Nearly 40% of HIV diagnoses in Florida were late or delayed. Given those with late and delayed diagnoses were similar, strategies to improve timeliness of diagnosis among these groups are needed. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of AIDS Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2025.2484299
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 1131
    Subjects:
      – SubjectFull: HIV infection risk factors
        Type: general
      – SubjectFull: Diagnosis of HIV infections
        Type: general
      – SubjectFull: HIV infection epidemiology
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: CD4 lymphocyte count
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Symptoms
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: AIDS serodiagnosis
        Type: general
      – SubjectFull: Delayed diagnosis
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Early diagnosis
        Type: general
      – SubjectFull: Medical screening
        Type: general
      – SubjectFull: Florida
        Type: general
    Titles:
      – TitleFull: Prevalence and characteristics of people with HIV who had late, delayed and timely HIV diagnoses in Florida, 2015–2021.
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            – D: 01
              M: 07
              Text: Jul2025
              Type: published
              Y: 2025
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