Trends and associated factors of late-stage HIV diagnosis among heterosexuals in the Netherlands between 2012 and 2022: an analysis of national surveillance data
Objectives - Late-stage HIV diagnoses among heterosexuals remain a problem in Europe, yet little is known about its risk factors. We aimed to identify the trends and factors associated with late-stage HIV diagnosis among heterosexuals in the Netherlands. - Methods - We used national HIV surveillance...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
March 2026
|
| In: |
International journal of infectious diseases
Year: 2026, Volume: 164, Pages: 1-7 |
| ISSN: | 1878-3511 |
| DOI: | 10.1016/j.ijid.2025.108324 |
| Online Access: | Verlag, kostenfrei, Volltext: https://doi.org/10.1016/j.ijid.2025.108324 Verlag, kostenfrei, Volltext: https://www.sciencedirect.com/science/article/pii/S1201971225005417 
|
| Author Notes: | Karlijn S te Paske, Jean-Marie Brand, Corine Delsing, Mark van den Elshout, Elske Hoornenborg, Casper Rokx, Emile F Schippers, Denise E Twisk, Jan Hontelez, on behalf of the ATHENA observational HIV cohort |
| Summary: | Objectives - Late-stage HIV diagnoses among heterosexuals remain a problem in Europe, yet little is known about its risk factors. We aimed to identify the trends and factors associated with late-stage HIV diagnosis among heterosexuals in the Netherlands. - Methods - We used national HIV surveillance data and included individuals diagnosed between 2012 and 2022, with heterosexual contact as the suspected transmission route. We applied descriptive statistics and logistic regression analyses. - Results - Of 1637 HIV diagnoses among heterosexuals, 932 (57%) were late-stage disease. The proportion of late-stage diagnoses was stable during 2012-2022 (range 51-62%). Significant risk factors for late-stage diagnosis were male sex (adjusted odds ratio [AOR] = 1.72; 95% confidence interval [CI] = 1.40-2.13), older age (every 10-year increase: AOR = 1.48; 95% CI = 1.34-1.62), being born in Africa (AOR = 2.21; 95% CI = 1.70-2.88), and Asia (AOR = 2.93; 95% CI = 1.88-4.65). People born in eastern Europe approached significance (AOR = 1.70; 95% CI = 0.97-3.05). Most late-stage diagnoses occurred in hospitals. - Conclusions - The proportion of late-stage HIV diagnoses remains high among heterosexuals in the Netherlands. Men; older people; and those born in Africa, Asia, and eastern Europe were associated with late-stage diagnosis. |
|---|---|
| Item Description: | Gesehen am 25.03.2026 |
| Physical Description: | Online Resource |
| ISSN: | 1878-3511 |
| DOI: | 10.1016/j.ijid.2025.108324 |