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dc.rights.licenseopenen_US
dc.contributor.authorREIN, Sophia M
dc.contributor.authorLAMPE, Fiona C
dc.contributor.authorINGLE, Suzanne M
dc.contributor.authorSTERNE, Jonathan A C
dc.contributor.authorTRICKEY, Adam
dc.contributor.authorGILL, M John
dc.contributor.authorPAPASTAMOPOULOS, Vasileios
hal.structure.identifierStatistics In System biology and Translational Medicine [SISTM]
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorWITTKOP, Linda
dc.contributor.authorVAN DER VALK, Marc
dc.contributor.authorKITCHEN, Maria
dc.contributor.authorGUEST, Jodie L
dc.contributor.authorSATRE, Derek D
dc.contributor.authorWANDELER, Gilles
dc.contributor.authorGALINDO, Pepa
dc.contributor.authorCASTILHO, Jessica
dc.contributor.authorCRANE, Heidi M
dc.contributor.authorSMITH, Colette J
dc.date.accessioned2023-12-06T15:15:48Z
dc.date.available2023-12-06T15:15:48Z
dc.date.issued2023-10
dc.identifier.issn2468-2667en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/186413
dc.description.abstractEnBACKGROUND: Understanding demographic disparities in hospitalisation is crucial for the identification of vulnerable populations, interventions, and resource planning. METHODS: Data were from the Antiretroviral Therapy Cohort Collaboration (ART-CC) on people living with HIV in Europe and North America, followed up between January, 2007 and December, 2020. We investigated differences in all-cause hospitalisation according to gender and mode of HIV acquisition, ethnicity, and combined geographical origin and ethnicity, in people living with HIV on modern combination antiretroviral therapy (cART). Analyses were performed separately for European and North American cohorts. Hospitalisation rates were assessed using negative binomial multilevel regression, adjusted for age, time since cART intitiaion, and calendar year. FINDINGS: Among 23 594 people living with HIV in Europe and 9612 in North America, hospitalisation rates per 100 person-years were 16·2 (95% CI 16·0-16·4) and 13·1 (12·8-13·5). Compared with gay, bisexual, and other men who have sex with men, rates were higher for heterosexual men and women, and much higher for men and women who acquired HIV through injection drug use (adjusted incidence rate ratios ranged from 1·2 to 2·5 in Europe and from 1·2 to 3·3 in North America). In both regions, individuals with geographical origin other than the region of study generally had lower hospitalisation rates compared with those with geographical origin of the study country. In North America, Indigenous people and Black or African American individuals had higher rates than White individuals (adjusted incidence rate ratios 1·9 and 1·2), whereas Asian and Hispanic people living with HIV had somewhat lower rates. In Europe there was a lower rate in Asian individuals compared with White individuals. INTERPRETATION: Substantial disparities exist in all-cause hospitalisation between demographic groups of people living with HIV in the current cART era in high-income settings, highlighting the need for targeted support. FUNDING: Royal Free Charity and the National Institute on Alcohol Abuse and Alcoholism.
dc.language.isoENen_US
dc.title.enAll-cause hospitalisation among people living with HIV according to gender, mode of HIV acquisition, ethnicity, and geographical origin in Europe and North America: findings from the ART-CC cohort collaboration
dc.title.alternativeLancet Public Healthen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/s2468-2667(23)00178-0en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed37777287en_US
bordeaux.journalLancet Public Healthen_US
bordeaux.page776-787en_US
bordeaux.volume8en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue10en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.institutionINRIAen_US
bordeaux.teamSISTM_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDNational Institute on Alcohol Abuse and Alcoholismen_US
hal.identifierhal-04327414
hal.version1
hal.date.transferred2023-12-06T15:15:51Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Lancet%20Public%20Health&rft.date=2023-10&rft.volume=8&rft.issue=10&rft.spage=776-787&rft.epage=776-787&rft.eissn=2468-2667&rft.issn=2468-2667&rft.au=REIN,%20Sophia%20M&LAMPE,%20Fiona%20C&INGLE,%20Suzanne%20M&STERNE,%20Jonathan%20A%20C&TRICKEY,%20Adam&rft.genre=article


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