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This research received partial funding from the Agencia de Salut Publica de Catalunya (ASPCAT) in the Department of Health and Fundacio Bancaria La Caixa o Obra Social La Caixa.

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March 19, 2019
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Determinants and Outcomes of Late Presentation of HIV Infection in Migrants in Catalonia, Spain: PISCIS Cohort 2004-2016.

Publicated to:Journal Of Immigrant And Minority Health. 21 (5): 920-930 - 2019-10-01 21(5), DOI: 10.1007/s10903-018-0834-2

Authors: Conway, Anna S; Esteve, Anna; Fernandez-Quevedo, Manuel; Casabona, Jordi; Miro, Jose M; Bruguera Riera, Andreu; Montoliu, Alexandra; Reyes, Juliana; Muntada, Esteve; Bruguera, Andreu; Podzamczer, D; Domingo, Pere; Llibre, Josep M; Riera, Sio; Navarro, Gemma; Cortes, Cristina; Falco, Vicenc; Gatell, J M; Manzardo, C; Clotet, B; Ferrer, E; Segura, F; Force, L; Vilaro, J; Masabeu, A; Leon, E; Cifuentes, C; Homar, F; Dalmau, D; Jaen, A; Gracia Mateo, Ma; del Mar Gutierrez, Ma; Loureiro, E; Curran, A; Puig, T; Agusti, C; Vidal, F; Peraire, J; Orti, A; Almuedo, A; Montoliu, A; De Lazzari, E; Giralt, Dolors; Gargoulas, F; Rubia, J C; Vila, J; Ambrosioni, J; Zamora, L; Blanco, J L; Garcia-Alcaide, F; Martinez, E; Mallolas, J; Sirera, G; Romeu, J; Jou, A; Negredo, E; Saumoy, M; Imaz, A; Bolao, F; Cabellos, C; Pena, C; DiYacovo, S; Van Den Eynde, E; Sala, M; Cervantes, M; Amengual, M J; Navarro, M; Segura, V; Barrufet, P; Payeras, T; Gurgui, M; Utrillo, L; Meyer, Sebastian; Hernandez, Juanse

Affiliations

Agencia Salut Publ Barcelona, Barcelona, Spain - Author
CEEISCAT, Madrid, Spain - Author
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain - Author
CIBERESP, CEEISCAT, Madrid, Spain - Author
CIBERESP, Ctr Estudis Epidemiol Infecc Transmissio Sexual &, Madrid, Spain - Author
Comite Ler Desembre, Madrid, Spain - Author
Consorci Sanitari Maresme, Hosp Mataro, Mataro, Spain - Author
Generalitat Catalunya, Dept Salut, Ctr Epidemiol Studies Sexually Transmitted Dis &, Barcelona, Catalonia, Spain - Author
Hosp Badalona Germans Trias & Pujol, Barcelona, Spain - Author
Hosp Gen Granollers, Granollers, Spain - Author
Hosp Gen Hospitalet, Lhospitalet De Llobregat, Spain - Author
Hosp Gen Vic, Vic, Spain - Author
Hosp Joan 23, Tarragona, Spain - Author
Hosp Palamos, Palamos, Spain - Author
Hosp Santa Creu & Sant Pau, Barcelona, Spain - Author
Hosp Santa Maria, Cadiz, Spain - Author
Hosp Son Espases, Mallorca, Spain - Author
Hosp Son Llatzer, Palma De Mallorca, Spain - Author
Hosp Univ Bellvitge, Idibell, Lhospitalet De Llobregat, Spain - Author
Hosp Univ Mutua Terrassa, Terrassa, Spain - Author
Hosp Univ Vall dHebron, Barcelona, Spain - Author
Hosp Verge Cinta Tortosa, Tortosa, Spain - Author
Inst Hlth Sci Res Germans Trias & Pujol IGTP, Badalona, Spain - Author
Serv Salut Integrats Baix Emporda, Palamos, Spain - Author
Traslational Medicine. Cardiovascular, Respiratory and Systemic Diseases and cellular aging Program. Cardiovascular Diseases - Author
Traslational Medicine. Infectious disease and transplantation Program. Infections of the Respiratory Tract and in Immunocompromised Patients - Author
Univ Autonoma Barcelona, Corp Sanitaria & Univ Parc Tauli, Barcelona, Spain - Author
Univ Autonoma Barcelona, Dept Paediat Obstet & Gynaecol, Badalona, Spain - Author
Univ Autonoma Barcelona, Hosp Univ Germans Trias & Pujol, Fundacio Irsicaixa, Fundacio Lluita Sida, Barcelona, Spain - Author
Univ Autonoma Barcelona, Prevent Med, Badalona, Spain - Author
Univ Barcelona, Hosp Clin, IDIBAPS, Barcelona, Spain - Author
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Abstract

© 2018, Springer Science+Business Media, LLC, part of Springer Nature. This study using the Catalan PISCIS cohort explores risk factors of migrants’ late presentation and the impact of late presentation on their health outcomes. We analyse 9590 new HIV diagnoses enrolled in the cohort between 2004 and 2016. Univariate and multivariate logistic regression models are used to identify risk factors associated with late presentation among migrants, giving crude and adjusted odds ratios and their 95% confidence intervals. Cox regression models are estimated to identify risk factors associated with AIDS/death, and crude and adjusted hazard ratios and 95% confidence intervals are reported. Late presentation is higher in migrants than non-migrants. Among migrants, region of origin is associated with late presentation and AIDS/death during follow-up. The results highlight persisting inequalities in HIV diagnosis and care among migrants in Catalonia. Targeted interventions addressed to specific subgroups in the migrant population are needed.

Keywords

adherencecohorthiv inequalitiesimpactlate presentation with hivmigrant healthmulticenterspaintransmissionvirusAntiretroviral therapyCohortGood health and well-beingHivHiv inequalitiesLate presentation with hivMigrant healthSpain

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal Of Immigrant And Minority Health due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2019, it was in position , thus managing to position itself as a Q2 (Segundo Cuartil), in the category Public Health, Environmental and Occupational Health. Notably, the journal is positioned en el Cuartil Q3 for the agency WoS (JCR) in the category Public, Environmental & Occupational Health.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 1.43, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-06, the following number of citations:

  • WoS: 6
  • Scopus: 2
  • Europe PMC: 4
  • Open Alex: 7

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-06:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 48.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 50 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 9.78.
  • The number of mentions on the social network X (formerly Twitter): 3 (Altmetric).
Continuing with the social impact of the work, it is important to emphasize that, due to its content, it can be assigned to the area of interest of ODS 3 - Good Health And Well-being, with a probability of 56% according to the mBERT algorithm developed by Aurora University.

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (PISCIS Study Group).