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7th Annual Conference Of The British HIV Association [BHIVA]27 – 29 April 2001, The Hove Centre, Brighton |
[AUTHOR(S):] SM Barry, S Madge, S Lloyd-Owen, A Cozzi-Lepri, A Evans and MA Johnson
Departments of HIV Medicine and Population Sciences, Royal Free Hospital, London, UK
BHIVA Conf 2001 Apr 27-29;7:O13
OBJECTIVES: To document the changes in ethnicity of new HIV diagnoses and correlate these findings with HIV viral load, CD4 count, reason for testing and stage of illness.
METHODS: A retrospective case-note review was performed of all patients newly diagnosed HIV-positive at the Royal Free, or diagnosed elsewhere and referred to the Royal Free for initial HIV care in 1994, 1997 and 2000. Data extracted from the notes included ethnicity, risk for HIV infection, clinical stage of disease, reason for test, CD4 count and HIV viral load.
RESULTS: 144 patients were identified for 1994, 135 for 1994 and 110 for 2000. Over this period, the number of black Africans and black Caribbeans not born in the UK increased from 34 to 54, and the number of white patients from all countries decreased from 124 to 53. Over the same period, the median CD4 count remained similar in the black group, but declined significantly in whites. By 2000, when numbers of black and white patients were equal, the clinical stage of disease, median CD4, HIV viral load and reason for HIV testing was remarkably similar between these groups.
CONCLUSIONS: There has been a substantial drop in new HIV diagnoses among white patients (mainly gay men) and a rise in the number of black Africans at this institution from 1994 to 2000. By 2000, white patients were presenting later than blacks with a similar disease stage.
PRESENTING AUTHOR: SM Barry
010427
O13
Copyright © 2001 - British HIV Association (BHIVA) Reproduction of this abstract (other than one copy for personal reference) must be cleared through the BHIVA Organising Secretariat 1 Mountview Court, 310 Friern Barnet Lane, London N20 0LD