Are European HIV cohort data within EuroCoord representative of the diagnosed HIV population?

Publié le 4 Octobre 2018
Mis à jour le 5 juillet 2019

Objective: HIV cohorts are an important source of clinical data for informing public health policies and programs. However, the generalisability of cohort findings to the wider population of people diagnosed with HIV in each country remains unclear. In this work, we assessed the representativeness of six large national HIV cohorts within Europe. Design and Methods: individual-level cohort data were provided from national cohorts in France, Germany, Greece, Italy, Spain and the UK. Analysis focused on new HIV diagnoses reported to the European Surveillance System (TESSy) during three time periods (2000-2004, 2005-2009 and 2010-2013), to allow for temporal changes. Cohort and TESSy records were matched and compared by age, gender, transmission mode, region of origin, and CD4 count at diagnosis. The probability of being included in each cohort given demographic characteristics was estimated and was used to generate weights inversely proportional to the probability of being included. Results: participating cohorts were generally representative of the national HIV-diagnosed population submitted to TESSy. However, people who inject drugs (PWID), those born in a country other than that reporting the data, those with low CD4 counts at diagnosis, and those >55 years were generally under-represented in the cohorts examined. Conclusions: these European cohorts capture a representative sample of the HIV-diagnosed populations in each country; however some groups may be under-represented.

Auteur : Vourli Georgia, Pharris Anastasia, Cazein Francoise, Costagliola Dominique, Dabis Francoise, Del Amo Julia, Delpech Valerie, Díaz Asuncion, Girardi Enrico, Gourlay Annabelle, Gunsenheimer-Bartmeyer Barbara, Hernando Victoria, Nikolopoulos Georgios, Porter Kholoud, Rosińska Magdalena, Sabin Caroline, Suligoi Barbara, Supervie Virginied, Wit Ferdinand, Touloumi Giota
AIDS, 2018, p. 1-28