Research Article

Comparing Measures of Late HIV Diagnosis in Washington State

Table 2

Characteristics of late HIV diagnoses, including adjusted* odds ratios, Washington state, 2000–2009.

Time-based late measureLab-based late measure
2000–20082000–2009
(Late = AIDS within 12 months)(Late = CD4+ T-cell < 350 cells/mL)
No.% LateOdds ratio (95% CI)*No.% LateOdds ratio (95% CI)*

Total late HIV diagnoses190437%n/a  n/a224356%n/a  n/a
Gender
 Male162238%1.88 (1.53–2.31)190556%2.54 (1.98–3.25)
 Female28236%Reference33854%Reference
Race/ethnicity
 White, NH107734%Reference127351%Reference
 Black, NH38242%1.20 (1.01–1.43)42361%1.21 (0.98–1.48)
 Hispanic27343%1.33 (1.07–1.65)34866%1.61 (1.26–2.05)
 Asian8044%1.35 (0.95–1.90)10265%1.34 (0.92–1.95)
 NHOPI**1146%1.68 (0.71–3.95)1155%1.08 (0.43–2.71)
 AI/AN4548%1.68 (1.09–2.60)4467%1.94 (1.13–3.34)
 Multiple/unknown3639%1.45 (0.93–2.28)4261%1.72 (1.03–2.87)
Age at HIV diagnosis
 18–25 yrs9116%0.42 (0.33–0.54)15038%0.57 (0.45–0.72)
 25–34 yrs47930%Reference60151%Reference
 35–44 yrs75341%1.59 (1.38–1.83)84759%1.38 (1.18–1.62)
 45 yrs and over58150%2.18 (1.85–2.57)64565%1.82 (1.51–2.18)
Mode of HIV exposure
 MSM97133%Reference120252%Reference
 IDU17942%1.44 (1.15–1.81)16057%1.41 (1.07–1.87)
 MSM/IDU9725%0.72 (0.56–0.92)11941%0.67 (0.52–0.86)
 Heterosexual28444%1.92 (1.53–2.41)31857%2.51 (1.90–3.32)
 Blood/pediatric750%2.23 (0.75–6.58)764%1.85 (0.56–6.12)
 NIR36651%2.04 (1.67–2.48)43771%2.62 (2.06–3.34)
Residence at HIV diagnosis
 Inside King county104934%Reference129853%Reference
 Outside King county85542%1.36 (1.20–1.53)94561%1.37 (1.19–1.58)
Country of origin
 US-born135235%Reference156752%Reference
 Foreign-born55246%1.26 (1.06–1.51)67667%1.34 (1.09–1.64)

*Adjusting for gender, race/ethnicity, risk category, age at HIV diagnosis, residence in King County, and foreign-born status.
**Native Hawaiian or other Pacific Islander.