{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T15:03:43Z","timestamp":1784300623722,"version":"3.55.0"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine temporal changes in late diagnosis of HIV (LD) among migrant and non\u2010migrant people with HIV in Sweden 2003\u20132023 and to assess demographic and socioeconomic risk factors for LD in these two populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      People with HIV diagnosed with HIV\u20101 in Sweden 2003\u20132023 were included (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096278). LD was defined as a first CD4+ T\u2010cell count &lt;350\u2009cells\/\u03bcL or an AIDS\u2010defining event within 3\u2009months of diagnosis. People with HIV with evidence of recent infection were reclassified as non\u2010late. Temporal changes in LD were examined using descriptive statistics and regression analyses. To assess risk factors for LD, modified Poisson regression was employed. Risk factor analyses were restricted to 2010\u20132020 when complete sociodemographic data were available (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092778). Data were obtained from Swedish national registries.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The absolute incidence of total and late HIV diagnoses decreased over the study period, whereas the annual proportion of LD varied between 46% and 60% and trended upwards. LD occurred in 41% of non\u2010migrant people with HIV and 58% of migrant people with HIV. Among non\u2010migrant people with HIV, having an upper secondary education or less was associated with LD compared to post\u2010secondary education, as was male sex with heterosexual HIV acquisition and higher age. For migrant people with HIV, neither lower education nor income was statistically significantly associated with LD. Instead, higher age, certain birth regions, heterosexual acquisition and male sex with acquisition through injection drug use were associated with LD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>LD declined in absolute terms yet constituted a high and increasing proportion of new HIV cases in Sweden 2003\u20132023, with differing sociodemographic determinants by migrant status.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.70217","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T03:50:54Z","timestamp":1773373854000},"page":"945-958","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Late diagnosis of\n                    <scp>HIV<\/scp>\n                    persists in Sweden: Differing social determinants among migrant and non\u2010migrant people with\n                    <scp>HIV<\/scp>"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4035-2120","authenticated-orcid":false,"given":"Sara","family":"Falk","sequence":"first","affiliation":[{"name":"Unit of Infectious Diseases and Dermatology, Department of Medicine Huddinge Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josefin","family":"Nilsson","sequence":"additional","affiliation":[{"name":"Unit of Infectious Diseases and Dermatology, Department of Medicine Huddinge Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabela Killander","family":"M\u00f6ller","sequence":"additional","affiliation":[{"name":"Unit of Infectious Diseases and Dermatology, Department of Medicine Huddinge Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Medical Epidemiology and Biostatistics Karolinska Institutet  Stockholm 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