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Improving cohort coverage estimation using a data triangulation framework: the Swiss HIV Cohort Study example
Jessy J Duran Ramirez1,2, Roger D Kouyos1,2, Irene Abela1,2
1Department of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich.
A data triangulation framework improved estimation of Swiss HIV Cohort Study (SHCS) coverage. While broadly representative, the SHCS needs strategies to include underrepresented groups for continued research generalizability.
Area of Science:
- Epidemiology
- Public Health
- Biostatistics
Background:
- The Swiss HIV Cohort Study (SHCS) is crucial for HIV research in Switzerland.
- Accurate estimation of cohort coverage and representativeness is vital for generalizability.
- Data triangulation offers a novel approach to validate cohort data.
Purpose of the Study:
- To enhance the estimation of cohort coverage within the SHCS.
- To assess the representativeness of the SHCS using multiple data sources.
- To implement a data triangulation framework for ongoing monitoring.
Main Methods:
- Retrospective longitudinal analysis of SHCS data (1985-2023).
- Triangulation of SHCS data with national HIV/AIDS surveillance, ART sales data, and literature.
- Assessment of temporal trends and demographic representativeness by sex, age, HIV acquisition mode, and region.
Main Results:
- Over 38 years, mean SHCS coverage was 62.4% for HIV diagnoses, 74.0% for AIDS, and 64.9% for ART uptake.
- Coverage of HIV diagnoses declined recently, with observed geographical heterogeneity.
- While broadly representative, females, older adults, and individuals with heterosexually acquired HIV were underrepresented.
Conclusions:
- Data triangulation is a practical method for monitoring cohort coverage and representativeness.
- Tailored strategies are necessary to improve the inclusion of underrepresented subgroups in the SHCS.
- Sustained monitoring ensures research generalizability and informs clinical care and public health responses.
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