Unmatched case-control study on late presentation of HIV infection in Santiago, Cape Verde (2004–2011)
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.3390/ijerph13030320 |
Resumo: | Access to free antiretroviral therapy (ART) in Sub-Saharan Africa has been steadily increasing over the past decade. However, the success of large-scale ART programmes depends on timely diagnosis and early initiation of HIV care. This study characterizes late presenters to HIV care in Santiago (Cape Verde) between 2004 and 2011, and identifies factors associated with late presentation for care. We defined late presentation as persons presenting to HIV care with a CD4 count below 350 cells/mm3. An unmatched case-control study was conducted using socio-demographic and behavioural data of 368 individuals (191 cases and 177 controls) collected through an interviewer-administered questionnaire, comparing HIV patients late and early presented to care. Logistic regression was performed to estimate odds ratio and 95% confidence intervals. Results show that 51.9% were late presenters for HIV. No differences were found in gender distribution, marital status, or access to health services between cases and controls. Participants who undertook an HIV test by doctor indication were more likely to present late compared with those who tested for HIV by their own initiative. Also, individuals taking less time to initiate ART are more likely to present late. This study highlights the need to better understand reasons for late presentation to HIV care in Cape Verde. People in older age groups should be targeted in future approaches focused on late presenters to HIV care. |
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Unmatched case-control study on late presentation of HIV infection in Santiago, Cape Verde (2004–2011)Cape VerdeCD4 countHIV/AIDSLate presentationPublic Health, Environmental and Occupational HealthInfectious DiseasesEpidemiologySDG 3 - Good Health and Well-beingAccess to free antiretroviral therapy (ART) in Sub-Saharan Africa has been steadily increasing over the past decade. However, the success of large-scale ART programmes depends on timely diagnosis and early initiation of HIV care. This study characterizes late presenters to HIV care in Santiago (Cape Verde) between 2004 and 2011, and identifies factors associated with late presentation for care. We defined late presentation as persons presenting to HIV care with a CD4 count below 350 cells/mm3. An unmatched case-control study was conducted using socio-demographic and behavioural data of 368 individuals (191 cases and 177 controls) collected through an interviewer-administered questionnaire, comparing HIV patients late and early presented to care. Logistic regression was performed to estimate odds ratio and 95% confidence intervals. Results show that 51.9% were late presenters for HIV. No differences were found in gender distribution, marital status, or access to health services between cases and controls. Participants who undertook an HIV test by doctor indication were more likely to present late compared with those who tested for HIV by their own initiative. Also, individuals taking less time to initiate ART are more likely to present late. This study highlights the need to better understand reasons for late presentation to HIV care in Cape Verde. People in older age groups should be targeted in future approaches focused on late presenters to HIV care.Global Health and Tropical Medicine (GHTM)Instituto de Higiene e Medicina Tropical (IHMT)Population health, policies and services (PPS)RUNMoreira, António L.Fronteira, InêsAugusto, Gonçalo FigueiredoMartins, Maria do Rosário Fraga Oliveira2018-05-11T22:05:12Z2016-03-152016-03-15T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.3390/ijerph13030320eng1661-7827PURE: 2393425http://www.scopus.com/inward/record.url?scp=84961258113&partnerID=8YFLogxKhttps://doi.org/10.3390/ijerph13030320info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:20:07Zoai:run.unl.pt:10362/36623Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:30:35.654412Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Unmatched case-control study on late presentation of HIV infection in Santiago, Cape Verde (2004–2011) |
title |
Unmatched case-control study on late presentation of HIV infection in Santiago, Cape Verde (2004–2011) |
spellingShingle |
Unmatched case-control study on late presentation of HIV infection in Santiago, Cape Verde (2004–2011) Moreira, António L. Cape Verde CD4 count HIV/AIDS Late presentation Public Health, Environmental and Occupational Health Infectious Diseases Epidemiology SDG 3 - Good Health and Well-being |
title_short |
Unmatched case-control study on late presentation of HIV infection in Santiago, Cape Verde (2004–2011) |
title_full |
Unmatched case-control study on late presentation of HIV infection in Santiago, Cape Verde (2004–2011) |
title_fullStr |
Unmatched case-control study on late presentation of HIV infection in Santiago, Cape Verde (2004–2011) |
title_full_unstemmed |
Unmatched case-control study on late presentation of HIV infection in Santiago, Cape Verde (2004–2011) |
title_sort |
Unmatched case-control study on late presentation of HIV infection in Santiago, Cape Verde (2004–2011) |
author |
Moreira, António L. |
author_facet |
Moreira, António L. Fronteira, Inês Augusto, Gonçalo Figueiredo Martins, Maria do Rosário Fraga Oliveira |
author_role |
author |
author2 |
Fronteira, Inês Augusto, Gonçalo Figueiredo Martins, Maria do Rosário Fraga Oliveira |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Global Health and Tropical Medicine (GHTM) Instituto de Higiene e Medicina Tropical (IHMT) Population health, policies and services (PPS) RUN |
dc.contributor.author.fl_str_mv |
Moreira, António L. Fronteira, Inês Augusto, Gonçalo Figueiredo Martins, Maria do Rosário Fraga Oliveira |
dc.subject.por.fl_str_mv |
Cape Verde CD4 count HIV/AIDS Late presentation Public Health, Environmental and Occupational Health Infectious Diseases Epidemiology SDG 3 - Good Health and Well-being |
topic |
Cape Verde CD4 count HIV/AIDS Late presentation Public Health, Environmental and Occupational Health Infectious Diseases Epidemiology SDG 3 - Good Health and Well-being |
description |
Access to free antiretroviral therapy (ART) in Sub-Saharan Africa has been steadily increasing over the past decade. However, the success of large-scale ART programmes depends on timely diagnosis and early initiation of HIV care. This study characterizes late presenters to HIV care in Santiago (Cape Verde) between 2004 and 2011, and identifies factors associated with late presentation for care. We defined late presentation as persons presenting to HIV care with a CD4 count below 350 cells/mm3. An unmatched case-control study was conducted using socio-demographic and behavioural data of 368 individuals (191 cases and 177 controls) collected through an interviewer-administered questionnaire, comparing HIV patients late and early presented to care. Logistic regression was performed to estimate odds ratio and 95% confidence intervals. Results show that 51.9% were late presenters for HIV. No differences were found in gender distribution, marital status, or access to health services between cases and controls. Participants who undertook an HIV test by doctor indication were more likely to present late compared with those who tested for HIV by their own initiative. Also, individuals taking less time to initiate ART are more likely to present late. This study highlights the need to better understand reasons for late presentation to HIV care in Cape Verde. People in older age groups should be targeted in future approaches focused on late presenters to HIV care. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-03-15 2016-03-15T00:00:00Z 2018-05-11T22:05:12Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.3390/ijerph13030320 |
url |
https://doi.org/10.3390/ijerph13030320 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1661-7827 PURE: 2393425 http://www.scopus.com/inward/record.url?scp=84961258113&partnerID=8YFLogxK https://doi.org/10.3390/ijerph13030320 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137929860218880 |