Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual.

Detalhes bibliográficos
Autor(a) principal: MacCarthy, Sarah
Data de Publicação: 2016
Outros Autores: Brignol, Sandra, Reddy, Manasa, Nunn, Amy, Dourado, Inês
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/22607
Resumo: OBJECTIVE: To analyze the factors associated with late presentation to HIV/AIDS services among heterosexual men. METHODS: Men infected by HIV who self-identified as heterosexual (n = 543) were included in the study. Descriptive, biivariate and logistic regression analyses were performed to evaluate the factors associated with late presentation (defined as individuals whose first CD4 count was <350 cells/mm3) in the study population. RESULTS: The prevalence of late presentation was 69.8%. The multivariate logistic analysis showed testing initiated by the provider (OR adjusted 3.75; 95%CI 2.45–5.63) increased the odds of late presentation. History of drug use (OR adjusted 0.59; 95%CI 0.38–0.91), history of having sexually transmitted infections (OR adjusted 0.64; 95%CI 0.42–0.97), and having less education (OR adjusted 0.63; 95%CI 0.41–0.97) were associated with a decreased odds of LP. CONCLUSIONS:Provider initiated testing was the only variable to increase the odds of late presentation. Since the patients in this sample all self-identified as heterosexual, it appears that providers are not requesting they be tested for HIV until the patients are already presenting symptoms of AIDS. The high prevalence of late presentation provides additional evidence to shift towards routine testing and linkage to care, rather than risk-based strategies that may not effectively or efficiently engage individuals infected with HIV.
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spelling MacCarthy, SarahBrignol, SandraReddy, ManasaNunn, AmyDourado, InêsMacCarthy, SarahBrignol, SandraReddy, ManasaNunn, AmyDourado, Inês2017-05-26T18:34:55Z2017-05-26T18:34:55Z20161518-8787http://repositorio.ufba.br/ri/handle/ri/22607v.50, p.1-10, 2016OBJECTIVE: To analyze the factors associated with late presentation to HIV/AIDS services among heterosexual men. METHODS: Men infected by HIV who self-identified as heterosexual (n = 543) were included in the study. Descriptive, biivariate and logistic regression analyses were performed to evaluate the factors associated with late presentation (defined as individuals whose first CD4 count was <350 cells/mm3) in the study population. RESULTS: The prevalence of late presentation was 69.8%. The multivariate logistic analysis showed testing initiated by the provider (OR adjusted 3.75; 95%CI 2.45–5.63) increased the odds of late presentation. History of drug use (OR adjusted 0.59; 95%CI 0.38–0.91), history of having sexually transmitted infections (OR adjusted 0.64; 95%CI 0.42–0.97), and having less education (OR adjusted 0.63; 95%CI 0.41–0.97) were associated with a decreased odds of LP. CONCLUSIONS:Provider initiated testing was the only variable to increase the odds of late presentation. Since the patients in this sample all self-identified as heterosexual, it appears that providers are not requesting they be tested for HIV until the patients are already presenting symptoms of AIDS. The high prevalence of late presentation provides additional evidence to shift towards routine testing and linkage to care, rather than risk-based strategies that may not effectively or efficiently engage individuals infected with HIV.Submitted by Maria Creuza Silva (mariakreuza@yahoo.com.br) on 2017-05-26T18:34:55Z No. of bitstreams: 1 Ines Dourado 4. 2016.pdf: 215346 bytes, checksum: c0c823d6db4538eae23dc87a130c5189 (MD5)Made available in DSpace on 2017-05-26T18:34:55Z (GMT). No. of bitstreams: 1 Ines Dourado 4. 2016.pdf: 215346 bytes, checksum: c0c823d6db4538eae23dc87a130c5189 (MD5)São Paulohttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102016000100233reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAMen’s HealthHeterosexualAcquired Immunodeficiency SyndromeCross-Sectional StudiesLate PresentationHIV/AIDSLate presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual.Rev. 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dc.title.pt_BR.fl_str_mv Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual.
dc.title.alternative.pt_BR.fl_str_mv Rev. Saúde Pública
title Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual.
spellingShingle Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual.
MacCarthy, Sarah
Men’s Health
Heterosexual
Acquired Immunodeficiency Syndrome
Cross-Sectional Studies
Late Presentation
HIV/AIDS
title_short Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual.
title_full Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual.
title_fullStr Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual.
title_full_unstemmed Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual.
title_sort Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual.
author MacCarthy, Sarah
author_facet MacCarthy, Sarah
Brignol, Sandra
Reddy, Manasa
Nunn, Amy
Dourado, Inês
author_role author
author2 Brignol, Sandra
Reddy, Manasa
Nunn, Amy
Dourado, Inês
author2_role author
author
author
author
dc.contributor.author.fl_str_mv MacCarthy, Sarah
Brignol, Sandra
Reddy, Manasa
Nunn, Amy
Dourado, Inês
MacCarthy, Sarah
Brignol, Sandra
Reddy, Manasa
Nunn, Amy
Dourado, Inês
dc.subject.por.fl_str_mv Men’s Health
Heterosexual
Acquired Immunodeficiency Syndrome
Cross-Sectional Studies
Late Presentation
HIV/AIDS
topic Men’s Health
Heterosexual
Acquired Immunodeficiency Syndrome
Cross-Sectional Studies
Late Presentation
HIV/AIDS
description OBJECTIVE: To analyze the factors associated with late presentation to HIV/AIDS services among heterosexual men. METHODS: Men infected by HIV who self-identified as heterosexual (n = 543) were included in the study. Descriptive, biivariate and logistic regression analyses were performed to evaluate the factors associated with late presentation (defined as individuals whose first CD4 count was <350 cells/mm3) in the study population. RESULTS: The prevalence of late presentation was 69.8%. The multivariate logistic analysis showed testing initiated by the provider (OR adjusted 3.75; 95%CI 2.45–5.63) increased the odds of late presentation. History of drug use (OR adjusted 0.59; 95%CI 0.38–0.91), history of having sexually transmitted infections (OR adjusted 0.64; 95%CI 0.42–0.97), and having less education (OR adjusted 0.63; 95%CI 0.41–0.97) were associated with a decreased odds of LP. CONCLUSIONS:Provider initiated testing was the only variable to increase the odds of late presentation. Since the patients in this sample all self-identified as heterosexual, it appears that providers are not requesting they be tested for HIV until the patients are already presenting symptoms of AIDS. The high prevalence of late presentation provides additional evidence to shift towards routine testing and linkage to care, rather than risk-based strategies that may not effectively or efficiently engage individuals infected with HIV.
publishDate 2016
dc.date.issued.fl_str_mv 2016
dc.date.accessioned.fl_str_mv 2017-05-26T18:34:55Z
dc.date.available.fl_str_mv 2017-05-26T18:34:55Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.issn.none.fl_str_mv 1518-8787
dc.identifier.number.pt_BR.fl_str_mv v.50, p.1-10, 2016
identifier_str_mv 1518-8787
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url http://repositorio.ufba.br/ri/handle/ri/22607
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dc.publisher.country.fl_str_mv Brasil
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