Late diagnosis of human immunodeficiency virus infection and associated factors

Detalhes bibliográficos
Autor(a) principal: Luana Carla Santana Ribeiro
Data de Publicação: 2020
Outros Autores: Maria Imaculada de Fátima Freitas, Unaí Tupinambás, Francisco Carlos Félix Lana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFMG
Texto Completo: https://doi.org/10.1590/1518-8345.4072.3342
http://hdl.handle.net/1843/47607
https://orcid.org/0000-0003-3485-3100
https://orcid.org/0000-0002-0273-9066
https://orcid.org/0000-0001-6833-3870
https://orcid.org/0000-0001-9043-3181
Resumo: Objective: to analyze the occurrence of late diagnosis of infection by the Human Immunodeficiency Virus and its associated factors. Method: this is an epidemiological, crosssectional and analytical study, carried out with 369 people followed-up by Specialized Assistance Services, undergoing anti-retroviral treatment, and interviewed by means of a questionnaire. Univariate analysis was performed using Pearson’s chi-square test or Fisher’s exact test and Kruskall-Wallis test, and multivariate analysis using the ordinal logistic regression model of proportional odds. Results: the occurrence of 59.1% for late diagnosis of the infection was observed; the probability of later diagnosis is greater among people who have a steady partnership, when compared to those who do not; with increasing age, particularly above 35 years old; among those with lower schooling; for those who seek the health services to have an HIV test when they feel sick; and for those who test HIV less often or never do it after sex without a condom with a steady partner. Conclusion: the knowledge on the high proportion of late diagnosis and its associated factors verified in this study make the planning and implementation of new policies and strategies aimed at the timely diagnosis of the infection imperative.
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spelling 2022-11-30T23:38:09Z2022-11-30T23:38:09Z202028e3342e3354https://doi.org/10.1590/1518-8345.4072.334215188345http://hdl.handle.net/1843/47607https://orcid.org/0000-0003-3485-3100https://orcid.org/0000-0002-0273-9066https://orcid.org/0000-0001-6833-3870https://orcid.org/0000-0001-9043-3181Objective: to analyze the occurrence of late diagnosis of infection by the Human Immunodeficiency Virus and its associated factors. Method: this is an epidemiological, crosssectional and analytical study, carried out with 369 people followed-up by Specialized Assistance Services, undergoing anti-retroviral treatment, and interviewed by means of a questionnaire. Univariate analysis was performed using Pearson’s chi-square test or Fisher’s exact test and Kruskall-Wallis test, and multivariate analysis using the ordinal logistic regression model of proportional odds. Results: the occurrence of 59.1% for late diagnosis of the infection was observed; the probability of later diagnosis is greater among people who have a steady partnership, when compared to those who do not; with increasing age, particularly above 35 years old; among those with lower schooling; for those who seek the health services to have an HIV test when they feel sick; and for those who test HIV less often or never do it after sex without a condom with a steady partner. Conclusion: the knowledge on the high proportion of late diagnosis and its associated factors verified in this study make the planning and implementation of new policies and strategies aimed at the timely diagnosis of the infection imperative.Objetivo: analisar a ocorrência de diagnóstico tardio da infecção pelo Vírus da Imunodeficiência Humana e seus fatores associados. Método: trata-se de um estudo epidemiológico, transversal e analítico, realizado com 369 pessoas acompanhadas por Serviços de Assistência Especializada, em tratamento anti-retroviral, e entrevistadas por meio de questionário. A análise univariada foi realizada por meio do teste qui-quadrado de Pearson ou teste exato de Fisher e teste de Kruskall-Wallis, e a análise multivariada por meio do modelo de regressão logística ordinal de chances proporcionais. Resultados: observou-se a ocorrência de 59,1% para diagnóstico tardio da infecção; a probabilidade de diagnóstico tardio é maior entre as pessoas que têm união estável, quando comparadas àquelas que não têm; com o aumento da idade, principalmente acima dos 35 anos; entre os de menor escolaridade; para aqueles que procuram os serviços de saúde para fazer o teste de HIV quando se sentem doentes; e para aqueles que fazem o teste de HIV com menos frequência ou nunca o fazem após sexo sem camisinha com parceiro fixo. Conclusão: o conhecimento da alta proporção de diagnóstico tardio e seus fatores associados verificados neste estudo tornam imperativo o planejamento e implementação de novas políticas e estratégias voltadas para o diagnóstico oportuno da infecção.engUniversidade Federal de Minas GeraisUFMGBrasilENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICAENFERMAGEM - ESCOLA DE ENFERMAGEMMED - DEPARTAMENTO DE CLÍNICA MÉDICARevista Latino-Americana de EnfermagemHIVSíndrome de imunodeficiência adquiridaInfecções por HIVDiagnóstico tardioDiagnóstico precoceEstudos TransversaisHIVAcquired immunodeficiency syndromeHIV infectionsDelayed diagnosisEarly diagnosisCross-sectional studiesLate diagnosis of human immunodeficiency virus infection and associated factorsDiagnóstico tardio da infecção pelo vírus da imunodeficiência humana e fatores associadosinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.scielo.br/j/rlae/a/gg3G4PS7njjFLPWp7znW9Tv/?lang=en&format=htmlLuana Carla Santana RibeiroMaria Imaculada de Fátima FreitasUnaí TupinambásFrancisco Carlos Félix Lanaapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/47607/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALLate diagnosis of human immunodeficiency virus infection and associated factors.pdfLate diagnosis of human immunodeficiency virus infection and associated factors.pdfapplication/pdf2614564https://repositorio.ufmg.br/bitstream/1843/47607/2/Late%20diagnosis%20of%20human%20immunodeficiency%20virus%20infection%20and%20associated%20factors.pdfaa7cc495146878fc05fd22dc309092ecMD521843/476072022-11-30 20:38:09.376oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2022-11-30T23:38:09Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
dc.title.pt_BR.fl_str_mv Late diagnosis of human immunodeficiency virus infection and associated factors
dc.title.alternative.pt_BR.fl_str_mv Diagnóstico tardio da infecção pelo vírus da imunodeficiência humana e fatores associados
title Late diagnosis of human immunodeficiency virus infection and associated factors
spellingShingle Late diagnosis of human immunodeficiency virus infection and associated factors
Luana Carla Santana Ribeiro
HIV
Acquired immunodeficiency syndrome
HIV infections
Delayed diagnosis
Early diagnosis
Cross-sectional studies
HIV
Síndrome de imunodeficiência adquirida
Infecções por HIV
Diagnóstico tardio
Diagnóstico precoce
Estudos Transversais
title_short Late diagnosis of human immunodeficiency virus infection and associated factors
title_full Late diagnosis of human immunodeficiency virus infection and associated factors
title_fullStr Late diagnosis of human immunodeficiency virus infection and associated factors
title_full_unstemmed Late diagnosis of human immunodeficiency virus infection and associated factors
title_sort Late diagnosis of human immunodeficiency virus infection and associated factors
author Luana Carla Santana Ribeiro
author_facet Luana Carla Santana Ribeiro
Maria Imaculada de Fátima Freitas
Unaí Tupinambás
Francisco Carlos Félix Lana
author_role author
author2 Maria Imaculada de Fátima Freitas
Unaí Tupinambás
Francisco Carlos Félix Lana
author2_role author
author
author
dc.contributor.author.fl_str_mv Luana Carla Santana Ribeiro
Maria Imaculada de Fátima Freitas
Unaí Tupinambás
Francisco Carlos Félix Lana
dc.subject.por.fl_str_mv HIV
Acquired immunodeficiency syndrome
HIV infections
Delayed diagnosis
Early diagnosis
Cross-sectional studies
topic HIV
Acquired immunodeficiency syndrome
HIV infections
Delayed diagnosis
Early diagnosis
Cross-sectional studies
HIV
Síndrome de imunodeficiência adquirida
Infecções por HIV
Diagnóstico tardio
Diagnóstico precoce
Estudos Transversais
dc.subject.other.pt_BR.fl_str_mv HIV
Síndrome de imunodeficiência adquirida
Infecções por HIV
Diagnóstico tardio
Diagnóstico precoce
Estudos Transversais
description Objective: to analyze the occurrence of late diagnosis of infection by the Human Immunodeficiency Virus and its associated factors. Method: this is an epidemiological, crosssectional and analytical study, carried out with 369 people followed-up by Specialized Assistance Services, undergoing anti-retroviral treatment, and interviewed by means of a questionnaire. Univariate analysis was performed using Pearson’s chi-square test or Fisher’s exact test and Kruskall-Wallis test, and multivariate analysis using the ordinal logistic regression model of proportional odds. Results: the occurrence of 59.1% for late diagnosis of the infection was observed; the probability of later diagnosis is greater among people who have a steady partnership, when compared to those who do not; with increasing age, particularly above 35 years old; among those with lower schooling; for those who seek the health services to have an HIV test when they feel sick; and for those who test HIV less often or never do it after sex without a condom with a steady partner. Conclusion: the knowledge on the high proportion of late diagnosis and its associated factors verified in this study make the planning and implementation of new policies and strategies aimed at the timely diagnosis of the infection imperative.
publishDate 2020
dc.date.issued.fl_str_mv 2020
dc.date.accessioned.fl_str_mv 2022-11-30T23:38:09Z
dc.date.available.fl_str_mv 2022-11-30T23:38:09Z
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 http://hdl.handle.net/1843/47607
dc.identifier.doi.pt_BR.fl_str_mv https://doi.org/10.1590/1518-8345.4072.3342
dc.identifier.issn.pt_BR.fl_str_mv 15188345
dc.identifier.orcid.pt_BR.fl_str_mv https://orcid.org/0000-0003-3485-3100
https://orcid.org/0000-0002-0273-9066
https://orcid.org/0000-0001-6833-3870
https://orcid.org/0000-0001-9043-3181
url https://doi.org/10.1590/1518-8345.4072.3342
http://hdl.handle.net/1843/47607
https://orcid.org/0000-0003-3485-3100
https://orcid.org/0000-0002-0273-9066
https://orcid.org/0000-0001-6833-3870
https://orcid.org/0000-0001-9043-3181
identifier_str_mv 15188345
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartof.pt_BR.fl_str_mv Revista Latino-Americana de Enfermagem
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.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.publisher.initials.fl_str_mv UFMG
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv ENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICA
ENFERMAGEM - ESCOLA DE ENFERMAGEM
MED - DEPARTAMENTO DE CLÍNICA MÉDICA
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Repositório Institucional da UFMG
collection Repositório Institucional da UFMG
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