Late diagnosis of human immunodeficiency virus infection and associated factors
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
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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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 |
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reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
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