SidaGhanaV1, Main, Exploration, bibRecord, 000373

Delayed entry to care by men with HIV infection in Kumasi, Ghana

Identifieur interne : 000373 ( Main/Exploration ); précédent : 000372; suivant : 000374

Delayed entry to care by men with HIV infection in Kumasi, Ghana

Auteurs : Natasha Kumar [États-Unis] ; Rebecca Reece [États-Unis] ; Betty Norman [Ghana] ; Awewura Kwara [États-Unis] ; Timothy Flanigan [États-Unis] ; Aadia Rana [États-Unis]

Source :

The Pan African Medical Journal [ 1937-8688 ] ; 2015.

RBID : PMC:4732647

Descripteurs français

KwdFr :
- Acceptation des soins par le patient (), Accessibilité des services de santé (), Adulte, Adulte d'âge moyen, Facteurs de l'âge, Facteurs sexuels, Facteurs temps, Femelle, Ghana, Humains, Hôpitaux d'enseignement, Infections à VIH (), Mâle, Numération des lymphocytes CD4, Études rétrospectives.
MESH :
- Acceptation des soins par le patient, Accessibilité des services de santé, Adulte, Adulte d'âge moyen, Facteurs de l'âge, Facteurs sexuels, Facteurs temps, Femelle, Ghana, Humains, Hôpitaux d'enseignement, Infections à VIH, Mâle, Numération des lymphocytes CD4, Études rétrospectives.
Wicri :
- geographic : Ghana.

English descriptors

KwdEn :
- Adult, Age Factors, CD4 Lymphocyte Count, Female, Ghana, HIV Infections (therapy), Health Services Accessibility (statistics & numerical data), Hospitals, Teaching, Humans, Male, Middle Aged, Patient Acceptance of Health Care (statistics & numerical data), Retrospective Studies, Sex Factors, Time Factors.
MESH :
- geographic : Ghana.
- statistics & numerical data : Health Services Accessibility, Patient Acceptance of Health Care.
- therapy : HIV Infections.
- Adult, Age Factors, CD4 Lymphocyte Count, Female, Hospitals, Teaching, Humans, Male, Middle Aged, Retrospective Studies, Sex Factors, Time Factors.

Abstract

Introduction

In resource-limited settings, men may face considerable barriers to accessing HIV care as early interventions tend to focus on antenatal care settings.

Methods

We performed a retrospective chart review of all adult patients referred to Komfo Anokye Teaching Hospital HIV clinic in Kumasi, Ghana in 2011 to identify the differences in clinical and demographic variables by gender at presentation to care using two-sample t tests with adjusted variance and Wilcox rank sum tests for continuous variables and Pearson chi-squared tests for categorical variables. We also compared differences in clinical and demographic variables among men stratified by CD4 count at initiation of care in order to identify variables associated with later entry to care.

Results

Demographically, men were more likely to be older (men age 42 vs. 37, p<0.01), have a greater number of dependent children (1.8 v. 1.5, p = 0.04), to be living with or married to their partner (65.4% vs. 49.0%, p<0.01), and to have a higher level of education (tertiary education, 45.8% vs. 25.4%, p<0.01) than women. Clinically, men were more likely to have a lower CD4 count at entry to care (260 v. 311 cells/µL, p<0.01), to report clinical symptoms to the nurse during intake (p<0.01), and to have any history of alcohol use (p<0.01).

Conclusion

Men in Ghana are accessing treatment at a later stage of their disease than women. Efforts to test and link men to care early should be intensified.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4732647

DOI: 10.11604/pamj.2015.22.107.7010
PubMed: 26848354
PubMed Central: 4732647

Affiliations:

Le document en format XML

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<term>Health Services Accessibility (statistics & numerical data)</term>
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<term>Humains</term>
<term>Hôpitaux d'enseignement</term>
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<term>Numération des lymphocytes CD4</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Age Factors</term>
<term>CD4 Lymphocyte Count</term>
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<term>Hospitals, Teaching</term>
<term>Humans</term>
<term>Male</term>
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<term>Adulte d'âge moyen</term>
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<term>Hôpitaux d'enseignement</term>
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<front><div type="abstract" xml:lang="en"><sec id="st1"><title>Introduction</title>
<p>In resource-limited settings, men may face considerable barriers to accessing HIV care as early interventions tend to focus on antenatal care settings.</p>
</sec>
<sec id="st2"><title>Methods</title>
<p>We performed a retrospective chart review of all adult patients referred to Komfo Anokye Teaching Hospital HIV clinic in Kumasi, Ghana in 2011 to identify the differences in clinical and demographic variables by gender at presentation to care using two-sample t tests with adjusted variance and Wilcox rank sum tests for continuous variables and Pearson chi-squared tests for categorical variables. We also compared differences in clinical and demographic variables among men stratified by CD4 count at initiation of care in order to identify variables associated with later entry to care.</p>
</sec>
<sec id="st3"><title>Results</title>
<p>Demographically, men were more likely to be older (men age 42 vs. 37, p<0.01), have a greater number of dependent children (1.8 v. 1.5, p = 0.04), to be living with or married to their partner (65.4% vs. 49.0%, p<0.01), and to have a higher level of education (tertiary education, 45.8% vs. 25.4%, p<0.01) than women. Clinically, men were more likely to have a lower CD4 count at entry to care (260 v. 311 cells/µL, p<0.01), to report clinical symptoms to the nurse during intake (p<0.01), and to have any history of alcohol use (p<0.01).</p>
</sec>
<sec id="st4"><title>Conclusion</title>
<p>Men in Ghana are accessing treatment at a later stage of their disease than women. Efforts to test and link men to care early should be intensified.</p>
</sec>
</div>
</front>
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</author>
<author><name sortKey="Cloete, A" uniqKey="Cloete A">A Cloete</name>
</author>
<author><name sortKey="Clayford, M" uniqKey="Clayford M">M Clayford</name>
</author>
<author><name sortKey="Arnolds, W" uniqKey="Arnolds W">W Arnolds</name>
</author>
<author><name sortKey="Mxoli, M" uniqKey="Mxoli M">M Mxoli</name>
</author>
</analytic>
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</author>
<author><name sortKey="Appiah, K" uniqKey="Appiah K">K Appiah</name>
</author>
<author><name sortKey="Felix, M" uniqKey="Felix M">M Felix</name>
</author>
<author><name sortKey="Grant, A" uniqKey="Grant A">A Grant</name>
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<author><name sortKey="Churchyard, G" uniqKey="Churchyard G">G Churchyard</name>
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</TEI>
<affiliations><list><country><li>Ghana</li>
<li>États-Unis</li>
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<region><li>Rhode Island</li>
</region>
<settlement><li>Providence (Rhode Island)</li>
</settlement>
<orgName><li>Université Brown</li>
</orgName>
</list>
<tree><country name="États-Unis"><region name="Rhode Island"><name sortKey="Kumar, Natasha" sort="Kumar, Natasha" uniqKey="Kumar N" first="Natasha" last="Kumar">Natasha Kumar</name>
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<name sortKey="Flanigan, Timothy" sort="Flanigan, Timothy" uniqKey="Flanigan T" first="Timothy" last="Flanigan">Timothy Flanigan</name>
<name sortKey="Flanigan, Timothy" sort="Flanigan, Timothy" uniqKey="Flanigan T" first="Timothy" last="Flanigan">Timothy Flanigan</name>
<name sortKey="Kwara, Awewura" sort="Kwara, Awewura" uniqKey="Kwara A" first="Awewura" last="Kwara">Awewura Kwara</name>
<name sortKey="Kwara, Awewura" sort="Kwara, Awewura" uniqKey="Kwara A" first="Awewura" last="Kwara">Awewura Kwara</name>
<name sortKey="Rana, Aadia" sort="Rana, Aadia" uniqKey="Rana A" first="Aadia" last="Rana">Aadia Rana</name>
<name sortKey="Rana, Aadia" sort="Rana, Aadia" uniqKey="Rana A" first="Aadia" last="Rana">Aadia Rana</name>
<name sortKey="Reece, Rebecca" sort="Reece, Rebecca" uniqKey="Reece R" first="Rebecca" last="Reece">Rebecca Reece</name>
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<country name="Ghana"><noRegion><name sortKey="Norman, Betty" sort="Norman, Betty" uniqKey="Norman B" first="Betty" last="Norman">Betty Norman</name>
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</country>
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</affiliations>
</record>

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   |wiki=    Wicri/Sante
   |area=    SidaGhanaV1
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   |clé=     PMC:4732647
   |texte=   Delayed entry to care by men with HIV infection in Kumasi, Ghana
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Le SIDA au Ghana (serveur d'exploration)

Delayed entry to care by men with HIV infection in Kumasi, Ghana

Delayed entry to care by men with HIV infection in Kumasi, Ghana

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	Le SIDA au Ghana (serveur d'exploration)
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.