Delayed entry to care by men with HIV infection in Kumasi, Ghana.
Identifieur interne : 000081 ( PubMed/Curation ); précédent : 000080; suivant : 000082Delayed 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.
Descripteurs français
- KwdFr :
- MESH :
- 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
In resource-limited settings, men may face considerable barriers to accessing HIV care as early interventions tend to focus on antenatal care settings.
DOI: 10.11604/pamj.2015.22.107.7010
PubMed: 26848354
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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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="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).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kumar</LastName><ForeName>Natasha</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Warren Alpert Medical School, Brown University, Providence, RI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Reece</LastName><ForeName>Rebecca</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Medicine, The Miriam Hospital, Providence, RI USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Norman</LastName><ForeName>Betty</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kwara</LastName><ForeName>Awewura</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Warren Alpert Medical School, Brown University, Providence, RI, USA; Department of Medicine, The Miriam Hospital, Providence, RI USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Flanigan</LastName><ForeName>Timothy</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Warren Alpert Medical School, Brown University, Providence, RI, USA; Department of Medicine, The Miriam Hospital, Providence, RI USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rana</LastName><ForeName>Aadia</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Warren Alpert Medical School, Brown University, Providence, RI, USA; Department of Medicine, The Miriam Hospital, Providence, RI USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>P30AI042853</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>T32 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UI="D052061">Research Support, N.I.H., Extramural</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>10</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>Uganda</Country><MedlineTA>Pan Afr Med J</MedlineTA><NlmUniqueID>101517926</NlmUniqueID></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Trop Med Int Health. 2008 Mar;13(3):319-27</RefSource><PMID Version="1">18397395</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Trop Med Int Health. 2008 Jul;13(7):870-9</RefSource><PMID Version="1">18373510</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>BMC Public Health. 2009;9:174</RefSource><PMID Version="1">19500373</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2009 Jul 25;374(9686):275-6</RefSource><PMID 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Sep;97(9):853-7</RefSource><PMID Version="1">17985056</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018791" MajorTopicYN="N">CD4 Lymphocyte Count</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N" Type="Geographic">Ghana</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006297" MajorTopicYN="N">Health Services Accessibility</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical 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