Late Presentation into Care of HIV Disease and Its Associated Factors in Asia: Results of TAHOD
Identifieur interne : 003351 ( Ncbi/Checkpoint ); précédent : 003350; suivant : 003352Late Presentation into Care of HIV Disease and Its Associated Factors in Asia: Results of TAHOD
Auteurs : Su Jin Jeong ; Claire Italiano ; Romanee Chaiwarith ; Oon Tek Ng ; Sasheela Vanar ; Awachana Jiamsakul ; Vonthanak Saphonn ; Kinh Van Nguyen ; Sasisopin Kiertiburanakul ; Man Po Lee ; Tuti Parwati Merati ; Thuy Thanh Pham ; Evy Yunihastuti ; Rossana Ditangco ; Nagalingeswaran Kumarasamy ; Fujie Zhang ; Wingwai Wong ; Benedict L. H. Sim ; Sanjay Pujari ; Pacharee Kantipong ; Praphan Phanuphak ; Winai Ratanasuwan ; Shinichi Oka ; Mahiran Mustafa ; Nicolas Durier ; Jun Yong ChoiSource :
- AIDS Research and Human Retroviruses [ 0889-2229 ] ; 2016.
Abstract
Many HIV-infected individuals do not enter health care until late in the infection course. Despite encouraging earlier testing, this situation has continued for several years. We investigated the prevalence of late presenters and factors associated with late presentation among HIV-infected patients in an Asian regional cohort. This cohort study included HIV-infected patients with their first positive HIV test during 2003–2012 and CD4 count and clinical status data within 3 months of that test. Factors associated with late presentation into care (CD4 count <200 cells/μl or an AIDS-defining event within ±3 months of first positive HIV test) were analyzed in a random effects logistic regression model. Among 3,744 patients, 2,681 (72%) were late presenters. In the multivariable model, older patients were more likely to be late presenters than younger (≤30 years) patients [31–40, 41–50, and ≥51 years: odds ratio (OR) = 1.57, 95% confidence interval (CI) 1.31–1.88; OR = 2.01, 95% CI 1.58–2.56; and OR = 1.69, 95% CI 1.23–2.31, respectively; all
Url:
DOI: 10.1089/aid.2015.0058
PubMed: 26414065
PubMed Central: 4779961
Affiliations:
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<author><name sortKey="Merati, Tuti Parwati" sort="Merati, Tuti Parwati" uniqKey="Merati T" first="Tuti Parwati" last="Merati">Tuti Parwati Merati</name>
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<author><name sortKey="Pham, Thuy Thanh" sort="Pham, Thuy Thanh" uniqKey="Pham T" first="Thuy Thanh" last="Pham">Thuy Thanh Pham</name>
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</affiliation>
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<author><name sortKey="Yunihastuti, Evy" sort="Yunihastuti, Evy" uniqKey="Yunihastuti E" first="Evy" last="Yunihastuti">Evy Yunihastuti</name>
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</affiliation>
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<author><name sortKey="Ditangco, Rossana" sort="Ditangco, Rossana" uniqKey="Ditangco R" first="Rossana" last="Ditangco">Rossana Ditangco</name>
<affiliation><nlm:aff id="aff13"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kumarasamy, Nagalingeswaran" sort="Kumarasamy, Nagalingeswaran" uniqKey="Kumarasamy N" first="Nagalingeswaran" last="Kumarasamy">Nagalingeswaran Kumarasamy</name>
<affiliation><nlm:aff id="aff14"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Zhang, Fujie" sort="Zhang, Fujie" uniqKey="Zhang F" first="Fujie" last="Zhang">Fujie Zhang</name>
<affiliation><nlm:aff id="aff15"></nlm:aff>
</affiliation>
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<author><name sortKey="Wong, Wingwai" sort="Wong, Wingwai" uniqKey="Wong W" first="Wingwai" last="Wong">Wingwai Wong</name>
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</affiliation>
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<author><name sortKey="Pujari, Sanjay" sort="Pujari, Sanjay" uniqKey="Pujari S" first="Sanjay" last="Pujari">Sanjay Pujari</name>
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</affiliation>
</author>
<author><name sortKey="Kantipong, Pacharee" sort="Kantipong, Pacharee" uniqKey="Kantipong P" first="Pacharee" last="Kantipong">Pacharee Kantipong</name>
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</affiliation>
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<author><name sortKey="Phanuphak, Praphan" sort="Phanuphak, Praphan" uniqKey="Phanuphak P" first="Praphan" last="Phanuphak">Praphan Phanuphak</name>
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</affiliation>
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<author><name sortKey="Ratanasuwan, Winai" sort="Ratanasuwan, Winai" uniqKey="Ratanasuwan W" first="Winai" last="Ratanasuwan">Winai Ratanasuwan</name>
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</affiliation>
</author>
<author><name sortKey="Oka, Shinichi" sort="Oka, Shinichi" uniqKey="Oka S" first="Shinichi" last="Oka">Shinichi Oka</name>
<affiliation><nlm:aff id="aff22"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mustafa, Mahiran" sort="Mustafa, Mahiran" uniqKey="Mustafa M" first="Mahiran" last="Mustafa">Mahiran Mustafa</name>
<affiliation><nlm:aff id="aff23"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Durier, Nicolas" sort="Durier, Nicolas" uniqKey="Durier N" first="Nicolas" last="Durier">Nicolas Durier</name>
<affiliation><nlm:aff id="aff24"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Choi, Jun Yong" sort="Choi, Jun Yong" uniqKey="Choi J" first="Jun Yong" last="Choi">Jun Yong Choi</name>
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</affiliation>
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<series><title level="j">AIDS Research and Human Retroviruses</title>
<idno type="ISSN">0889-2229</idno>
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<p>Many HIV-infected individuals do not enter health care until late in the infection course. Despite encouraging earlier testing, this situation has continued for several years. We investigated the prevalence of late presenters and factors associated with late presentation among HIV-infected patients in an Asian regional cohort. This cohort study included HIV-infected patients with their first positive HIV test during 2003–2012 and CD4 count and clinical status data within 3 months of that test. Factors associated with late presentation into care (CD4 count <200 cells/μl or an AIDS-defining event within ±3 months of first positive HIV test) were analyzed in a random effects logistic regression model. Among 3,744 patients, 2,681 (72%) were late presenters. In the multivariable model, older patients were more likely to be late presenters than younger (≤30 years) patients [31–40, 41–50, and ≥51 years: odds ratio (OR) = 1.57, 95% confidence interval (CI) 1.31–1.88; OR = 2.01, 95% CI 1.58–2.56; and OR = 1.69, 95% CI 1.23–2.31, respectively; all <italic>p</italic>
≤ 0.001]. Injecting drug users (IDU) were more likely (OR = 2.15, 95% CI 1.42–3.27, <italic>p</italic>
< 0.001) and those with homosexual HIV exposure were less likely (OR = 0.45, 95% CI 0.35–0.58, <italic>p</italic>
< 0.001) to be late presenters compared to those with heterosexual HIV exposure. Females were less likely to be late presenters (OR = 0.44, 95% CI 0.36–0.53, <italic>p</italic>
< 0.001). The year of first positive HIV test was not associated with late presentation. Efforts to reduce the patients who first seek HIV care at the late stage are needed. The identified risk factors associated with late presentation should be utilized in formulating targeted public health intervention to improve earlier entry into HIV care.</p>
</div>
</front>
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<affiliations><list></list>
<tree><noCountry><name sortKey="Chaiwarith, Romanee" sort="Chaiwarith, Romanee" uniqKey="Chaiwarith R" first="Romanee" last="Chaiwarith">Romanee Chaiwarith</name>
<name sortKey="Choi, Jun Yong" sort="Choi, Jun Yong" uniqKey="Choi J" first="Jun Yong" last="Choi">Jun Yong Choi</name>
<name sortKey="Ditangco, Rossana" sort="Ditangco, Rossana" uniqKey="Ditangco R" first="Rossana" last="Ditangco">Rossana Ditangco</name>
<name sortKey="Durier, Nicolas" sort="Durier, Nicolas" uniqKey="Durier N" first="Nicolas" last="Durier">Nicolas Durier</name>
<name sortKey="Italiano, Claire" sort="Italiano, Claire" uniqKey="Italiano C" first="Claire" last="Italiano">Claire Italiano</name>
<name sortKey="Jeong, Su Jin" sort="Jeong, Su Jin" uniqKey="Jeong S" first="Su Jin" last="Jeong">Su Jin Jeong</name>
<name sortKey="Jiamsakul, Awachana" sort="Jiamsakul, Awachana" uniqKey="Jiamsakul A" first="Awachana" last="Jiamsakul">Awachana Jiamsakul</name>
<name sortKey="Kantipong, Pacharee" sort="Kantipong, Pacharee" uniqKey="Kantipong P" first="Pacharee" last="Kantipong">Pacharee Kantipong</name>
<name sortKey="Kiertiburanakul, Sasisopin" sort="Kiertiburanakul, Sasisopin" uniqKey="Kiertiburanakul S" first="Sasisopin" last="Kiertiburanakul">Sasisopin Kiertiburanakul</name>
<name sortKey="Kumarasamy, Nagalingeswaran" sort="Kumarasamy, Nagalingeswaran" uniqKey="Kumarasamy N" first="Nagalingeswaran" last="Kumarasamy">Nagalingeswaran Kumarasamy</name>
<name sortKey="Lee, Man Po" sort="Lee, Man Po" uniqKey="Lee M" first="Man Po" last="Lee">Man Po Lee</name>
<name sortKey="Merati, Tuti Parwati" sort="Merati, Tuti Parwati" uniqKey="Merati T" first="Tuti Parwati" last="Merati">Tuti Parwati Merati</name>
<name sortKey="Mustafa, Mahiran" sort="Mustafa, Mahiran" uniqKey="Mustafa M" first="Mahiran" last="Mustafa">Mahiran Mustafa</name>
<name sortKey="Ng, Oon Tek" sort="Ng, Oon Tek" uniqKey="Ng O" first="Oon Tek" last="Ng">Oon Tek Ng</name>
<name sortKey="Nguyen, Kinh Van" sort="Nguyen, Kinh Van" uniqKey="Nguyen K" first="Kinh Van" last="Nguyen">Kinh Van Nguyen</name>
<name sortKey="Oka, Shinichi" sort="Oka, Shinichi" uniqKey="Oka S" first="Shinichi" last="Oka">Shinichi Oka</name>
<name sortKey="Pham, Thuy Thanh" sort="Pham, Thuy Thanh" uniqKey="Pham T" first="Thuy Thanh" last="Pham">Thuy Thanh Pham</name>
<name sortKey="Phanuphak, Praphan" sort="Phanuphak, Praphan" uniqKey="Phanuphak P" first="Praphan" last="Phanuphak">Praphan Phanuphak</name>
<name sortKey="Pujari, Sanjay" sort="Pujari, Sanjay" uniqKey="Pujari S" first="Sanjay" last="Pujari">Sanjay Pujari</name>
<name sortKey="Ratanasuwan, Winai" sort="Ratanasuwan, Winai" uniqKey="Ratanasuwan W" first="Winai" last="Ratanasuwan">Winai Ratanasuwan</name>
<name sortKey="Saphonn, Vonthanak" sort="Saphonn, Vonthanak" uniqKey="Saphonn V" first="Vonthanak" last="Saphonn">Vonthanak Saphonn</name>
<name sortKey="Sim, Benedict L H" sort="Sim, Benedict L H" uniqKey="Sim B" first="Benedict L. H." last="Sim">Benedict L. H. Sim</name>
<name sortKey="Vanar, Sasheela" sort="Vanar, Sasheela" uniqKey="Vanar S" first="Sasheela" last="Vanar">Sasheela Vanar</name>
<name sortKey="Wong, Wingwai" sort="Wong, Wingwai" uniqKey="Wong W" first="Wingwai" last="Wong">Wingwai Wong</name>
<name sortKey="Yunihastuti, Evy" sort="Yunihastuti, Evy" uniqKey="Yunihastuti E" first="Evy" last="Yunihastuti">Evy Yunihastuti</name>
<name sortKey="Zhang, Fujie" sort="Zhang, Fujie" uniqKey="Zhang F" first="Fujie" last="Zhang">Fujie Zhang</name>
</noCountry>
</tree>
</affiliations>
</record>
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