Brief report: No association found between traditional healers use and delayed antiretroviral initiation in rural Uganda
Identifieur interne : 001A81 ( Pmc/Checkpoint ); précédent : 001A80; suivant : 001A82Brief report: No association found between traditional healers use and delayed antiretroviral initiation in rural Uganda
Auteurs : Russell H. Horwitz [États-Unis] ; Alexander C. Tsai [États-Unis] ; Samuel Maling [Ouganda] ; Francis Bajunirwe [Ouganda, États-Unis] ; Jessica E. Haberer [États-Unis] ; Nneka Emenyonu [Ouganda, États-Unis] ; Conrad Muzoora [Ouganda] ; Peter W. Hunt [États-Unis] ; Jeff N. Martin [États-Unis] ; David R. Bangsberg [États-Unis, Ouganda]Source :
- AIDS and behavior [ 1090-7165 ] ; 2013.
Abstract
Traditional healer and/or spiritual counselor (TH/SC) use has been associated with delays in HIV testing. We examined HIV-infected individuals in southwestern Uganda to test the hypothesis that TH/SC use was also associated with lower CD4-counts at antiretroviral therapy (ART) initiation. Nearly 500 individuals initiating ART through an HIV/AIDS clinic at the Mbarara University of Science and Technology (MUST) were recruited to participate. Patients were predominantly female, ranged in age from 18 to 75, and had a median CD4 count of 130. TH/SC use was not associated with lower CD4 cell count, but age and quality-of-life physical health summary score were associated with CD4 cell count at initiation while asset index was negatively associated with CD4 count at ART initiation. These findings suggest that TH/SC use does not delay initiation of ART.
Url:
DOI: 10.1007/s10461-011-0132-7
PubMed: 22246516
PubMed Central: 3718889
Affiliations:
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<front><div type="abstract" xml:lang="en"><p id="P1">Traditional healer and/or spiritual counselor (TH/SC) use has been associated with delays in HIV testing. We examined HIV-infected individuals in southwestern Uganda to test the hypothesis that TH/SC use was also associated with lower CD4-counts at antiretroviral therapy (ART) initiation. Nearly 500 individuals initiating ART through an HIV/AIDS clinic at the Mbarara University of Science and Technology (MUST) were recruited to participate. Patients were predominantly female, ranged in age from 18 to 75, and had a median CD4 count of 130. TH/SC use was not associated with lower CD4 cell count, but age and quality-of-life physical health summary score were associated with CD4 cell count at initiation while asset index was negatively associated with CD4 count at ART initiation. These findings suggest that TH/SC use does not delay initiation of ART.</p>
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<contrib-group><contrib contrib-type="author"><name><surname>Horwitz</surname>
<given-names>Russell H.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author"><name><surname>Tsai</surname>
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<contrib contrib-type="author"><name><surname>Maling</surname>
<given-names>Samuel</given-names>
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<xref ref-type="aff" rid="A4">4</xref>
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<contrib contrib-type="author"><name><surname>Bajunirwe</surname>
<given-names>Francis</given-names>
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<xref ref-type="aff" rid="A5">5</xref>
<xref ref-type="aff" rid="A6">6</xref>
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<contrib contrib-type="author"><name><surname>Haberer</surname>
<given-names>Jessica E.</given-names>
</name>
<xref ref-type="aff" rid="A7">7</xref>
<xref ref-type="aff" rid="A8">8</xref>
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<contrib contrib-type="author"><name><surname>Emenyonu</surname>
<given-names>Nneka</given-names>
</name>
<xref ref-type="aff" rid="A9">9</xref>
<xref ref-type="aff" rid="A10">10</xref>
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<contrib contrib-type="author"><name><surname>Muzoora</surname>
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<contrib contrib-type="author"><name><surname>Hunt</surname>
<given-names>Peter W.</given-names>
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<xref ref-type="aff" rid="A10">10</xref>
<xref ref-type="aff" rid="A11">11</xref>
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<contrib contrib-type="author"><name><surname>Martin</surname>
<given-names>Jeff N</given-names>
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<xref ref-type="aff" rid="A12">12</xref>
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<aff id="A1"><label>1</label>
Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts</aff>
<aff id="A2"><label>2</label>
Harvard Medical School, Boston, Massachusetts</aff>
<aff id="A3"><label>3</label>
Robert Wood Johnson Health and Society Scholars Program, Harvard University, Cambridge, Massachusetts</aff>
<aff id="A4"><label>4</label>
Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda</aff>
<aff id="A5"><label>5</label>
Department of Community Health, Mbarara University of Science and Technology, Mbarara, Uganda</aff>
<aff id="A6"><label>6</label>
Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, Ohio</aff>
<aff id="A7"><label>7</label>
Harvard Initiative for Global Health, Cambridge, Massachusetts</aff>
<aff id="A8"><label>8</label>
Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts</aff>
<aff id="A9"><label>9</label>
Department of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda</aff>
<aff id="A10"><label>10</label>
Department of Medicine, University of California, San Francisco, California</aff>
<aff id="A11"><label>11</label>
Department of Laboratory Medicine, University of California, San Francisco, California</aff>
<aff id="A12"><label>12</label>
Department of Epidemiology & Biostatistics, University of California, San Francisco, California</aff>
<aff id="A13"><label>13</label>
Phillip T. and Susan M. Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard University, Charlestown, Massachusetts</aff>
<author-notes><corresp id="FN1">Correspondence: Russell H. Horwitz, MD, PhD, Instructor, Harvard Medical School, MGH Revere HealthCare Center, Mental Health Department, 300 Ocean Avenue, Revere, MA 02151, Tel: 781-485-6100. Fax: 781-485-6119. <email>rhorwitz@partners.org</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>20</day>
<month>6</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub"><month>1</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>1</month>
<year>2014</year>
</pub-date>
<volume>17</volume>
<issue>1</issue>
<fpage>260</fpage>
<lpage>265</lpage>
<abstract><p id="P1">Traditional healer and/or spiritual counselor (TH/SC) use has been associated with delays in HIV testing. We examined HIV-infected individuals in southwestern Uganda to test the hypothesis that TH/SC use was also associated with lower CD4-counts at antiretroviral therapy (ART) initiation. Nearly 500 individuals initiating ART through an HIV/AIDS clinic at the Mbarara University of Science and Technology (MUST) were recruited to participate. Patients were predominantly female, ranged in age from 18 to 75, and had a median CD4 count of 130. TH/SC use was not associated with lower CD4 cell count, but age and quality-of-life physical health summary score were associated with CD4 cell count at initiation while asset index was negatively associated with CD4 count at ART initiation. These findings suggest that TH/SC use does not delay initiation of ART.</p>
</abstract>
<kwd-group><kwd>HIV/AIDS</kwd>
<kwd>traditional healer</kwd>
<kwd>spiritual counselor</kwd>
<kwd>late presentation</kwd>
<kwd>Uganda</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
<award-id>R01 MH054907 || MH</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
<award-id>K24 MH087227 || MH</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
<award-id>K23 MH096620 || MH</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Ouganda</li>
<li>États-Unis</li>
</country>
<region><li>Californie</li>
<li>Massachusetts</li>
<li>Ohio</li>
</region>
</list>
<tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Horwitz, Russell H" sort="Horwitz, Russell H" uniqKey="Horwitz R" first="Russell H." last="Horwitz">Russell H. Horwitz</name>
</region>
<name sortKey="Bajunirwe, Francis" sort="Bajunirwe, Francis" uniqKey="Bajunirwe F" first="Francis" last="Bajunirwe">Francis Bajunirwe</name>
<name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R." last="Bangsberg">David R. Bangsberg</name>
<name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R." last="Bangsberg">David R. Bangsberg</name>
<name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R." last="Bangsberg">David R. Bangsberg</name>
<name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R." last="Bangsberg">David R. Bangsberg</name>
<name sortKey="Emenyonu, Nneka" sort="Emenyonu, Nneka" uniqKey="Emenyonu N" first="Nneka" last="Emenyonu">Nneka Emenyonu</name>
<name sortKey="Haberer, Jessica E" sort="Haberer, Jessica E" uniqKey="Haberer J" first="Jessica E." last="Haberer">Jessica E. Haberer</name>
<name sortKey="Haberer, Jessica E" sort="Haberer, Jessica E" uniqKey="Haberer J" first="Jessica E." last="Haberer">Jessica E. Haberer</name>
<name sortKey="Horwitz, Russell H" sort="Horwitz, Russell H" uniqKey="Horwitz R" first="Russell H." last="Horwitz">Russell H. Horwitz</name>
<name sortKey="Hunt, Peter W" sort="Hunt, Peter W" uniqKey="Hunt P" first="Peter W." last="Hunt">Peter W. Hunt</name>
<name sortKey="Hunt, Peter W" sort="Hunt, Peter W" uniqKey="Hunt P" first="Peter W." last="Hunt">Peter W. Hunt</name>
<name sortKey="Martin, Jeff N" sort="Martin, Jeff N" uniqKey="Martin J" first="Jeff N" last="Martin">Jeff N. Martin</name>
<name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C." last="Tsai">Alexander C. Tsai</name>
</country>
<country name="Ouganda"><noRegion><name sortKey="Maling, Samuel" sort="Maling, Samuel" uniqKey="Maling S" first="Samuel" last="Maling">Samuel Maling</name>
</noRegion>
<name sortKey="Bajunirwe, Francis" sort="Bajunirwe, Francis" uniqKey="Bajunirwe F" first="Francis" last="Bajunirwe">Francis Bajunirwe</name>
<name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R." last="Bangsberg">David R. Bangsberg</name>
<name sortKey="Emenyonu, Nneka" sort="Emenyonu, Nneka" uniqKey="Emenyonu N" first="Nneka" last="Emenyonu">Nneka Emenyonu</name>
<name sortKey="Muzoora, Conrad" sort="Muzoora, Conrad" uniqKey="Muzoora C" first="Conrad" last="Muzoora">Conrad Muzoora</name>
</country>
</tree>
</affiliations>
</record>
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