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.
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DOI: 10.1007/s10461-011-0132-7
PubMed: 22246516
PubMed Central: 3718889
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Horwitz</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Psychiatry, Massachusetts General Hospital, Boston</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A2">Harvard Medical School, Boston, Massachusetts</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C." last="Tsai">Alexander C. 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Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard University, Charlestown, Massachusetts</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Phillip T. and Susan M. 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Horwitz</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Psychiatry, Massachusetts General Hospital, Boston</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A2">Harvard Medical School, Boston, Massachusetts</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C." last="Tsai">Alexander C. Tsai</name><affiliation wicri:level="2"><nlm:aff id="A3">Robert Wood Johnson Health and Society Scholars Program, Harvard University, Cambridge, Massachusetts</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Robert Wood Johnson Health and Society Scholars Program, Harvard University, Cambridge</wicri:cityArea></affiliation></author><author><name sortKey="Maling, Samuel" sort="Maling, Samuel" uniqKey="Maling S" first="Samuel" last="Maling">Samuel Maling</name><affiliation wicri:level="1"><nlm:aff id="A4">Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Psychiatry, Mbarara University of Science and Technology, Mbarara</wicri:regionArea><wicri:noRegion>Mbarara</wicri:noRegion></affiliation></author><author><name sortKey="Bajunirwe, Francis" sort="Bajunirwe, Francis" uniqKey="Bajunirwe F" first="Francis" last="Bajunirwe">Francis Bajunirwe</name><affiliation wicri:level="1"><nlm:aff id="A5">Department of Community Health, Mbarara University of Science and Technology, Mbarara, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Community Health, Mbarara University of Science and Technology, Mbarara</wicri:regionArea><wicri:noRegion>Mbarara</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="A6">Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, Ohio</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland</wicri:cityArea></affiliation></author><author><name sortKey="Haberer, Jessica E" sort="Haberer, Jessica E" uniqKey="Haberer J" first="Jessica E." last="Haberer">Jessica E. Haberer</name><affiliation wicri:level="2"><nlm:aff id="A7">Harvard Initiative for Global Health, Cambridge, Massachusetts</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Initiative for Global Health, Cambridge</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A8">Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Center for Global Health, Massachusetts General Hospital, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Emenyonu, Nneka" sort="Emenyonu, Nneka" uniqKey="Emenyonu N" first="Nneka" last="Emenyonu">Nneka Emenyonu</name><affiliation wicri:level="1"><nlm:aff id="A9">Department of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Medicine, Mbarara University of Science and Technology, Mbarara</wicri:regionArea><wicri:noRegion>Mbarara</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="A10">Department of Medicine, University of California, San Francisco, California</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Medicine, University of California, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Muzoora, Conrad" sort="Muzoora, Conrad" uniqKey="Muzoora C" first="Conrad" last="Muzoora">Conrad Muzoora</name><affiliation wicri:level="1"><nlm:aff id="A9">Department of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Medicine, Mbarara University of Science and Technology, Mbarara</wicri:regionArea><wicri:noRegion>Mbarara</wicri:noRegion></affiliation></author><author><name sortKey="Hunt, Peter W" sort="Hunt, Peter W" uniqKey="Hunt P" first="Peter W." last="Hunt">Peter W. Hunt</name><affiliation wicri:level="2"><nlm:aff id="A10">Department of Medicine, University of California, San Francisco, California</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Medicine, University of California, San Francisco</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A11">Department of Laboratory Medicine, University of California, San Francisco, California</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Laboratory Medicine, University of California, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Martin, Jeff N" sort="Martin, Jeff N" uniqKey="Martin J" first="Jeff N" last="Martin">Jeff N. Martin</name><affiliation wicri:level="2"><nlm:aff id="A12">Department of Epidemiology & Biostatistics, University of California, San Francisco, California</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Epidemiology & Biostatistics, University of California, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R." last="Bangsberg">David R. Bangsberg</name><affiliation wicri:level="2"><nlm:aff id="A2">Harvard Medical School, Boston, Massachusetts</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School, Boston</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A7">Harvard Initiative for Global Health, Cambridge, Massachusetts</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Initiative for Global Health, Cambridge</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A8">Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Center for Global Health, Massachusetts General Hospital, Boston</wicri:cityArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A9">Department of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Medicine, Mbarara University of Science and Technology, Mbarara</wicri:regionArea><wicri:noRegion>Mbarara</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="A13">Phillip T. and Susan M. Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard University, Charlestown, Massachusetts</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Phillip T. and Susan M. Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard University, Charlestown</wicri:cityArea></affiliation></author></analytic><series><title level="j">AIDS and behavior</title><idno type="ISSN">1090-7165</idno><idno type="eISSN">1573-3254</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9712133</journal-id><journal-id journal-id-type="pubmed-jr-id">21042</journal-id><journal-id journal-id-type="nlm-ta">AIDS Behav</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Behav</journal-id><journal-title-group><journal-title>AIDS and behavior</journal-title></journal-title-group><issn pub-type="ppub">1090-7165</issn><issn pub-type="epub">1573-3254</issn></journal-meta><article-meta><article-id pub-id-type="pmid">22246516</article-id><article-id pub-id-type="pmc">3718889</article-id><article-id pub-id-type="doi">10.1007/s10461-011-0132-7</article-id><article-id pub-id-type="manuscript">NIHMS432108</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Brief report: No association found between traditional healers use and delayed antiretroviral initiation in rural Uganda</article-title></title-group><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></contrib><contrib contrib-type="author"><name><surname>Tsai</surname><given-names>Alexander C.</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Maling</surname><given-names>Samuel</given-names></name><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Bajunirwe</surname><given-names>Francis</given-names></name><xref ref-type="aff" rid="A5">5</xref><xref ref-type="aff" rid="A6">6</xref></contrib><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></contrib><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></contrib><contrib contrib-type="author"><name><surname>Muzoora</surname><given-names>Conrad</given-names></name><xref ref-type="aff" rid="A9">9</xref></contrib><contrib contrib-type="author"><name><surname>Hunt</surname><given-names>Peter W.</given-names></name><xref ref-type="aff" rid="A10">10</xref><xref ref-type="aff" rid="A11">11</xref></contrib><contrib contrib-type="author"><name><surname>Martin</surname><given-names>Jeff N</given-names></name><xref ref-type="aff" rid="A12">12</xref></contrib><contrib contrib-type="author"><name><surname>Bangsberg</surname><given-names>David R.</given-names></name><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A7">7</xref><xref ref-type="aff" rid="A8">8</xref><xref ref-type="aff" rid="A9">9</xref><xref ref-type="aff" rid="A13">13</xref></contrib></contrib-group><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>Pour manipuler ce document sous Unix (Dilib)
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