tailieunhanh - Báo cáo y học: " Factors associated with late presentation to HIV/AIDS care in South Wollo ZoneEthiopia: a case-control study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Factors associated with late presentation to HIV/AIDS care in South Wollo ZoneEthiopia: a case-control study. | Abaynew et al. AIDS Research and Therapy 2011 8 8 http content 8 1 8 AIDS RESEARCH AND THERAPY RESEARCH Open Access Factors associated with late presentation to HIV AIDS care in South Wollo ZoneEthiopia a case-control study Yeshewas Abaynew1 Amare Deribew2 Kebede Deribe3 Abstract Background Access to free antiretroviral therapy in Sub-Saharan Africa has been steadily increasing. The success of large-scale antiretroviral therapy programs depends on early initiation of HIV AIDs care. The purpose of the study was to examine factors associated with late presentation to HIV AIDS care. Methods A case-control study was conducted in Dessie referral and Borumeda district hospitals from March 1 to 31 2010 northern Ethiopia. A total of 320 study participants 160 cases and 160 controls were included in the study. Cases were people living with HIV AIDS PLHA who had a WHO clinical stage of III or IV or a CD4 lymphocyte count of less than 200 uL at the time of the first presentation to antiretroviral treatment ART clinics. Controls were PLHA who had WHO stage I or II or a CD4 lymphocyte count of 200 uL or more irrespective of clinical staging at the time of first presentation to the ART clinics of the hospitals cases and controls were interviewed by trained nurses using a pre-tested and structured questionnaire. In-depth interviews were conducted with ten health workers and eight PLHA. Results PLHA who live with their families OR 95 CI lived in a rented house OR 95 CI non-pregnant women OR 95 CI who perceived ART have many side effects OR 95 CI who perceived HIV as stigmatizing disease OR 95 CI who tested with sickness symptoms OR 95 CI who did not disclose their HIV status for their partner OR 95 CI frequent alcohol users OR 95 CI and who spent more than 120 months with partner at HIV diagnosis OR 95 CI were significantly