Evaluation of late presentation for HIV treatment in a reference center in Belo Horizonte, Southeastern Brazil, from 2008 to 2010

Valentini, Melissa Bianchetti; Toledo, Maria Luíza Guerra de; Fonseca, Marise Oliveira; Thiersch, Laura Maria Silva; Toledo, Ingrid Silva Bremer de; Machado, Flavia; Tupinambás, Unaí

doi:10.1016/j.bjid.2015.01.005

Cited by 12 publications

(17 citation statements)

References 24 publications

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“…In Brazil, research studies on late onset for the care with HIV infection published from 2011 to 2016 estimated prevalence rates ranging from 52.5% to 69.8% (14,(23)(24)(25)(26) . These results are below what is expected for consolidated public health programs for PLHIV, such as that of Brazil (24) .…”

Section: Discussionmentioning

confidence: 99%

Late diagnosis of Human Immunodeficiency Virus infection and associated factors

Ribeiro

Freitas

Tupinambás

et al. 2020

Rev. Latino-Am. Enfermagem

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Objective: to analyze the occurrence of late diagnosis of infection by the Human Immunodeficiency Virus and its associated factors. Method: this is an epidemiological, cross-sectional and analytical study, carried out with 369 people followed-up by Specialized Assistance Services, undergoing anti-retroviral treatment, and interviewed by means of a questionnaire. Univariate analysis was performed using Pearson’s chi-square test or Fisher’s exact test and Kruskall-Wallis test, and multivariate analysis using the ordinal logistic regression model of proportional odds. Results: the occurrence of 59.1% for late diagnosis of the infection was observed; the probability of later diagnosis is greater among people who have a steady partnership, when compared to those who do not; with increasing age, particularly above 35 years old; among those with lower schooling; for those who seek the health services to have an HIV test when they feel sick; and for those who test HIV less often or never do it after sex without a condom with a steady partner. Conclusion: the knowledge on the high proportion of late diagnosis and its associated factors verified in this study make the planning and implementation of new policies and strategies aimed at the timely diagnosis of the infection imperative.

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Section: Discussionmentioning

confidence: 99%

Late diagnosis of Human Immunodeficiency Virus infection and associated factors

Ribeiro

Freitas

Tupinambás

et al. 2020

Rev. Latino-Am. Enfermagem

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“…In analyzing the medical records, we observed that, in some cases, the diagnosis for HIV occurred from the investigation and initial detection of this STI. A study carried out in Belo Horizonte indicated that individuals with syphilis were less likely to have late treatment/diagnosis of HIV (26) .…”

Section: Discussionmentioning

confidence: 99%

HIV Care Continuum from diagnosis in a Counseling and Testing Center

Rossi

Albanese²,

Vogler

et al. 2020

Rev. Bras. Enferm.

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Objective: To analyze the HIV care continuum from the diagnosis in an HIV/AIDS Counseling and Testing Center (CTC), and the sociodemographic, clinical, and laboratory characteristics related to gender. Method: Epidemiological study, conducted with data of individuals assisted at a Counseling and Testing Center, and followed in an outpatient clinic for HIV/AIDS. Pearson’s Chi-square test and binary logistic regression were used to obtain odds ratios, considering alpha value <0.05. Results: The prevalence of HIV among 5,229 users was 5%. The highest chance of positive results was among men, aged 14 to 33 years old, who were not in a domestic partnership. In the analysis of TCD4+ lymphocytes and viral load (VL) of 238 cases, 56.1% had a late diagnosis. We have identified gaps in the care cascade, especially linkage to the care, retention in care, and viral load suppression. Conclusion: The results suggest a late diagnosis for both genders, as well as difficulty in reaching the viral suppression goal.

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“…The high prevalence of people who are diagnosed late and who show up late for care with HIV infection, observed in Brazil and other countries (3)(4)(5) , constitutes an emergency problem to be considered in the response to pandemic. This problem is configured as a complex and multifactorial phenomenon, which, in addition to being associated with sociodemographic (4)(5)(6) and sociocultural factors (7)(8) and referring to barriers of health services (9)(10) , relates to psychosocial aspects such as subjectivities and representations about HIV/AIDS that influence the search for diagnosis by vulnerable people (11) .…”

Section: Introductionmentioning

confidence: 99%

Representations about sexuality of people diagnosed late with HIV infection

2021

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Objective: to understand the representations about sexuality of people diagnosed late with HIV infection and its implications in the delayed search for diagnosis. Methods: this is a qualitative study, whose theoretical and methodological framework was Social Representation Theory. The research was carried out with 18 people diagnosed late with HIV infection through an open interview. For data analysis, Structural Narration Analysis was used, with support from MAXQDA 12®. Results: representations about sexuality contributed to delayed diagnosis, such as trust in a fixed partnership, sexual intercourse is natural, sexuality as a taboo, search for pleasure in sexual intercourse, regardless of risks, denial of risk for HIV infection. Final considerations: representations about sexuality participate in a web of stereotypes and riskier ways of living, which contribute to delayed diagnosis. Sexual health education remains necessary and essential throughout people’s lives.

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Evaluation of late presentation for HIV treatment in a reference center in Belo Horizonte, Southeastern Brazil, from 2008 to 2010

Abstract: The proportion of patients who were late attending a clinic for HIV treatment is still high, and effective strategies to improve early HIV detection with a special focus on the vulnerable population are urgently needed.

Cited by 12 publications

References 24 publications

Late diagnosis of Human Immunodeficiency Virus infection and associated factors

Late diagnosis of Human Immunodeficiency Virus infection and associated factors

HIV Care Continuum from diagnosis in a Counseling and Testing Center

Representations about sexuality of people diagnosed late with HIV infection

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