Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual
ABSTRACT OBJECTIVE To analyze the factors associated with late presentation to HIV/AIDS services among heterosexual men. METHODS Men infected by HIV who self-identified as heterosexual (n = 543) were included in the study. Descriptive, biivariate and logistic regression analyses were performed t...
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2016-01-01
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doaj-617de33508f44d459a275c6536b8a1522020-11-24T23:07:17ZengUniversidade de São PauloRevista de Saúde Pública1518-87872016-01-0150010.1590/S1518-8787.2016050006352S0034-89102016000200233Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexualSarah MacCarthySandra BrignolManasa ReddyAmy NunnInês DouradoABSTRACT OBJECTIVE To analyze the factors associated with late presentation to HIV/AIDS services among heterosexual men. METHODS Men infected by HIV who self-identified as heterosexual (n = 543) were included in the study. Descriptive, biivariate and logistic regression analyses were performed to evaluate the factors associated with late presentation (defined as individuals whose first CD4 count was <350 cells/mm3) in the study population. RESULTS The prevalence of late presentation was 69.8%. The multivariate logistic analysis showed testing initiated by the provider (ORadjusted 3.75; 95%CI 2.45–5.63) increased the odds of late presentation. History of drug use (ORadjusted 0.59; 95%CI 0.38–0.91), history of having sexually transmitted infections (ORadjusted 0.64; 95%CI 0.42–0.97), and having less education (ORadjusted 0.63; 95%CI 0.41–0.97) were associated with a decreased odds of LP. CONCLUSIONS Provider initiated testing was the only variable to increase the odds of late presentation. Since the patients in this sample all self-identified as heterosexual, it appears that providers are not requesting they be tested for HIV until the patients are already presenting symptoms of AIDS. The high prevalence of late presentation provides additional evidence to shift towards routine testing and linkage to care, rather than risk-based strategies that may not effectively or efficiently engage individuals infected with HIV.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102016000200233&lng=en&tlng=enMen’s HealthHeterosexualAcquired Immunodeficiency SyndromeCross-Sectional StudiesLate PresentationHIV/AIDS |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sarah MacCarthy Sandra Brignol Manasa Reddy Amy Nunn Inês Dourado |
spellingShingle |
Sarah MacCarthy Sandra Brignol Manasa Reddy Amy Nunn Inês Dourado Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual Revista de Saúde Pública Men’s Health Heterosexual Acquired Immunodeficiency Syndrome Cross-Sectional Studies Late Presentation HIV/AIDS |
author_facet |
Sarah MacCarthy Sandra Brignol Manasa Reddy Amy Nunn Inês Dourado |
author_sort |
Sarah MacCarthy |
title |
Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual |
title_short |
Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual |
title_full |
Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual |
title_fullStr |
Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual |
title_full_unstemmed |
Late presentation to HIV/AIDS care in Brazil among men who self-identify as heterosexual |
title_sort |
late presentation to hiv/aids care in brazil among men who self-identify as heterosexual |
publisher |
Universidade de São Paulo |
series |
Revista de Saúde Pública |
issn |
1518-8787 |
publishDate |
2016-01-01 |
description |
ABSTRACT OBJECTIVE To analyze the factors associated with late presentation to HIV/AIDS services among heterosexual men. METHODS Men infected by HIV who self-identified as heterosexual (n = 543) were included in the study. Descriptive, biivariate and logistic regression analyses were performed to evaluate the factors associated with late presentation (defined as individuals whose first CD4 count was <350 cells/mm3) in the study population. RESULTS The prevalence of late presentation was 69.8%. The multivariate logistic analysis showed testing initiated by the provider (ORadjusted 3.75; 95%CI 2.45–5.63) increased the odds of late presentation. History of drug use (ORadjusted 0.59; 95%CI 0.38–0.91), history of having sexually transmitted infections (ORadjusted 0.64; 95%CI 0.42–0.97), and having less education (ORadjusted 0.63; 95%CI 0.41–0.97) were associated with a decreased odds of LP. CONCLUSIONS Provider initiated testing was the only variable to increase the odds of late presentation. Since the patients in this sample all self-identified as heterosexual, it appears that providers are not requesting they be tested for HIV until the patients are already presenting symptoms of AIDS. The high prevalence of late presentation provides additional evidence to shift towards routine testing and linkage to care, rather than risk-based strategies that may not effectively or efficiently engage individuals infected with HIV. |
topic |
Men’s Health Heterosexual Acquired Immunodeficiency Syndrome Cross-Sectional Studies Late Presentation HIV/AIDS |
url |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102016000200233&lng=en&tlng=en |
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