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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Patients who present late to HIV care and associated risk factors in Nigeria
HIV Medicine, Volume 15, No. 7, Year 2014
Notification
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Description
Objectives: Our objectives were to assess trends in late presentation and advanced HIV disease (AHD) and determine associated risk factors. Methods: We conducted a retrospective cohort analysis of patients who had received care and treatment at the AIDS Prevention Initiative Nigeria Plus (APIN)/Harvard School of Public Health-President's Emergency Plan for AIDS Relief (PEPFAR) programme at the Jos University Teaching Hospital, Jos, Nigeria from 2005 to 2010. We used the European Consensus Definition to assess trends in late presentation (CD4 count <350cells/μL or AIDS-defining illness) and AHD (CD4 count <200cells/μL or AIDS-defining illness) and evaluated associated risk factors using logistic regression methods. Results: Among 14487 eligible patients, 12401 (85.6%) were late presenters and 9127 (63.0%) presented with AHD. Late presentation decreased from 88.9% in 2005 to 80.1% in 2010 (P<0.001). Similarly, AHD decreased from 67.8% in 2005 to 53.6% in 2010 (P<0.001). In logistic regression models adjusting for sociodemographic and biological variables, male sex [adjusted odds ratio (aOR)=1.80; 95% confidence interval (CI) 1.60-2.04], older age (aOR=1.37; 95% CI 1.22-1.54), civil service employment (aOR=1.48; 95% CI 1.00-2.21), referral from out-patient (aOR=2.18; 95% CI 1.53-3.08) and in-patient (aOR=1.55; 95% CI 1.11-2.17) services, and hepatitis B virus (aOR=1.43; 95% CI 1.26-1.63) and hepatitis C virus (aOR=1.18; 95% CI 1.02-1.37) coinfections were associated with late presentation. Predictors of AHD were male sex (aOR=1.67; 95% CI 1.54-1.82), older age (aOR=1.26; 95% CI 1.16-1.36), unemployment (aOR=1.34; 95% CI 1.00-1.79), referral from out-patient (aOR=2.40; 95% CI 1.84-3.14) and in-patient (aOR=1.97; 95% CI 1.51-2.57) services and hepatitis B virus coinfection (aOR=1.30; 95% CI 1.19-1.42). Conclusions: Efforts to reduce the proportion of patients who first seek care at late stages of disease are needed. The identified risk factors should be utilized in formulating targeted public health interventions to improve early diagnosis and presentation for HIV care. © 2014 British HIV Association.
Authors & Co-Authors
Aladi Agaba, Patricia A.
Nigeria, Jos
University of Jos
Meloni, Seema Thakore
United States, Boston
Harvard T.h. Chan School of Public Health
Sule, Halima M.
Nigeria, Jos
University of Jos
Agbaji, Oche Ochai O.
Nigeria, Jos
University of Jos
Ekeh, Peter
Nigeria, Jos
University of Jos
Job, G. C.
Nigeria, Jos
University of Jos
Nyango, N.
Nigeria, Jos
University of Jos
Ugoagwu, Placid O.
Nigeria, Jos
University of Jos
Imade, Godwin Eremwan
Nigeria, Jos
University of Jos
Idoko, John Alechenu
Nigeria, Jos
University of Jos
Kanki, Phyllis Jean
United States, Boston
Harvard T.h. Chan School of Public Health
Statistics
Citations: 44
Authors: 11
Affiliations: 2
Identifiers
Doi:
10.1111/hiv.12125
ISSN:
14642662
e-ISSN:
14681293
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cohort Study
Case-Control Study
Study Locations
Nigeria
Participants Gender
Male