Next Article in Journal
An Evaluation of the Efficacy of Selective Alpha-Blockers in the Treatment of Children with Neurogenic Bladder Dysfunction—Preliminary Findings
Previous Article in Journal
The Inflammation Response to DEHP through PPARγ in Endometrial Cells
Article Menu

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2016, 13(3), 320; doi:10.3390/ijerph13030320

Unmatched Case-Control Study on Late Presentation of HIV Infection in Santiago, Cape Verde (2004–2011)

1
Ministry of Health, Palácio do Governo, Várzea-Praia C.P. 47, Santiago-Cape Verde
2
Global Health and Tropical Medicine (GHTM), Institute of Hygiene and Tropical Medicine-NOVA University of Lisbon (IHMT-UNL), Rua da Junqueira 100, Lisbon 1349-008, Portugal
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 22 December 2015 / Revised: 8 March 2016 / Accepted: 10 March 2016 / Published: 15 March 2016
View Full-Text   |   Download PDF [283 KB, uploaded 15 March 2016]

Abstract

Access to free antiretroviral therapy (ART) in Sub-Saharan Africa has been steadily increasing over the past decade. However, the success of large-scale ART programmes depends on timely diagnosis and early initiation of HIV care. This study characterizes late presenters to HIV care in Santiago (Cape Verde) between 2004 and 2011, and identifies factors associated with late presentation for care. We defined late presentation as persons presenting to HIV care with a CD4 count below 350 cells/mm3. An unmatched case-control study was conducted using socio-demographic and behavioural data of 368 individuals (191 cases and 177 controls) collected through an interviewer-administered questionnaire, comparing HIV patients late and early presented to care. Logistic regression was performed to estimate odds ratio and 95% confidence intervals. Results show that 51.9% were late presenters for HIV. No differences were found in gender distribution, marital status, or access to health services between cases and controls. Participants who undertook an HIV test by doctor indication were more likely to present late compared with those who tested for HIV by their own initiative. Also, individuals taking less time to initiate ART are more likely to present late. This study highlights the need to better understand reasons for late presentation to HIV care in Cape Verde. People in older age groups should be targeted in future approaches focused on late presenters to HIV care. View Full-Text
Keywords: Cape Verde; HIV/AIDS; late presentation; CD4 count Cape Verde; HIV/AIDS; late presentation; CD4 count
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Moreira, A.L.; Fronteira, I.; Augusto, G.F.; Martins, M.R.O. Unmatched Case-Control Study on Late Presentation of HIV Infection in Santiago, Cape Verde (2004–2011). Int. J. Environ. Res. Public Health 2016, 13, 320.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top