Files and links (2)
Determinants of late presentation to HIVAIDS care in Southern Tigray Zone, Northern Ethiopia - An institution based case–control study.pdf
Published (Version of Record)CC BY V4.0, Open Access
Journal article
Determinants of late presentation to HIV/AIDS care in Southern Tigray Zone, Northern Ethiopia: An institution based case–control study
AIDS Research and Therapy, Vol.12, Article number: 40
2015
Abstract
Background
Late diagnosis and presentation to human immune deficiency virus (HIV)/acquired immune deficiency syndrome care reduce the benefits of antiretroviral therapy and increase the risk of HIV transmission.
Objectives
This study was conducted to identify determinants of late presentation to HIV care among people living with HIV in Southern Tigray, Northern Ethiopia.
Methods
An institution based un-matched case–control (1:2 ratios) supported with qualitative data was conducted in Southern Tigray Zone from March 1 to April 30, 2014. Individuals with HIV enrolled from six randomly selected health facilities were included in the study. Cases were people living with HIV who had cluster of differentiation four count <350 cells/μl or World Health Organization stages 3 or 4. A total of 442 study participants were included by systematic sampling techniques. Bivariable and multivariable binary logistic regression model was used to identify associated factors. Odds ratio with 95 % CI was computed to assess the strength of the associations.
Result
Age categories, 25–29 years [AOR 3, 95 % CI (1.2–8.1)] and 35–39 years [AOR 4.1, 95 % CI (1.4–12.5)], having two [AOR 6, 95 % CI (1.3–28)] and more [AOR 5.2, 95 % CI (1.1–24.8)] lifetime sexual partners, poor social support [AOR 2.3, 95 % CI (1.26–4.30)], second (next to lowest) wealth quintile [AOR 3.3, 95 % CI 91.3–8.5)], fear of stigma [AOR 4.4, 95 % CI (2.2–8.3)], fear of losing job [AOR 6.8, 95 % CI (1.8–24.5)], and reported severe illness [AOR 4.3, 95 % CI (2.26–8)] were identified to be the risk factors for late presentation.
Conclusion
Low socio-economic status and social support, fear of stigma were potential risk factors for late presentation. Efforts towards promoting early care seeking should target on these factors in the study area and other similar settings.
Details
- Title
- Determinants of late presentation to HIV/AIDS care in Southern Tigray Zone, Northern Ethiopia: An institution based case–control study
- Authors/Creators
- Y.A. Gelaw (Author/Creator) - University of GondarG.H. Senbete (Author/Creator) - Wollo UniversityA.A. Adane (Author/Creator) - University of GondarK.A. Alene (Author/Creator) - University of Gondar
- Publication Details
- AIDS Research and Therapy, Vol.12, Article number: 40
- Publisher
- BMC
- Identifiers
- 991005544244407891
- Copyright
- © 2015 Gelaw et al.
- Murdoch Affiliation
- Murdoch University
- Language
- English
- Resource Type
- Journal article
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites
Metrics
15 File views/ downloads
79 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Citation topics
- 1 Clinical & Life Sciences
- 1.66 HIV
- 1.66.11 HIV/AIDS Prevention
- Web Of Science research areas
- Infectious Diseases
- ESI research areas
- Immunology