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The prevalence and associated factors for delayed presentation for HIV care among tuberculosis/HIV co-infected patients in Southwest Ethiopia: a retrospective observational cohort

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Infectious Diseases of Poverty 2016年第1期5卷 879-888页

作者： Hailay Gesesew Birtukan Tsehaineh desalegn massa Amanuel Tesfay Hafte Kahsay Lillian Mwanri Department of Epidemiology College of Health SciencesJimma UniversityJimmaEthiopia Discipline of Public Health Faculty of MedicineNursing and Health SciencesFlinders UniversityAdelaideAustralia School of Statistics and Mathematics Faculty of ScienceAlberta UniversityEdmontonCanada Department of population and Family Health College of Health SciencesJimma UniversityJimmaEthiopia ART Clinic Filtu HospitalSomaliEthiopia

Background:A delay presentation for human immunodeficiency virus(HIV)patient’s care(that is late engagement to HIV care due to delayed HIV testing or delayed linkage for HIV care after the diagnosis of HIV positive)is a critical step in the series of HIV patient care *** Ethiopia,delayed presentation(DP)for HIV care among vulnerable groups such as tuberculosis(Tb)/HIV co-infected patients has not been *** aimed to assess the prevalence of and factors associated with DP(CD4<200 cells/μl at first visit)among Tb/HIV co-infected patients in southwest ***:A retrospective observational cohort study collated Tb/HIV data from Jimma University Teaching Hospital for the period of September 2010 and August *** data analysis used logistic regression model at P value of≤0.05 in the final ***:The prevalence of DP among Tb/HIV co-infected patients was 59.9%.Tb/HIV co-infected patients who had a house with at least two rooms were less likely(AOR,0.5;95%CI:0.3–1.0)to present late than those having only single *** non-users of Tb/HIV co-infected participants were also 50%less likely(AOR,0.5;95%CI:0.3–0.8)to present late for HIV care compared to tobacco *** relative odds of DP among Tb/HIV co-infected patients with ambulatory(AOR,1.8;95%CI,1.0–3.1)and bedridden(AOR,8.3;95%CI,2.8–25.1)functional status was higher than with working ***:Three out of five Tb/HIV co-infected patients presented late for HIV *** proportions of DP were observed in bedridden patients,tobacco smokers,and those who had a single room *** findings have intervention implications and call for effective management strategies for Tb/HIV co-infection including early HIV diagnosis and early linkage to HIV care services.

关键词： Tuberculosis HIV Co-infection Delayed presentation Late presentation Retrospective cohort Prevalence Ethiopia

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