Late HIV diagnosis and delay in CD4 count measurement among HIV-infected patients in Southern Thailand

摘要: The objectives of this study were to evaluate timeliness HIV testing and getting CD4 count measured their associated factors in Southern Thailand. Between July 2004 February 2005, consenting HIV-positive patients from seven public hospitals Songkhla province, Thailand interviewed. Outcomes late diagnosis (having HIV-related symptoms at the time first positive test) between being measured. Of 402 patients, 55% HIV-diagnosed. Factors independently with age above 30 years, male unemployed respective odd ratios (95% CI) 3.10 (1.90-5.07), 7.95 (4.52-13.99), 2.14 (1.22-3.76). Only 34% 47% received assessment within 6 12 months diagnosis, respectively. Median first-known was 73 (IQR 16-169) 22 9-85) cells/microl among asymptomatic symptomatic HIV-diagnosed Common predictors for shortened delay were: infection through sexual contact (HR=1.61; 95%CI 1.12-2.33) receiving posttest counseling (HR 1.71; 1.15-2.52). Among asymptomatic, those aged >25-30 years had significantly (HR=2.18; 1.50-3.18) compared younger group as did >30 (HR=1.94; 1.32-2.85). Such effect on absent group. Attempts diagnose an earlier stage timely are needed.