Factors associated with late presentation for HIV/AIDS care in Harare City, Zimbabwe, 2015

摘要: Despite widespread awareness and publicity concerning Human Immunodeficiency Virus (HIV) care advances in treatment, many patients still present late their HIV disease. Preliminary review of the Antiretroviral Therapy (ART) registers at Wilkins Beatrice Road Hospitals, both located Harare, indicated that 67 71 % enrolled into HIV/AIDS presented with baseline CD4 18 years) a who had >200/uL or WHO clinical stage 1 2 first presentation 2014. Written informed consent was obtained from all study participants. A total 268 participants were recruited (134 cases 134 controls). Independent risk factors for illness being reason test (Adjusted Odds Ratio [aOR] =7.68, 95 % CI = 4.08, 14.75); Being male (aOR = 2.84, CI = 1.50, 5.40) and; experienced stigma (aOR = 2.99, CI = 1.54, 5.79). protective receiving information on (aOR = 0.37, CI = 0.18, 0.78) earning more than US$250 per month (aOR = 0.32, CI = 0.76, 0.67). Median duration between reported positive result enrolment pre-ART 2 days (Q1 = 1 day; Q3 = 30 days) among 30 days (Q1 = 3 days; Q3 = 75 days) controls. Late Harare City relate to patient’s sex, getting test, related information, experiencing monthly income. Based this evidence we recommended targeted interventions optimize early access testing care.