Late Presentation into Care of HIV Disease and Its Associated Factors in Asia: Results of TAHOD

摘要: Many HIV-infected individuals do not enter health care until late in the infection course. Despite encouraging earlier testing, this situation has continued for several years. We investigated prevalence of presenters and factors associated with presentation among patients an Asian regional cohort. This cohort study included their first positive HIV test during 2003-2012 CD4 count clinical status data within 3 months that test. Factors into (CD4 <200 cells/μl or AIDS-defining event ±3 test) were analyzed a random effects logistic regression model. Among 3,744 patients, 2,681 (72%) presenters. In multivariable model, older more likely to be than younger (≤30 years) [31-40, 41-50, ≥51 years: odds ratio (OR) = 1.57, 95% confidence interval (CI) 1.31-1.88; OR 2.01, CI 1.58-2.56; 1.69, 1.23-2.31, respectively; all p ≤ 0.001]. Injecting drug users (IDU) (OR 2.15, 1.42-3.27, < 0.001) those homosexual exposure less 0.45, 0.35-0.58, compared heterosexual exposure. Females 0.44, 0.36-0.53, 0.001). The year was presentation. Efforts reduce who seek at stage are needed. identified risk should utilized formulating targeted public intervention improve entry care.