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AIDS and Behavior

, Volume 19, Issue 4, pp 679–683 | Cite as

Factors Associated with a Delay in Seeking HIV/AIDS Treatment in São Paulo, Brazil

  • Zarifa Khoury
  • Rebeca S. Silva
  • Wilza Villela
Original Paper

Abstract

This quantitative cross-sectional study of HIV/AIDS patients (N = 1,520) in São Paulo evaluated factors associated with a delay in seeking care. Analysis included Chi square tests and multiple logistic regression. Care was sought at the AIDS stage in 56.7 % (861) of patients, and 48.2 % (732) had a CD4 count ≤350 cells/mm3; 9 % (136) delayed seeking care for 6 months or more after a positive HIV test. Women sought medical care earlier after testing (odds ratio (OR) = 1.79; P = 0.0227), but were already symptomatic (OR = 1.90; P = 0.0004). Partners of seropositive patients (OR = 3.92; P = 0.0000) also sought care symptomatic. Reasons for late presentation for care were non-acceptance of HIV diagnosis (OR = 24.56; P = 0.0000), treatment refusal (OR = 55.34; P = 0.0000), and physical disability (OR = 1.90; P = 0.0414). Necessary strategies for HIV treatment and prevention include improved education and access to services.

Keywords

AIDS Late care Antiretroviral therapy HIV 

Resumen

Estudio estratificado muestra transversal cuantitativo (N = 1.520) de HIV/SIDA se llevó a cabo en São Paulo. Para el análisis de resultados, se utilizó la prueba de chi-cuadrado y regresión logística múltiple. Buscar cuidado con el SIDA fue 56.7 %(861), 48.2 % (732)con CD4 ≤350cel/mm3 y los sujetos que buscaban atención hasta seis meses después de la prueba del VIH fue del 9 % (136). Mujeres buscaban atención antes (OR = 1.79; P = 0.0227), pero ya enfermas (OR = 1.90; P = 0.0004). Compañeros de seropositivos buscaban atención enfermos (OR = 3.92; P = 0.0000). Las rasones eran: personas no aceptan el diagnóstico de VIH (OR = 24.56; P = 0.0000) y no quieren que se traten (OR = 55.34; P = 0.0000), deficiente físico (OR = 1.90; P = 0.0414). Estrategias necesarias incluyen educación y acceso a los servicios.

Palabras clave

SIDA buscar atención fines de seguimiento la terapia antirretroviral las personas con VIH 

Notes

Acknowledgments

The authors thank the STD/AIDS National Program and Oswaldo Cruz Foundation for financial support.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Zarifa Khoury
    • 1
  • Rebeca S. Silva
    • 1
  • Wilza Villela
    • 1
  1. 1.Universidade Federal de São PauloSão PauloBrazil

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