1921
Volume 84, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

The variables influencing the interval between diagnosis and effective access to specialized care were studied in a cohort of 2,661 human immunodeficiency virus (HIV)-positive patients in French Guiana between 1992 and 2008. Patients with a subsequent follow-up interruption were significantly more likely to have a delayed first consultation after the HIV diagnosis. Ordinal logistic regression showed that younger persons, women, and French citizens were independently associated with greater delays between the HIV diagnosis and the first specialized consultation. However, persons with acquired immunodeficiency syndrome (AIDS) were less likely to have a delay between the HIV diagnosis and the first specialized consultation. Focusing on the link between the private sector and specialized health care may shorten delays and improve care and follow-up.

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/content/journals/10.4269/ajtmh.2011.10-0671
2011-05-05
2017-09-25
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References

  1. Nacher M, El Guedj M, Vaz T, Nasser V, Randrianjohany A, Alvarez F, Sobesky M, Magnien C, Couppié P, , 2005. Risk factors for late HIV diagnosis in French Guiana. AIDS 19: 727729.[Crossref]
  2. Nacher M, El Guedj M, Vaz T, Nasser V, Randrianjohany A, Alvarez F, Sobesky M, Magnien C, Couppié P, , 2006. Risk factors for follow-up interruption of HIV patients in French Guiana. Am J Trop Med Hyg 74: 915917.
  3. Turner BJ, Cunningham WE, Duan N, Andersen RM, Shapiro MF, Bozzette SA, Nakazono T, Morton S, Crystal S, St Clair P, Stein M, Zierler S, , 2000. Delayed medical care after diagnosis in a US national probability sample of persons infected with human immunodeficiency virus. Arch Intern Med 160: 26142622.[Crossref]
  4. Stein MD, Crystal S, Cunningham WE, Ananthanarayanan A, Andersen RM, Turner BJ, Zierler S, Morton S, Katz MH, Bozzette SA, Shapiro MF, Schuster MA, , 2000. Delays in seeking HIV care due to competing caregiver responsibilities. Am J Public Health 90: 11381140.[Crossref]
  5. Girardi E, Aloisi MS, Arici C, Pezzotti P, Serraino D, Balzano R, Vigevani G, Alberici F, Ursitti M, D'Alessandro M, d'Arminio Monforte A, Ippolito G, ; for the ICoNA Behavioural Epidemiology Study Group, 2004. Delayed presentation and late testing for HIV: demographic and behavioral risk factors in a multicenter study in Italy. J Acquir Immune Defic Syndr 36: 951959.[Crossref]
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  • Received : 26 Nov 2010
  • Accepted : 13 Jan 2011

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