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Determinants of Late HIV Presentation at Ndlavela Health Center in Mozambique

Author

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  • Jeremias Salomão Chone

    (Global Health and Tropical Medicine (GHTM), Institute of Hygiene and Tropical Medicine, Universidade Nova de Lisboa (IHMT-UNL), Rua da Junqueira 100, 1349-008 Lisbon, Portugal
    Ministry of Health, Av. Eduardo Mondlane 1008, Maputo 264, Mozambique
    Instituto Superior de Ciências de Saúde, Av. Tomás Nduda, Maputo 3276, Mozambique
    Faculty of Ethics and Human Science, São Tomás University, Av. Ahmed Sekou Touré 690, Maputo 2088, Mozambique)

  • Ana Barroso Abecasis

    (Global Health and Tropical Medicine (GHTM), Institute of Hygiene and Tropical Medicine, Universidade Nova de Lisboa (IHMT-UNL), Rua da Junqueira 100, 1349-008 Lisbon, Portugal)

  • Luís Varandas

    (Global Health and Tropical Medicine (GHTM), Institute of Hygiene and Tropical Medicine, Universidade Nova de Lisboa (IHMT-UNL), Rua da Junqueira 100, 1349-008 Lisbon, Portugal
    Faculdade de Ciências Médicas, NOVA Medical School, Universidade Nova de Lisboa, Campo Mártires da Pátria 130, 1169-056 Lisbon, Portugal
    Hospital CUF Descobertas, Rua Mário Botas, 1998-018 Lisbon, Portugal)

Abstract

Background: There has been tremendous progress in the fight against HIV worldwide; however, challenges persist in the control of HIV infection. These challenges include the high prevalence of late presenters. There are many disadvantages of late presentation—from reduced survival of the infected person to the risk of transmitting the infection. This research aims to analyze the factors that influence the late presentation in patients attending Ndlavela Health Center in Mozambique. Methodology: A retrospective cross-sectional study was carried out at Ndlavela Health Center including patients diagnosed with HIV between 2015 and 2020. The European Late Presenter Consensus working group definitions were used, and univariate and multivariate logistic regression were used to identify factors associated with late presentation. Results: In total, 519 participants were included in the study, of which nearly 47% were classified as late presenters. The male gender (AOR = 2.41), clinical suspicious test (AOR = 4.03), initiated by the health professional (AOR = 2.1,9), and fear of stigma (AOR = 2.80) were the main risk factors for late HIV presentation. Conclusion: Factors that are potentially determinant for late HIV presentation were identified. Actions are needed to focus on risk factors that are most likely to delay presentation.

Suggested Citation

  • Jeremias Salomão Chone & Ana Barroso Abecasis & Luís Varandas, 2022. "Determinants of Late HIV Presentation at Ndlavela Health Center in Mozambique," IJERPH, MDPI, vol. 19(8), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4568-:d:790895
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    References listed on IDEAS

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    1. Paul K Drain & Elena Losina & Gary Parker & Janet Giddy & Douglas Ross & Jeffrey N Katz & Sharon M Coleman & Laura M Bogart & Kenneth A Freedberg & Rochelle P Walensky & Ingrid V Bassett, 2013. "Risk Factors for Late-Stage HIV Disease Presentation at Initial HIV Diagnosis in Durban, South Africa," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-9, January.
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