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- Title
Cascata do cuidado do HIV a partir do diagnóstico em Centro de Testagem e Aconselhamento.
- Authors
da Mata Rossi, Angélica; Paulino Ribeiro Albanese, Silvia; Hildegard Vogler, Ingridt; Meneguetti Pieri, Flávia; Lentine, Edvilson Cristiano; Birolim, Marcela Maria; Mathias Dessunti, Elma
- Abstract
Objective: To analyze the HIV care continuum from the diagnosis in an HIV/AIDS Counseling and Testing Center (CTC), and the sociodemographic, clinical, and laboratory characteristics related to gender. Method: Epidemiological study, conducted with data of individuals assisted at a Counseling and Testing Center, and followed in an outpatient clinic for HIV/AIDS. Pearson's Chi-square test and binary logistic regression were used to obtain odds ratios, considering alpha value <0.05. Results: The prevalence of HIV among 5,229 users was 5%. The highest chance of positive results was among men, aged 14 to 33 years old, who were not in a domestic partnership. In the analysis of TCD4+ lymphocytes and viral load (VL) of 238 cases, 56.1% had a late diagnosis. We have identified gaps in the care cascade, especially linkage to the care, retention in care, and viral load suppression. Conclusion: The results suggest a late diagnosis for both genders, as well as difficulty in reaching the viral suppression goal.
- Subjects
BRAZIL; DIAGNOSIS of HIV infections; HIV infection epidemiology; CHI-squared test; CONTINUUM of care; STATISTICAL correlation; COUNSELING; DIAGNOSIS; EPIDEMIOLOGICAL research; HIV infections; OUTPATIENT services in hospitals; MEDICAL errors; SEX distribution; LOGISTIC regression analysis; VIRAL load; DISEASE prevalence; HIV seroconversion; DESCRIPTIVE statistics; AIDS serodiagnosis; ODDS ratio
- Publication
Revista Brasileira de Enfermagem, 2020, Vol 73, p1
- ISSN
0034-7167
- Publication type
Article
- DOI
10.1590/0034-7167-2019-0680