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- Title
Advanced HIV Disease among Males and Females Initiating HIV Care in Rural Ethiopia.
- Authors
Lifson, Alan Raymond; Workneh, Sale; Hailemichael, Abera; MacLehose, Richard Fleming; Horvath, Keith Joseph; Hilk, Rose; Sites, Anne Redmond; Shenie, Tibebe
- Abstract
Despite recommendations for rapidly initiating HIV treatment, many persons in sub-Saharan Africa present to care with advanced HIV disease. Baseline survey and clinical data were collected on 1799 adults newly enrolling at 32 district hospitals and local health HIV clinics in rural Ethiopia. Among those with complete HIV disease information, advanced HIV disease (defined as CD4 count <200 cells/mm3 or World Health Organization [WHO] HIV clinical stage III or IV disease) was present in 66% of males and 56% of females (P <.001). Males (compared to females) had lower CD4 counts (287 cells/mm3 versus 345 cells/mm3), lower body mass index (19.3 kg/m2 versus 20.2 kg/m2), and more WHO stage III or IV disease (46% versus 37%), (P <.001). Men reported more chronic diarrhea, fevers, cough, pain, fatigue, and weight loss (P <.05). Most initiating care in this resource-limited setting had advanced HIV disease. Men had poorer health status, supporting the importance of earlier diagnosis, linkage to care, and initiation of antiretroviral therapy.
- Subjects
SUB-Saharan Africa; ETHIOPIA; RURAL health clinics; WORLD Health Organization; IMMUNE reconstitution inflammatory syndrome; HIV; BODY mass index; CD4 lymphocyte count; WEIGHT loss; ANTIRETROVIRAL agents
- Publication
Journal of the International Association of Providers of AIDS Care, 2019, Vol 18, p1
- ISSN
2325-9582
- Publication type
Article
- DOI
10.1177/2325958219847199