ArticlePloS one2015
Predictors of Late HIV Diagnosis among Adult People Living with HIV/AIDS Who Undertake an Initial CD4 T Cell Evaluation, Northern Ethiopia: A Case-Control Study.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Pooled it
- Determinants of late HIV diagnosis among patients attending ART clinics in amhara region northwest Ethiopia.Scientific reports · 2026Article
- Factors associated with the willingness of young people in higher education to adhere to syphilis screening.Revista brasileira de enfermagem · 2025Article
- Article
- Determinants of Late HIV Diagnosis and Advanced HIV Disease Among People Living with HIV in Tanzania.HIV/AIDS (Auckland, N.Z.) · 2024Article
- HIV Late Presenters in Asia: Management and Public Health Challenges.AIDS research and treatment · 2023Review
- Determinants of Late HIV Presentation at Ndlavela Health Center in Mozambique.International journal of environmental research and public health · 2022Article
- Men's late presentation for HIV care in Eastern Uganda: The role of masculinity norms.PloS one · 2022Article
- Article
- Late diagnosis of Human Immunodeficiency Virus infection and associated factors.Revista latino-americana de enfermagem · 2020Article
- Article
- Late presentation to HIV/AIDS care at the Douala general hospital, Cameroon: its associated factors, and consequences.BMC infectious diseases · 2018Article
- Outcomes among HIV-infected children initiating HIV care and antiretroviral treatment in Ethiopia.Tropical medicine & international health : TM & IH · 2017Article
- Effect of late HIV diagnosis on HIV-related mortality among adults in general hospitals of Central Zone Tigray, northern Ethiopia: a retrospective cohort study.HIV/AIDS (Auckland, N.Z.) · 2017Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionEarly HIV testing and timely initiation of ART is critical for the improved quality of life of PLWHIV. Having identified a higher rates of Late HIV diagnosis, this study was aimed to determine Determinants of late diagnosis of HIV among adult HIV patients in Bahir Dar, Northern Ethiopia.
methodsA case control study was conducted between January 2010 to December 2011 at Bahir Dar Felege Hiwot Referral Hospital. The study subjects consisted of 267 cases and 267 controls. Cases were adult people living with HIV/AIDS whose initial CD4 T cell count was < 200/μl of blood. Controls were those with a CD4 T cell count of greater than 200/ μl. Trained staff nurses were involved in data collection using a semi-structured questionnaire. Data was entered and analyzed using SPSS version 20. Descriptive statistics and Binary logistic regression were performed.
resultsSubjects who hold a certificate and above (AOR = 0.26; 95% CI = 0.13. 0.54), being initiated by friends, families and other socials to undertake HIV testing (AOR = 0.65; 95% CI = 0.29, 1.48), who reported a medium and high knowledge score about HIV/AIDS and who undertake HIV testing while visiting a clinic for ANC (AOR = 0.40; 95% CI = 0.19, 0.83) were less likely to be diagnosed late. Subjects who undertake HIV testing due to providers' initiation (AOR = 1.70; 95%CI = 1.08, 2.68), who reported a medium internalized stigma (AOR = 4.94; 95% CI = 3.13, 7.80) and who reported a high internalized stigma score towards HIV/AIDS (AOR = 16.64; 95% CI = 8.29, 33.4) had a high odds of being diagnosed late compared to their counterparts.
conclusionInternalized stigma, low knowledge level about HIV/AIDS, not to have attended formal education and failure to undertake HIV testing by own initiation were significant determinant factors associated with Late HIV diagnosis. Education about HIV/AIDS, promotion of general education, and encouraging people to motivate their social mates to undertake HIV testing are highly recommended.
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