Advanced immunosuppression at entry to HIV care in the southeastern United States and associated risk factors.
In this study we characterized factors associated with the late initiation of HIV care in the southeastern United States. At initiation of care, antiretroviral therapy was indicated for 75% of patients, 50% had a CD4 cell count of less than 200 cells/mul, and 27% presented with an AIDS-defining illness. Male sex was an independent predictor in multivariable analysis. These results indicate an urgent need to increase HIV testing for earlier diagnosis in the southeastern USA.
Gay
Cynthia L
CL
The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Napravnik
Sonia
S
Eron
Joseph J
JJ
D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D018791:CD4 Lymphocyte Count; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology*; D015497:HIV-1 / Q000235:genetics; D006801:Humans; D007165:Immunosuppression Therapy; D016015:Logistic Models; D008297:Male; D009657:North Carolina; D018579:Patient Selection; D012367:RNA, Viral / Q000097:blood; D012307:Risk Factors; D012737:Sex Factors; D013997:Time Factors
D044966:Anti-Retroviral Agents; D012367:RNA, Viral