Risk factors for late-stage HIV disease presentation at initial HIV diagnosis in Durban, South Africa.
- 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
DOIAbstract
After observing persistently low CD4 counts at initial HIV diagnosis in South Africa, we sought to determine risk factors for late-stage HIV disease presentation among adults.We surveyed adults prior to HIV testing at four outpatient clinics in Durban from August 2010 to November 2011. All HIV-infected adults were offered CD4 testing, and late-stage HIV disease was defined as a CD4 count <100 cells/mm(3). We used multivariate regression models to determine the effects of sex, emotional health, social support, distance from clinic, employment, perceived barriers to receiving healthcare, and foregoing healthcare to use money for food, clothing, or housing ("competing needs to healthcare") on presentation with late-stage HIV disease.Among 3,66...
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