Educational level and HIV disease progression before and after the introduction of HAART: a cohort study in 989 HIV seroconverters in Spain

Monge, Susana; Jarrín, Inmaculada; Pérez-Hoyos, Santiago; Ferreros, Inmaculada; Garcia-Olalla, Patrícia; Muga, Roberto; Romero, Jorge del; Belda, J; Castilla, Jesús; Bolúmar, Francisco; Amo, Julia del; Gemes,

doi:10.1136/sextrans-2011-050125

Cited by 15 publications

(13 citation statements)

References 29 publications

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“…The majority of the participants in our study were uneducated, which is similar to the findings in the Peshawar study and those reported from other parts of the world (7,14). Level of education is an important factor as it determines knowledge about the disease.…”

Section: Discussionsupporting

confidence: 79%

“…A study conducted in a postgraduate college of Rahim-Yar Khan, Pakistan reported that knowledge about HIV and AIDS was greater in students with 13 and 14 years of education as compared to those with 11 and 12 years (15). A multicentre study in Spain of an HIV-positive cohort reported that a greater proportion of the cohort had a low educational level (14). Less educated people were found at increased risk of disease progression compared to more highly educated people and the risk of death was lower among those with a higher education level (14).…”

Section: Discussionmentioning

confidence: 99%

“…A multicentre study in Spain of an HIV-positive cohort reported that a greater proportion of the cohort had a low educational level (14). Less educated people were found at increased risk of disease progression compared to more highly educated people and the risk of death was lower among those with a higher education level (14).…”

Section: Discussionmentioning

confidence: 99%

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Health-seeking behaviour of people living with HIV/AIDS and their satisfaction with health services provided at a tertiary care hospital, Karachi, Pakistan

Bhutto

Nisar

2017

East Mediterr Health J

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Appropriate health-seeking behaviour is important as it allows prompt treatment for a condition and this can reduce complications and improve quality of life. This study aimed to assess the health-seeking behaviour and satisfaction with health care services of people living with HIV/AIDS attending the HIV/AIDS clinic of the Civil Hospital in Karachi. A total of 182 patients were interviewed using a pretested semi-structured questionnaire. Mean age of the participants was 32.31 (SD 7.91) years, 76.9% were male, 81.3% had no education and 75.8% were employed. Only 23.6% showed positive health-seeking behaviour and 57.7% were satisfied with the health care services. In logistic regression analysis, the cost of treatment per visit < US$ 5 and duration of HIV infection < 2 years were significantly associated with health-seeking behaviour. Efforts are needed to improve the health-seeking behaviour of people living with HIV/AIDS at the clinic and the health services offered. ‫ـة‬ (نســبة‬ ‫ويف‬ ‫ـادة‬ ‫العيـ‬ ‫يف‬ ‫ـدز‬ ‫البرشي/اإليـ‬ ‫ـة‬ ‫املناعـ‬ ‫ـص‬ ‫نقـ‬ ‫ـروس‬ ‫فـ‬ ‫ـع‬ ‫مـ‬ ‫ـن‬ ‫املتعايشـ‬ ‫ـدى‬ ‫لـ‬ ‫ـة‬ ‫الصحـ‬ ‫ـاس‬ ‫التـ‬ ‫ـلوك‬ ‫سـ‬ ‫ـن‬ ‫لتحسـ‬ ‫ـود‬ ‫اجلهـ‬ ‫ـذل‬ ‫بـ‬ ‫ـزم‬ ‫ويلـ‬ ‫ـوايل).‬ ‫التـ‬ ‫ـا.‬ ‫تقدمهـ‬ ‫ـي‬ ‫التـ‬ ‫ـة‬ ‫الصحيـ‬ ‫ـات‬ ‫اخلدمـ‬Propension des personnes vivant avec le VIH/sida à se faire soigner et degré de satisfaction à l'égard des services de santé qui leur sont proposés dans un hôpital de soins tertiaires, à Karachi (Pakistan) RÉSUMÉ Des comportements adaptés en matière de recherche de soins sont importants car ils permettent la mise en place d'un traitement rapide de la maladie et peuvent limiter les complications ainsi qu'améliorer la qualité de vie. La présente étude avait pour objectif d'évaluer la propension à se faire soigner ainsi que la satisfaction en matière de services de soins de santé des personnes vivant avec le VIH/sida en consultation à la clinique spécialisée dans la prise en charge du VIH/sida de l'hôpital civil de Karachi. Un total de 182 patients ont été interrogés au moyen d'un questionnaire semi-structuré pré-testé. L'âge moyen des participants était de 32,31 ans (ET 7,91), 76,9 % étaient des hommes, 81,3 % n'avaient aucune instruction et 75,8 % avaient un emploi. Seulement 23,6 % affichaient une propension à se faire soigner, et 57,7 % étaient satisfaits des services de soins santé offerts. L'analyse de régression logistique a montré qu'un coût du traitement par visite inférieur à 5 dollars et qu'une durée de l'infection par le VIH de moins de deux ans étaient associés de façon significative à des comportements positifs en matière de soins. Des efforts sont requis pour augmenter la propension des personnes vivant avec le VIH/sida à se faire soigner ainsi que pour améliorer les services proposés à la clinique.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

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Health-seeking behaviour of people living with HIV/AIDS and their satisfaction with health services provided at a tertiary care hospital, Karachi, Pakistan

Bhutto

Nisar

2017

East Mediterr Health J

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“…Previous studies have suggested that age, gender, transmission category, educational level, marital status, and CD4 + T-cell count [4], [9], [10], [11], [12] might be markers for differences in access to treatment, adherence, or disease severity at diagnosis, ultimately leading to disparities in survival. Moreover, it would also be meaningful work to find out factors [13] which may be associated with progression to AIDS.…”

Section: Introductionmentioning

confidence: 99%

Determinants of Progression to AIDS and Death Following HIV Diagnosis: A Retrospective Cohort Study in Wuhan, China

et al. 2013

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ObjectiveTo identify determinants associated with disease progression and death following human immunodeficiency virus (HIV) diagnosis.MethodsDisease progression data from the diagnosis of HIV infection or acquiring immunodeficiency syndrome (AIDS) to February 29, 2012 were retrospectively collected from the national surveillance system databases and the national treatment database in Wuhan, China. Kaplan-Meier method, Logistic regression and Cox proportional hazards model were applied to identify the related factors of progression to AIDS or death following HIV diagnosis.ResultsBy the end of February 2012, 181 of 691 HIV infectors developed to AIDS, and 129 of 470 AIDS patients died among whom 289 cases received concurrent HIV/AIDS diagnosis. Compared with men infected through homosexual behavior, injection drug users possessed sharply decreased hazard ratio (HR) for progression to AIDS following HIV diagnosis [HR = 0.31, 95% confidence interval (CI), 0.18–0.54, P = 4.01×10−5]. HIV infectors at least 60 years presented 1.15-fold (HR = 2.15, 95% CI, 1.15–4.03, P = 0.017) increased risk to develop AIDS when compared with those aged 17–29 years. Similarly, AIDS patients with diagnosis ages between 50 and 59 years were at a 1.60-fold higher risk of death (HR = 2.60, 95% CI, 1.18–5.72, P = 0.017) compared to those aged 19–29 years. AIDS patients with more CD4+ T-cells within 6 months at diagnosis (cell/µL) presented lower risk of death (HR = 0.29 for 50- vs <50, 95% CI, 0.15–0.59, P = 0.001). The highly active antiretroviral therapy (HAART) delayed progression to AIDS from HIV diagnosis (HR = 0.15, 95% CI, 0.07–0.34, P = 6.46×10−6) and reduced the risk of death after AIDS diagnosis (HR = 0.02, 95% CI, 0.01–0.04, P = 7.25×10−25).ConclusionsProgression to AIDS and death following HIV diagnosis differed in age at diagnosis, transmission categories, CD4+ T-cell counts and HAART. Effective interventions should target those at higher risk for morbidity or mortality, ensuring early diagnosis and timely treatment to slow down the disease progression.

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“…We end with the interaction between education and HIV progression in a Spanish cohort,12 and missed diagnosis of Kaposi's sarcoma in a man with high CD4 count and low viral load 13…”

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confidence: 99%

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2011

Sex Transm Infect

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Educational level and HIV disease progression before and after the introduction of HAART: a cohort study in 989 HIV seroconverters in Spain

Cited by 15 publications

References 29 publications

Health-seeking behaviour of people living with HIV/AIDS and their satisfaction with health services provided at a tertiary care hospital, Karachi, Pakistan

Health-seeking behaviour of people living with HIV/AIDS and their satisfaction with health services provided at a tertiary care hospital, Karachi, Pakistan

Determinants of Progression to AIDS and Death Following HIV Diagnosis: A Retrospective Cohort Study in Wuhan, China

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