Late Presentation to Care among People Living with HIV in Cotonou, Benin: A Retrospective Analysis from 2003 to 2014

Zannou, Djimon Marcel; Gandaho, Pacos Bray; Azon-Kouanou, Angèle; Ahouada, Carin; Agbodande, Kuessi Anthelme; Wanvoegbe, A.; Akakpo, Jocelyn; Houngbe, Fabien

doi:10.4236/ojim.2017.74013

Cited by 3 publications

(5 citation statements)

References 28 publications

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“…Although women are, in Africa, more vulnerable to acquiring HIV, in this study, we found that men were more likely to have late presentations, compared with women. Similar results were found in previous studies carried out in South Africa [19], India [24], sub-Saharan Africa [25], Switzerland [26], Asia [27], Ethiopia [28], Benin [29], and Asia [15].…”

Section: Discussionsupporting

confidence: 91%

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Determinants of Late HIV Presentation at Ndlavela Health Center in Mozambique

Chone

Abecasis

Varandas

2022

IJERPH

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Background: There has been tremendous progress in the fight against HIV worldwide; however, challenges persist in the control of HIV infection. These challenges include the high prevalence of late presenters. There are many disadvantages of late presentation—from reduced survival of the infected person to the risk of transmitting the infection. This research aims to analyze the factors that influence the late presentation in patients attending Ndlavela Health Center in Mozambique. Methodology: A retrospective cross-sectional study was carried out at Ndlavela Health Center including patients diagnosed with HIV between 2015 and 2020. The European Late Presenter Consensus working group definitions were used, and univariate and multivariate logistic regression were used to identify factors associated with late presentation. Results: In total, 519 participants were included in the study, of which nearly 47% were classified as late presenters. The male gender (AOR = 2.41), clinical suspicious test (AOR = 4.03), initiated by the health professional (AOR = 2.1,9), and fear of stigma (AOR = 2.80) were the main risk factors for late HIV presentation. Conclusion: Factors that are potentially determinant for late HIV presentation were identified. Actions are needed to focus on risk factors that are most likely to delay presentation.

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Section: Discussionsupporting

confidence: 91%

“…Although the level of education has been identified in previous studies [14,25,26,29,[32][33][34]] as a factor associated with late HIV diagnosis, in this study, no such association was found (p = 0.632).…”

Section: Discussioncontrasting

confidence: 80%

Determinants of Late HIV Presentation at Ndlavela Health Center in Mozambique

Chone

Abecasis

Varandas

2022

IJERPH

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“…This result is in line with those of studies conducted in Canada (46%) [4], Brazil (69.8%) [21], France (47.7%) [22], and Central Haiti (65%) [23] but lower than those of studies conducted in Cameron (89.7%) [24], South Africa (79%) [25], Benin (84.4%) [26], Asia (72%) [27],and Georgia (71.1%) [28]. This might be due to the availability of nation-wide health extension programs that help to create awareness about early diagnosis, enrolment, and treatment through community conversations, scaling up benchmark activities, and regular home visits.…”

Section: Discussionsupporting

confidence: 88%

Late presentation of HIV positive adults and its predictors to HIV/AIDS care in Ethiopia: a systematic review and meta-analysis

2019

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Introduction Late presentation to HIV/AIDS care which is attended by problems like, poor treatment outcomes, early development of opportunistic infections, increased healthcare costs, and mortality is a major problem in Ethiopia. Although evidences are available on the prevalence and associated factors of late presentation to HIV/AIDS care, discrepancies among findings are appreciated. Thus, the country has faced difficulties of having a single estimated data. Objective This study aimed to estimate the pooled prevalence of late presentation of HIV positive adults to HIV/AIDS care and its predictors in Ethiopia. Method We searched all available articles through Google Scholar, PubMed, Web of Sciences, and EMBASE databases. Additionally, we accessed articles from the Ethiopian institutional online research repositories and reference lists of included studies. We included cohort, case- control, and cross-sectional studies in our review. Besides, we utilized the weighted inverse variance random-effects model. The total percentage of variation among studies due to heterogeneity was determined by I 2 statistic. Searching was limited to studies conducted in Ethiopia and published in the English language. Publication bias was checked by Egger’s regression test. Results A total of 8 studies with 7, 568 participants were included. The pooled prevalence of late presentation to HIV/AIDS care was 52.89% (95%CI: 35.37, 70.40). The odds of late presentation to HIV/AIDS care of frequent alcohol users [3.67(95% CI = 1.52–5.83)], high fear of stigma [3.90 (95% CI = 1.51–6.28)], chronic illness [3.34(95% CI = 1.52–5.16)], and the presence of symptoms at the time of HIV diagnosis [3.06 (95% CL = 1.18–4.94)] were higher compared to participants who did not experience the preceding. Conclusion The prevalence of late presentation of HIV positive adults to HIV/AIDS care was high in Ethiopia. Frequent alcohol use, high fear of stigma, chronic illness, and the presence of symptoms at the time of HIV diagnosis were associated with high odds of late presentation to HIV/AIDS care. Trial registration Registered in PROSPERO databases with the registration number of CRD42018081840 . Electronic supplementary material The online version of this article (10.1186/s12879-019-4156-3) contains supplementary material, which is available to authorized users.

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“…However, the cut-off of definition varied in some studies. The prevalence of LEAD is like that noted in 2014 in people living with HIV at the University Hospital of Cotonou (35.6%) [11]. However, it is very high compared to the prevalence reported in previous studies conducted in Cameroon, Nigeria and Burundi from Open Journal of Epidemiology The high prevalence of LEAD in the study can be explained by the differences in the definition of ABI cut-off.…”

Section: Discussionsupporting

confidence: 56%

“…Higher prevalences of LEAD in PLWH than in the general population have been noted in some studies in sub-Saharan Africa, from 6.9% in Cameroon in 2018 [9] to 18.1% in Burundi in 2021 [10]. In Benin, the only study conducted in 2014 at the National University Hospital of Cotonou showed a high prevalence of LEAD of 35.6% among the 275 PLWH included [11]. There is a lack of recent data on the prevalence of LEAD in PLWH to provide sufficient evidence to guide practice.…”

Section: Introductionmentioning

confidence: 81%

Epidemiology of Lower Extremity Artery Disease in People Living with HIV Followed at the Departmental University Hospital Center Ouémé-Plateau in 2019

Houehanou,

Wanvoègbe,

Béhanzin

et al. 2023

OJEpi

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Introduction: Lower extremity artery disease (LEAD) is a serious cardiovascular disease. People living with the human immunodeficiency virus (HIV) are at risk. The aim of the study was to determine the prevalence of LEAD and identify the associated factors among people living with HIV who were followed at the departmental university hospital Ouémé-Plateau in Benin. Methods: This was a cross-sectional study. It included all HIV-infected people who were monitored at the department of medicine of the target hospital during the study period and met the inclusion criteria (followed for at least three months, aged at least 25 years, and having given their written consent to participate). Data were collected during an individual interview, followed by the measurement of parameters. The ankle brachial index ≤ 0.9 was used for the diagnosis of LEAD. Associated factors were searched through a multivariable logistic regression. Results: The prevalence of LEAD was 34.2% among 222 respondents having a mean age was 42.9 ± 10.8 years and a female predominance (77.5%). No significant association was found between the presence of LEAD and sociodemographic factors. The presence of LEAD was significantly associated with hypertension and antiretroviral therapy. Hypertensive patients had a higher risk of LEAD compared to non-hypertensive patients (OR = 1.98, 95% CI [1.04 -3.83], p = 0.037). Those who were receiving second-line therapy also had a higher risk of LEAD compared to those on first-line therapy (OR = 2.95, 95% CI [1.14 -7.60], p = 0.025). Conclusion:

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Late Presentation to Care among People Living with HIV in Cotonou, Benin: A Retrospective Analysis from 2003 to 2014

Abstract: Background: Late presentation to care is associated with increased morbidity, mortality and healthcare cost. Objectives: To determine the prevalence of late presentation to care in Benin, describe its trends and identify risk factors associated.

Cited by 3 publications

References 28 publications

Determinants of Late HIV Presentation at Ndlavela Health Center in Mozambique

Determinants of Late HIV Presentation at Ndlavela Health Center in Mozambique

Late presentation of HIV positive adults and its predictors to HIV/AIDS care in Ethiopia: a systematic review and meta-analysis

Epidemiology of Lower Extremity Artery Disease in People Living with HIV Followed at the Departmental University Hospital Center Ouémé-Plateau in 2019

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Late Presentation to Care among People Living with HIV in Cotonou, Benin: A Retrospective Analysis from 2003 to 2014

Abstract: Background: Late presentation to care is associated with increased morbidity, mortality and healthcare cost. Objectives: To determine the prevalence of late presentation to care in Benin, describe its trends and identify risk factors associated.

Cited by 3 publications

References 28 publications

Determinants of Late HIV Presentation at Ndlavela Health Center in Mozambique

Determinants of Late HIV Presentation at Ndlavela Health Center in Mozambique

Late presentation of HIV positive adults and its predictors to HIV/AIDS care in Ethiopia: a systematic review and meta-analysis

Epidemiology of Lower Extremity Artery Disease in People Living with HIV Followed at the Departmental University Hospital Center Ou&#233;m&#233;-Plateau in 2019

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Product

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Epidemiology of Lower Extremity Artery Disease in People Living with HIV Followed at the Departmental University Hospital Center Ouémé-Plateau in 2019