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<identifier>oai:HAL:inserm-00915176v1</identifier>
<datestamp>2014-10-28</datestamp>
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<publisher>HAL CCSD</publisher>
<title lang=en>Risk Factors for Late Presentation for Care among HIV-Infected Patients in Guadeloupe: 1988-2009</title>
<creator>Elenga, Narcisse</creator>
<creator>Geroger-Sow, Marie-Therese</creator>
<creator>Nacher, Mathieu</creator>
<contributor>EA 3593 Université des Antilles et de la Guyane ; Service de Pédiatrie ; Centre Hospitalier de Cayenne Andrée Rosemon - Centre Hospitalier de Cayenne Andrée Rosemon</contributor>
<contributor>Coordination Régionale de la lutte contre le Virus de L'Immunodéficience Humaine [Cayenne] (COREVIH) ; Centre Hospitalier de Cayenne Andrée Rosemon</contributor>
<contributor>EA 3593 Université des Antilles et de la Guyane ; Coordination Régionale de la lutte contre le Virus de L'Immunodéficience Humaine [Guadeloupe] (COREVIH) ; CHU Pointe-à-Pitre/Abymes - CHU Pointe-à-Pitre/Abymes</contributor>
<description>International audience</description>
<source>J AIDS Clinic Res</source>
<identifier>inserm-00915176</identifier>
<identifier>http://www.hal.inserm.fr/inserm-00915176</identifier>
<identifier>http://www.hal.inserm.fr/inserm-00915176/document</identifier>
<identifier>http://www.hal.inserm.fr/inserm-00915176/file/2012_Elenga_-_Risk_Factors_for_Late_Presentation_for_Care_among_HIV-Infected_Patients_in_guadeloupe_1988_2009.pdf</identifier>
<source>http://www.hal.inserm.fr/inserm-00915176</source>
<source>J AIDS Clinic Res, 2012, 3 (7), pp.1000166. 〈10.4172/2155-6113.1000166〉</source>
<identifier>DOI : 10.4172/2155-6113.1000166</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.4172/2155-6113.1000166</relation>
<language>en</language>
<subject lang=it>HIV</subject>
<subject lang=it>CD4 cell count</subject>
<subject lang=it>Diagnosis</subject>
<subject lang=it>Late presentation</subject>
<subject lang=it>Guadeloupe</subject>
<subject>[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>Objective: The objective of this study was to identify the factors associated with presentation for care with CD4 cell count <200/mm3. Design: A Retrospective monocentric cohort study of the Guadeloupe section of French Hospital Database for HIV was conducted. Methods: Group 1 Cohort (CD4 <200/mm3, n=1076), Group 2 (CD4 200-500, n=973) and Group 3 (CD4 >≥ 500/ mm3, n=627) patients were included between 1 January 1988 and 31 December 2009. Factors associated with late presentation (CD4 count <200 cells/μL) were assessed using descriptive statistics and ordered multivariable logistic regression. Results: At the time of diagnosis, 40.21% of patients had than less 200 CD4 lymphocytes/mm3. Age older than 30 years OR: 1.55[1.14-2.10], p=0.005, male gender OR: 1.83[1.58-2.12], p<0.0001, access to care before 1992 OR: 1.56[1.03-2.02], p=0.038 and alcohol use OR: 8.80[2.26-34.36], p=0.002 were independently associated with a low CD4 cell count. Conclusion: The findings of this study (underline the need to expand HIV testing beyond the usual facilities) may be of value in helping to achieve earlier access to treatment in HIV-infected patients in order to minimize the individual risk of morbidity and mortality.</description>
<date>2012-09-04</date>
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