Timely care linkage of people living with HIV in a reference health service, Belo Horizonte, Minas Gerais.

Autor:	Perdigão REA; Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil., Bonolo PF; Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil., Silveira MR; Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil., Silva DID; Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil.; Fundação Hospitalar de Minas Gerais/Hospital Eduardo de Menezes - Belo Horizonte (MG), Brasil., Ceccato MDGB; Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil.
Jazyk:	Portuguese; English
Zdroj:	Revista brasileira de epidemiologia = Brazilian journal of epidemiology [Rev Bras Epidemiol] 2020 Mar 09; Vol. 23, pp. e200020. Date of Electronic Publication: 2020 Mar 09 (Print Publication: 2020).
DOI:	10.1590/1980-549720200020
Abstrakt:	Introduction: Linkage is a critical step in the ongoing care of human immunodeficiency virus (HIV/aids) infection and is essential for providing access to antiretroviral therapy, as well as comprehensive care. Methodology: Cross-sectional study on people living with HIV (PLHIV), aged ≥ 18 years old, linked between January and December 2015, in a referral service for outpatient and hospital care specialized in HIV/AIDS in Belo Horizonte, Minas Gerais. Linkage time was defined as the time from diagnosis to service linkage. Timely care linkage was considered when this time was ≤ 90 days. Data were collected through clinical records. A logistic regression analysis with a confidence interval of 95% (95%CI) was performed. Results: Among 208 patients, most of them were males (77.8%) with a mean age of 39 years. About 45% presented AIDS-defining conditions at the moment of linkage. Linkage time presented a mean of 138 ± 397 days. And timely linkage occurred for 76.9% of the patients. The variables associated with timely care linkage were: age ≥ 48 years (odds ratio - OR = 8.50; 95%CI 1.53 - 47.28), currently working (OR = 3.69; 95%CI 1.33 - 10.25) at the time of linkage, and present CD4+ T lymphocyte count (CD4+ T) ≤ 200 cells/mm3 at the time of HIV diagnosis (OR = 4.84; 95%CI 1.54 - 15.18). There was an important proportion of timely care linkage among PLHIV, but with late diagnosis. Conclusion: Interventions should be targeted at younger people with higher CD4+ T lymphocyte counts, in order to better provide continuous HIV care.
Databáze:	MEDLINE
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