HIV Care Continuum from diagnosis in a Counseling and Testing Center.

Autor:	Rossi ADM; Universidade Estadual de Londrina. Londrina, Paraná, Brazil., Albanese SPR; Pontifícia Universidade Católica de Londrina. Londrina, Paraná, Brazil., Vogler IH; Universidade Estadual de Londrina. Londrina, Paraná, Brazil., Pieri FM; Universidade Estadual de Londrina. Londrina, Paraná, Brazil., Lentine EC; Secretaria Municipal de Saúde de Londrina, Centro de Testagem e Aconselhamento. Londrina, Paraná, Brazil., Birolim MM; Faculdade de Guairacá. Guarapuava, Paraná, Brazil., Dessunti EM; Universidade Estadual de Londrina. Londrina, Paraná, Brazil.
Jazyk:	English; Portuguese
Zdroj:	Revista brasileira de enfermagem [Rev Bras Enferm] 2020 Sep 07; Vol. 73 (6), pp. e20190680. Date of Electronic Publication: 2020 Sep 07.
DOI:	10.1590/0034-7167-2019-0680
Abstrakt:	Objective: To analyze the HIV care continuum from the diagnosis in an HIV/AIDS Counseling and Testing Center (CTC), and the sociodemographic, clinical, and laboratory characteristics related to gender. Method: Epidemiological study, conducted with data of individuals assisted at a Counseling and Testing Center, and followed in an outpatient clinic for HIV/AIDS. Pearson's Chi-square test and binary logistic regression were used to obtain odds ratios, considering alpha value <0.05. Results: The prevalence of HIV among 5,229 users was 5%. The highest chance of positive results was among men, aged 14 to 33 years old, who were not in a domestic partnership. In the analysis of TCD4+ lymphocytes and viral load (VL) of 238 cases, 56.1% had a late diagnosis. We have identified gaps in the care cascade, especially linkage to the care, retention in care, and viral load suppression. Conclusion: The results suggest a late diagnosis for both genders, as well as difficulty in reaching the viral suppression goal.
Databáze:	MEDLINE
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