Late initiation of antiretroviral therapy: inequalities by educational level despite universal access to care and treatment

Autor: Amanda Rodrigues, Claudio J. Struchiner, Lara E. Coelho, Valdilea G. Veloso, Beatriz Grinsztejn, Paula M. Luz
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: BMC Public Health, Vol 21, Iss 1, Pp 1-9 (2021)
Druh dokumentu: article
ISSN: 1471-2458
DOI: 10.1186/s12889-021-10421-8
Popis: Abstract Background Late antiretroviral treatment initiation for HIV disease worsens health outcomes and contributes to ongoing transmission. We investigated whether socioeconomic inequalities exist in access to treatment in a setting with universal access to care and treatment. Methods This study investigated the association of educational level, used as a proxy for socioeconomic status, with late treatment initiation and treatment initiation with advanced disease. Study participants included adults (≥25 years) who started treatment from 2005 to 2018 at Instituto Nacional de Infectologia Evandro Chagas of Fundação Oswaldo Cruz (INI/FIOCRUZ), Rio de Janeiro, Brazil. Educational level was categorized following UNESCO’s International Standard Classification of Education: incomplete basic education, basic education, secondary level, and tertiary level. We defined late treatment initiation as those initiating treatment with a CD4
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