Ribeiro Luana Carla Santana, Freitas Maria Imaculada de Fátima, Tupinambás Unaí, Lana Francisco Carlos Félix
Centro de Educação e Saúde, Universidade Federal de Campina Grande, Cuité, PB, Brazil.
Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Rev Lat Am Enfermagem. 2020;28:e3342. doi: 10.1590/1518-8345.4072.3342. Epub 2020 Aug 31.
to analyze the occurrence of late diagnosis of infection by the Human Immunodeficiency Virus and its associated factors.
this is an epidemiological, cross-sectional and analytical study, carried out with 369 people followed-up by Specialized Assistance Services, undergoing anti-retroviral treatment, and interviewed by means of a questionnaire. Univariate analysis was performed using Pearson's chi-square test or Fisher's exact test and Kruskall-Wallis test, and multivariate analysis using the ordinal logistic regression model of proportional odds.
the occurrence of 59.1% for late diagnosis of the infection was observed; the probability of later diagnosis is greater among people who have a steady partnership, when compared to those who do not; with increasing age, particularly above 35 years old; among those with lower schooling; for those who seek the health services to have an HIV test when they feel sick; and for those who test HIV less often or never do it after sex without a condom with a steady partner.
the knowledge on the high proportion of late diagnosis and its associated factors verified in this study make the planning and implementation of new policies and strategies aimed at the timely diagnosis of the infection imperative.
分析人类免疫缺陷病毒感染的延迟诊断情况及其相关因素。
这是一项流行病学、横断面分析研究，对369名接受专科援助服务、正在接受抗逆转录病毒治疗并通过问卷调查进行访谈的人员进行了研究。单因素分析采用Pearson卡方检验或Fisher精确检验以及Kruskal-Wallis检验，多因素分析采用比例优势有序逻辑回归模型。
观察到感染延迟诊断的发生率为59.1%；与没有稳定伴侣的人相比，有稳定伴侣的人延迟诊断的可能性更大；随着年龄增长，尤其是35岁以上；受教育程度较低者；那些在感觉不适时才寻求医疗服务进行艾滋病毒检测的人；以及那些在与稳定伴侣无保护性行为后很少或从不进行艾滋病毒检测的人。
本研究中证实的关于延迟诊断的高比例及其相关因素的知识，使得制定和实施旨在及时诊断感染的新政策和策略势在必行。
