Predictors of late presentation for HIV diagnosis: a literature review and suggested way forward.

Mukolo A, Villegas R, Aliyu M, Wallston KA
AIDS Behav. 2013 17 (1): 5-30

PMID: 22218723 · DOI:10.1007/s10461-011-0097-6

Early commencement of antiretroviral treatment can be beneficial and economical in the long run. Despite global advances in access to care, a significant proportion of adults presenting at HIV/AIDS care facilities present with advanced HIV disease. Understanding factors associated with late presentation for HIV/AIDS services is critical to the development of effective programs and treatment strategies. Literature on factors associated with late presentation for an HIV diagnosis is reviewed. Highlighted is the current emphasis on socio-demographic factors, the limited exploration of psychosocial correlates, and inconsistencies in the definition of late presentation that make it difficult to compare findings across different studies. Perspectives based on experiences from resource limited settings are underreported. Greater exploration of psychosocial predictors of late HIV diagnosis is advocated for, to guide future intervention research and to inform public policy and practice targeted at 'difficult to reach' populations.

MeSH Terms (13)

Adaptation, Psychological AIDS Serodiagnosis CD4 Lymphocyte Count Delayed Diagnosis Fear HIV Infections Humans Patient Acceptance of Health Care Risk Factors Sex Factors Social Stigma Stress, Psychological Time Factors

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