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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 77(1-2)

Factors Associated with Access to Antiretroviral Therapy among People Living with HIV in Vientiane Capital, Lao PDR

https://doi.org/10.18999/nagjms.77.1-2.29
https://doi.org/10.18999/nagjms.77.1-2.29
8ba09ed4-ce98-44ca-8786-cfe5cea8acda
名前 / ファイル ライセンス アクション
10_Chanvilay.pdf 10_Chanvilay.pdf (147.9 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2015-02-26
タイトル
タイトル Factors Associated with Access to Antiretroviral Therapy among People Living with HIV in Vientiane Capital, Lao PDR
著者 CHANVILAY, THAMMACHAK

× CHANVILAY, THAMMACHAK

WEKO 55972

CHANVILAY, THAMMACHAK

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YOSHIDA, YOSHITOKU

× YOSHIDA, YOSHITOKU

WEKO 55973

YOSHIDA, YOSHITOKU

Search repository
REYER, JOSHUA A

× REYER, JOSHUA A

WEKO 55974

REYER, JOSHUA A

Search repository
HAMAJIMA, NOBUYUKI

× HAMAJIMA, NOBUYUKI

WEKO 55975

HAMAJIMA, NOBUYUKI

Search repository
キーワード
主題Scheme Other
主題 Antiretroviral therapy
キーワード
主題Scheme Other
主題 delayed access
キーワード
主題Scheme Other
主題 PLHIV
キーワード
主題Scheme Other
主題 self-stigma
キーワード
主題Scheme Other
主題 Lao PDR
抄録
内容記述 Since 2001, antiretroviral therapy (ART) has been available for people living with HIV (PLHIV) in Lao People’s Democratic Republic (PDR). Over 10 years of the ART program many HIV patients were found with advanced-stage AIDS in health care service facilities. This study aimed to examine factors associated with delayed access to ART among PLHIV in the capital of Vientiane. A cross-sectional study was conducted with 283 respondents (131 males and 152 females) aged 15 years or over. In this study, delayed access to ART was defined by a CD4 cell count of less than 350 cells/mm3 at the first screening, or those who presented with advanced AIDS-related symptoms. The odds ratios (ORs) and 95% confidence intervals (CIs) were estimated by a logistic model. After adjustment, young people (OR=2.17; 95% CI: 1.00–4.68; p=0.049), low education (OR=0.23; 95% CI: 0.10–0.55; p=0.001) and duration between risk behavior and HIV test (OR=3.83; 95% CI: 1.22–12.00; p=0.021) were significantly associated with delayed access to ART. Low perception of high risk behaviors was one of the obstacles leading to delayed testing and inability to access ART. Almost all reported feeling self-stigma, and only 30.5% of men and 23.7% of women disclosed the HIV status to his/her partner/spouse. In conclusion, delayed access to ART was associated with individual factors and exposure to health care facility. In order to improve early detection HIV infection following access to ART, an improvement in perceptional knowledge of HIV, as well as reduction of HIV/AIDS-related stigma, might be needed.
内容記述タイプ Abstract
出版者
出版者 Nagoya University School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.77.1-2.29
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 77, 号 1-2, p. 29-39, 発行日 2015-02
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7712.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/21256
識別子タイプ HDL
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