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CD4 Cell Counts at HIV Diagnosis among HIV Outpatient Study Participants, 2000-2009.
- Source :
-
AIDS Research & Treatment . 2012, p1-7. 7p. 2 Charts, 1 Graph. - Publication Year :
- 2012
-
Abstract
- Background. It is unclear if CD4 cell counts at HIV diagnosis have improved over a 10-year period of expanded HIV testing in the USA. Methods. We studied HOPS participants diagnosed with HIV infection ⩽6 months prior to entry into care during 2000- 2009. We assessed the correlates of CD4 count <200 cells/mm3 at HIV diagnosis (late HIV diagnosis) by logistic regression. Results. Of 1,203 eligible patients, 936 (78%) had a CD4 count within 3 months after HIV diagnosis. Median CD4 count at HIV diagnosis was 299 cells/mm3 and did not significantly improve over time (P = 0.13). Comparing periods 2000-2001 versus 2008-2009, respectively, 39% and 35% of patients had a late HIV diagnosis (P = 0.34). Independent correlates of late HIV diagnosis were having an HIV risk other than being MSM, age ⩾35 years at diagnosis, and being of nonwhite race/ethnicity. Conclusions. There is need for routine universal HIV testing to reduce the frequency of late HIV diagnosis and increase opportunity for patient- and potentially population-level benefits associated with early antiretroviral treatment. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 20901240
- Database :
- Academic Search Index
- Journal :
- AIDS Research & Treatment
- Publication Type :
- Academic Journal
- Accession number :
- 87283317
- Full Text :
- https://doi.org/10.1155/2012/869841