Differences in Reasons for Late Presentation to HIV Care in Uganda Among Men and Women

Sarah M. Lofgren; Sharon Tsui; Nakita Natala; Noeline Nakasujja; Raymond Sebuliba; Jane Francis Ndyetukira; Anita Arinda; Vanessa Akinyange; Kathy H. Hullsiek; Elizabeth Nalintya; Alisat Sadiq; Katelyn A. Pastick; Anna Stadleman; David Meya; David R. Boulware

doi:10.1007/s10461-022-03764-9

Differences in Reasons for Late Presentation to HIV Care in Uganda Among Men and Women

Sarah M. Lofgren, Sharon Tsui, Nakita Natala, Noeline Nakasujja, Raymond Sebuliba, Jane Francis Ndyetukira, Anita Arinda, Vanessa Akinyange, Kathy H. Hullsiek, Elizabeth Nalintya, Alisat Sadiq, Katelyn A. Pastick, Anna Stadleman, David Meya, David R. Boulware

Medicine - Infectious Disease and International

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Late presentation to HIV care, i.e., presenting with < 200 CD4 cells/mL, is associated with higher mortality and worse outcomes. Despite that, a quarter of people living with HIV in Uganda still present late to care. We surveyed Ugandans living with HIV who enrolled in clinic ≤ 90 days prior. We compared groups who presented 'late' with CD4 < 200 and 'early' with CD4 > 350, stratifying by sex. We found men who presented late had higher externalized stigma than early presenters. Thirty-six percent of the entire cohort were depressed. Social support was stronger in late presenters versus early, although weak overall. Social support was inversely correlated with depression, with social support dropping as depression increased. Interventions to improve clinic privacy, reduce stigma, improve social support, and help women disclose their HIV status to male partners are needed to reduce late presentation to HIV care.

Original language	English (US)
Pages (from-to)	303-313
Number of pages	11
Journal	AIDS and Behavior
Volume	27
Issue number	1
DOIs	https://doi.org/10.1007/s10461-022-03764-9
State	Published - Jan 2023

Bibliographical note

Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

HIV care
HIV stigma
Late presentation
Sex differences
Universal test and treat

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Lofgren, S. M., Tsui, S., Natala, N., Nakasujja, N., Sebuliba, R., Ndyetukira, J. F., Arinda, A., Akinyange, V., Hullsiek, K. H., Nalintya, E., Sadiq, A., Pastick, K. A., Stadleman, A., Meya, D., & Boulware, D. R. (2023). Differences in Reasons for Late Presentation to HIV Care in Uganda Among Men and Women. AIDS and Behavior, 27(1), 303-313. https://doi.org/10.1007/s10461-022-03764-9

Lofgren, SM, Tsui, S, Natala, N, Nakasujja, N, Sebuliba, R, Ndyetukira, JF, Arinda, A, Akinyange, V, Hullsiek, KH, Nalintya, E, Sadiq, A, Pastick, KA, Stadleman, A, Meya, D & Boulware, DR 2023, 'Differences in Reasons for Late Presentation to HIV Care in Uganda Among Men and Women', AIDS and Behavior, vol. 27, no. 1, pp. 303-313. https://doi.org/10.1007/s10461-022-03764-9

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Differences in Reasons for Late Presentation to HIV Care in Uganda Among Men and Women

Abstract

Bibliographical note

Keywords

UN SDGs

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