Delayed access to HIV diagnosis and care: Special concerns for the southern United States
Delayed access to HIV diagnosis and care: Special concerns for the southern United States
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DOI：
10.1080/09540120600839280
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发表时间：
2006-01-01
影响因子：
1.7
通讯作者：
Vermund, Sten H.
中科院分区：
文献类型：
--
作者：
Krawczyk, Christopher S.;Funkhouser, Ellen;Vermund, Sten H.
在疾病的早期阶段进行艾滋病毒诊断和提供适当的医疗护理具有重大的临床和公共卫生效益。然而，很大一部分感染艾滋病毒的美国人经历了与诊断和治疗相关的延误。以前的研究评估的障碍，早期艾滋病毒诊断和护理介绍已发表的主要是从大的东海岸和西海岸的城市中心。因此，这些研究所确定的推迟接受艾滋病毒治疗的预测因素可能无法推广到南方，因为南方的感染者越来越多地是非白人、女性、穷人、非城市人，而且可能通过异性接触艾滋病毒。在这里，我们回顾了艾滋病毒护理的好处，描述性流行病学延迟艾滋病毒诊断和护理，早期医疗保健的潜在障碍，特别是在南方流行的条件。
HIV diagnosis and presentation to appropriate medical care during early stages of disease has substantial clinical and public health benefits. However, a large proportion of HIV-infected Americans experience diagnosis and treatment related delays. Prior research evaluating barriers to early HIV diagnosis and care presentation have been published primarily from large East and West coast urban centers. Therefore, predictors of delayed presentation to HIV care identified by these studies may not be generalizable to the South where infected persons are increasingly non-white, female, poor, non-urban, and possibly exposed to HIV heterosexually. We review here the benefits conferred by HIV care, descriptive epidemiology of delayed HIV diagnosis and care, and potential barriers to early medical care with special reference to conditions prevalent in the South.