Timeliness of diagnosis of HIV: a quantitative and qualitative study
Introduction: A CD4 count <200 at diagnosis results in negative health outcomes and suggests delays in HIV testing. Objectives: To describe the timeliness of HIV diagnosis in Newfoundland and Labrador (NL) and explore the reasons for delay. Methods: Demographic and clinical information from new H...
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Memorial University of Newfoundland
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ftmemorialuniv:oai:research.library.mun.ca:12989 2023-10-01T03:57:36+02:00 Timeliness of diagnosis of HIV: a quantitative and qualitative study Boyd, Sarah Elizabeth 2017-10 application/pdf https://research.library.mun.ca/12989/ https://research.library.mun.ca/12989/1/thesis.pdf en eng Memorial University of Newfoundland https://research.library.mun.ca/12989/1/thesis.pdf Boyd, Sarah Elizabeth <https://research.library.mun.ca/view/creator_az/Boyd=3ASarah_Elizabeth=3A=3A.html> (2017) Timeliness of diagnosis of HIV: a quantitative and qualitative study. Masters thesis, Memorial University of Newfoundland. thesis_license Thesis NonPeerReviewed 2017 ftmemorialuniv 2023-09-03T06:49:02Z Introduction: A CD4 count <200 at diagnosis results in negative health outcomes and suggests delays in HIV testing. Objectives: To describe the timeliness of HIV diagnosis in Newfoundland and Labrador (NL) and explore the reasons for delay. Methods: Demographic and clinical information from new HIV diagnoses in NL between 2006- 2016 were collected (n=58). Subjects were invited to interviews regarding testing barriers. Results: At diagnosis the mean age was 40.6, 53/58 (91.4%) were male, 33/58 (56.9%) were men who have sex with men, and 21/58 (36.2%) had a CD4 count <200. For 39/58 (67.2%), their first test was positive, though 55/58 (94.8%) had previous healthcare contact. Heterosexuals were more likely to present late (p=0.049). Barriers to testing were negative healthcare interactions, stigma, being unaware of their risk, and fear of the diagnosis. Conclusions: We defined missed opportunities for testing. Heterosexual men are more likely to test late. Late diagnosis may be prevented if testing is normalized. Thesis Newfoundland Memorial University of Newfoundland: Research Repository Newfoundland |
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Memorial University of Newfoundland: Research Repository |
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English |
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Introduction: A CD4 count <200 at diagnosis results in negative health outcomes and suggests delays in HIV testing. Objectives: To describe the timeliness of HIV diagnosis in Newfoundland and Labrador (NL) and explore the reasons for delay. Methods: Demographic and clinical information from new HIV diagnoses in NL between 2006- 2016 were collected (n=58). Subjects were invited to interviews regarding testing barriers. Results: At diagnosis the mean age was 40.6, 53/58 (91.4%) were male, 33/58 (56.9%) were men who have sex with men, and 21/58 (36.2%) had a CD4 count <200. For 39/58 (67.2%), their first test was positive, though 55/58 (94.8%) had previous healthcare contact. Heterosexuals were more likely to present late (p=0.049). Barriers to testing were negative healthcare interactions, stigma, being unaware of their risk, and fear of the diagnosis. Conclusions: We defined missed opportunities for testing. Heterosexual men are more likely to test late. Late diagnosis may be prevented if testing is normalized. |
format |
Thesis |
author |
Boyd, Sarah Elizabeth |
spellingShingle |
Boyd, Sarah Elizabeth Timeliness of diagnosis of HIV: a quantitative and qualitative study |
author_facet |
Boyd, Sarah Elizabeth |
author_sort |
Boyd, Sarah Elizabeth |
title |
Timeliness of diagnosis of HIV: a quantitative and qualitative study |
title_short |
Timeliness of diagnosis of HIV: a quantitative and qualitative study |
title_full |
Timeliness of diagnosis of HIV: a quantitative and qualitative study |
title_fullStr |
Timeliness of diagnosis of HIV: a quantitative and qualitative study |
title_full_unstemmed |
Timeliness of diagnosis of HIV: a quantitative and qualitative study |
title_sort |
timeliness of diagnosis of hiv: a quantitative and qualitative study |
publisher |
Memorial University of Newfoundland |
publishDate |
2017 |
url |
https://research.library.mun.ca/12989/ https://research.library.mun.ca/12989/1/thesis.pdf |
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Newfoundland |
geographic_facet |
Newfoundland |
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Newfoundland |
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Newfoundland |
op_relation |
https://research.library.mun.ca/12989/1/thesis.pdf Boyd, Sarah Elizabeth <https://research.library.mun.ca/view/creator_az/Boyd=3ASarah_Elizabeth=3A=3A.html> (2017) Timeliness of diagnosis of HIV: a quantitative and qualitative study. Masters thesis, Memorial University of Newfoundland. |
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thesis_license |
_version_ |
1778529364928888832 |