Linkage to care of patients living with HIV/ AIDS in a reference hospital of Minas Gerais, Brazil

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dc.creatorRomara Elizeu Amaro Perdigão
dc.creatorJuliana Oliveira Costa
dc.creatorCelline Cardoso Almeida Brasil
dc.creatorPalmira de Fátima Bonolo
dc.creatorFrancisco de Assis Acurcio
dc.creatorMicheline Rosa Silveira
dc.creatorMaria das Graças Braga Ceccato
dc.date.accessioned2022-10-24T13:58:09Z
dc.date.accessioned2025-09-09T00:56:18Z
dc.date.available2022-10-24T13:58:09Z
dc.date.issued2017-08-22
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1002/pds.4275
dc.identifier.issn1099-1557
dc.identifier.urihttps://hdl.handle.net/1843/46527
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofInternational Conference on Pharmacoepidemiology & Therapeutic Risk Management
dc.rightsAcesso Aberto
dc.subjectHIV
dc.subjectAIDS
dc.subjectPacientes
dc.subjectTerapia antirretroviral
dc.subject.otherHIV
dc.subject.otherAIDS
dc.subject.otherPacientes
dc.subject.otherTerapia antirretroviral
dc.titleLinkage to care of patients living with HIV/ AIDS in a reference hospital of Minas Gerais, Brazil
dc.typeArtigo de evento
local.citation.epage545
local.citation.issue33
local.citation.spage544
local.description.resumoBackground: Linkage is the second step in the HIV care continuum and can be defined as the first clinic visit after diagnosis to an outpatient provider with prescribing privileges in an HIV care setting. Linkage is essential to assess patient health, provide access to antiretroviral therapy (ART), as well as prevention and care interventions. Objectives: To describe the linkage profile and the sociodemographic and clinical characteristics of patients under care in public hospital specialized in HIV/ AIDS care in Belo Horizonte, Minas Gerais, Brazil. Methods: Cross-sectional study of 208 HIV-infected adults linked between January and December 2015 to a reference hospital (Hospital Eduardo de Menezes) which is specialized in inpatient and outpatient care of infectious diseases, especially tuberculosis, AIDS and leprosy. Linkage was defined as the first outpatient visit to this service after HIV diagnosis, assessed through patients’ medical records. Results: Most patients (77%) were linked to care within 90 days of diagnosis. The mean linkage time was 138 ± 37 days. Most patients were male (78%), with a mean age of 39.3 ± 11.9 years old and median of 38 years old, non-white skin color (76%), unmarried (71%), residents of Belo Horizonte (70%) and had used tobacco (83%), alcohol (60%) and illicit drugs (43%) at least once in lifetime. Half of patients had eight or less years of schooling (51%), had children (52%) and had a job (52%). More than half of patients had an AIDS-defining clinical condition at the time of linkage (56%). Conclusions: The results show a high prevalence of linkage with late diagnosis, which may lead to worse prognosis and higher costs with treatment. A better understanding on how HIV-infected people use outpatient and inpatient care is essencial to improve care assessment and provision.
local.publisher.countryBrasil
local.publisher.departmentFAR - DEPARTAMENTO DE FARMÁCIA SOCIAL
local.publisher.departmentFAR - DEPARTAMENTO DE PRODUTOS FARMACÊUTICOS
local.publisher.initialsUFMG
local.url.externahttps://onlinelibrary.wiley.com/doi/full/10.1002/pds.4275

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