Factors Associated with Late HIV-1 Diagnosis in Cabo Verde
Overview
This study assesses the prevalence of late HIV diagnosis in Cabo Verde, finding that 56.3% of newly diagnosed individuals presented late. Key factors associated with late diagnosis include being single and having a high viral load.
Background
Late diagnosis of HIV infection poses significant public health challenges, leading to increased morbidity, mortality, and healthcare costs. Despite free access to testing and treatment in Cabo Verde, understanding the prevalence and determinants of late diagnosis is crucial for improving health outcomes and reducing transmission rates.
Data Highlights
Measure
Value
Prevalence of late HIV diagnosis
56.3% (76/135)
Adjusted Odds Ratio for being single
2.79 (95% CI: 1.13–6.92; p = 0.027)
Adjusted Odds Ratio for viral load ≥5.0 log copies/mL
5.24 (95% CI: 1.80–15.25; p = 0.002)
Proportion of recent infections
68.3%
Key Findings
56.3% of newly diagnosed individuals in Cabo Verde had late HIV diagnosis.
Being single was associated with a higher likelihood of late diagnosis (aOR: 2.79).
A viral load of ≥5.0 log copies/mL significantly increased the odds of late diagnosis (aOR: 5.24).
The study identified a predominance of recent infections (68.3%) among participants.
Late diagnosis is linked to higher morbidity and healthcare costs.
Clinical Implications
The findings indicate a need for targeted testing strategies to improve early diagnosis of HIV in Cabo Verde. Addressing the factors associated with late diagnosis may enhance clinical outcomes and reduce transmission.
Conclusion
Late HIV diagnosis remains a critical issue in Cabo Verde, necessitating improved strategies for early detection and treatment linkage.
by Silvânia da Veiga Leal, Mafalda N. S. Miranda, Ricardo Parreira, Victor Pimentel, Isabel Inês Monteiro de Pina Araújo, Marta Pingarilho, Ana B. Abecasis
