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Folly Beach Library
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What Shapes Late HIV Diagnosis in Vietnam? A Qualitative Investigation of Multilevel Factors.
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- Author(s): Nguyen, Thu Trang; Luong, Anh Ngoc; Dao, Thi Dieu Thuy; Nagot, Nicolas; Laureillard, Didier; Visier, Laurent; Le, Minh Giang
- Source:
AIDS Education & Prevention; Oct2021, Vol. 33 Issue 5, p450-463, 14p- Subject Terms:
DIAGNOSIS of HIV infections; HIV infection risk factors; DELAYED diagnosis; MEDICAL quality control; HEALTH services accessibility; MIDDLE-income countries; SOCIAL determinants of health; MEDICAL care; PATIENTS; CASE-control method; INTERVIEWING; SOCIAL stigma; FEAR; MEDICAL screening; QUALITATIVE research; PATIENTS' attitudes; SELF medication; CD4 lymphocyte count; HEALTH; INFORMATION resources; LOW-income countries; PSYCHOLOGY of HIV-positive persons - Source:
- Additional Information
- Subject Terms:
- Abstract: Late HIV treatment remains a global public health issue despite significant efforts. To better understand what shapes this issue, we interviewed 36 Vietnamese ART-naive patients who came to HIV treatment in 2017. Half of them had intake CD4 counts fewer than 100 cells/mm3, the others had intake CD4 counts of 350 cells/mm3 and above. Late diagnosis was the reason of late treatment in our sample. Most late presenters were not members of the key populations at increased risk of HIV (e.g., people who inject drugs, commercial sex workers, and men who have sex with men). Individual-level factors included low risk appraisal, habit of self-medication, and fear of stigma. Network and structural-level factors included challenges to access quality health care, normalization of HIV testing in key populations and inconsistent provider-initiated HIV testing practices. Structural interventions coupled with existing key population-targeted strategies would improve the issue of late HIV diagnosis. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of AIDS Education & Prevention is the property of Guilford Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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