Brief observationLate Diagnosis of HIV Infection: The Role of Age and Sex
Section snippets
Study Design
We evaluated medical records of clinic patients initially presenting for care at the Duke University HIV clinic between October 2002 and August 2004. Persons whose HIV infection had been diagnosed within 6 months of presentation to the clinic were included in this analysis. Abstracted data included socio-demographic and clinical information. Non-Caucasians were classified as racial/ethnic minorities. Consistent with the CDC classification, persons not residing in a metropolitan statistical area
Results
Data were available for 113 patients who met study inclusion criteria (Table 1). Initial CD4 counts were <200 cells/μL in 49% of subjects, and 35% were diagnosed during hospitalization.
Discussion
Despite efforts to increase HIV prevention and awareness, half the recently diagnosed HIV-infected patients evaluated at a university-based HIV clinic in North Carolina had initial CD4 counts <200 cells/μL, compared with only 12% of those reported a decade earlier from South Carolina.8 This may relate to changes in socio-demographic characteristics among persons living with HIV/AIDS, such that persons now at greatest risk are less likely to be tested due to issues of stigma and lower perceived
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Supported by Agency for Healthcare Research and Quality (AHRQ) training Grant T32 HS000079 and NIH K24 Grant NIAID 5 K24 AI001608.