國家衛生研究院 NHRI:Item 3990099045/6261

NHRI > National Institute of Infectious Diseases and Vaccinology > Chi-Jung Wu > Periodical Articles > Item 3990099045/6261

Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/6261

Title:	Gender differences in HIV manifestations at presentation to care and continuity of care among HIV-infected persons in Taiwan
Authors:	Ko, NY;Lai, YY;Liu, HY;Ko, WC;Chang, CM;Lee, NY;Chen, PL;Wu, CJ;Lee, HC
Contributors:	Division of Infectious Diseases
Abstract:	The study aimed to compare the gender difference in clinical manifestations at time of HIV diagnosis and after one year of antiretroviral therapy, and to determine the influence of gender on HIV care continuity. A retrospective study was conducted using chart review of adults diagnosed with HIV infection from 1993-2008 at a university-affiliated AIDS-designated hospital in Taiwan. Men who acknowledged having sex with men were excluded in order to compare the gender differences among patients with similar routes of HIV transmission and social context. Of the 682 patients with HIV, 86.6% were men. There were no significant gender differences in clinical, immunological or virological parameters at baseline. After one year of antiretroviral therapy, the curves of changes in CD4 cell counts in men and women were parallel over time. Continuity of care, referring to at least one appointment in each six-month window during 2005-2008, was significantly associated with age >50 years (OR = 2.54, 95% CI: 1.04-6.16), being enrolled in the case management programme (OR = 4.93, 95% CI: 2.53- 9.62), acquisition of HIV via heterosexual contact (OR = 3.63, 95% CI: 1.38-9.55), CD4 lymphocyte count <200 counts/mm(3) at baseline (OR = 3.09, 95% CI: 1.38-6.96), being on highly active antiretroviral therapy (OR = 4.77, 95% CI: 2.37-9.59), and with sero-discordant partners (OR = 2.51, 95% CI: 1.07-5.87). The findings indicate that gender does not appear to be associated with HIV disease manifestations and continuity of care. Further research to develop optimal methods to retain patients in HIV care is needed.
Date:	2011-10
Relation:	Aids Care-Psychological and Socio-Medical Aspects of Aids/Hiv. 2011 Oct;23(10):1254-1263.
Link to:	http://dx.doi.org/10.1080/09540121.2011.564114
JIF/Ranking 2023:	http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0954-0121&DestApp=IC2JCR
Cited Times(WOS):	https://www.webofscience.com/wos/woscc/full-record/WOS:000299480800007
Cited Times(Scopus):	http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=80053546664
Appears in Collections:	[Chi-Jung Wu] Periodical Articles

Files in This Item:

File	Description	Size	Format
ISI000299480800007.pdf		941Kb	Adobe PDF	327	View/Open

Loading...