scholarly journals Multicenter European Prevalence Study of Neurocognitive Impairment and Associated Factors in HIV Positive Patients

2017 ◽  
Vol 22 (5) ◽  
pp. 1573-1583 ◽  
Author(s):  
Lewis J. Haddow ◽  
◽  
Rosanna Laverick ◽  
Marina Daskalopoulou ◽  
Jeffrey McDonnell ◽  
...  
2020 ◽  
Vol 16 (6) ◽  
pp. 258-264
Author(s):  
Linlin Lindayani ◽  
Diwa Agus Sudrajat ◽  
Chanti Melnawati ◽  
Dian Anggarini

Background: Patients with HIV are susceptable to developing HIV-associated neurocognitive disorder (HAND). However, few studies have explored the prevalence of neurocognitive impairment and its associated factors among patients with HIV in Indonesia. Aims: This study aimed to explore the prevalence of neurocognitive impairment in patients with HIV in Indonesia. Methods: A cross-sectional study was conducted among patients with HIV in West Java, Indonesia. Patients were eligible for study participation if they were HIV-positive and were aged over 20 years. The International HIV Dementia Scale (IHDS) was used to measure probable HIV–related dementia. Descriptive categorisations and statistics, using mean scores, standard deviation (SD) calculations or frequency rates, were applied to participant characteristics and major variables. Findings: There were a total 150 participants in this study. The mean age was 38.09 years (SD=3.99); 74% were male; 80.7% were high school graduates. The mean of CD4 counts was 493.3 (SD=139.8), and all participants had been living with HIV for more than 9 years (SD=3.84). The mean of total scores using the IHDS was 10.2 (SD=1.58), and 49.30% of patients with HIV were reported to have cognitive impairment. There was an increased prevalence of cognitive impairment among males with a higher BMI and higher systolic blood pressure Conclusions: Nearly half of patients with HIV in Indonesia are at high risk of cognitive impairment, as measured by IHSD. Health professionals caring for patients with HIV may consider routine neurocognitive impairment screenings during clinical visits to address this risk.


2018 ◽  
Vol 34 (11) ◽  
pp. 907-908 ◽  
Author(s):  
Maria Letizia Giancola ◽  
Pietro Balestra ◽  
Adriana Ammassari ◽  
Martina Ricottini ◽  
Patrizia Lorenzini ◽  
...  

2020 ◽  
Vol 54 ◽  
pp. 93
Author(s):  
Daniela Herrera Posada ◽  
Lucia Stella Tamayo Acevedo ◽  
Marleny Valencia Arredondo ◽  
Gloria Inéz Sánchez Vásquez

OBJECTIVE: To estimate the prevalence of high-risk human papillomavirus (HR-HPV) anal infection and associated factors in human immunodeficiency virus (HIV) positive patients in Medellín. METHODS: Descriptive cross-sectional study in 300 HIV-positive patients, adults, with history of anal intercourse, treated in two health care services of Medellín 2017–2018. We conducted a structured survey on sociodemographics, sexual behavior and medical history. HPV was detected in anal swabs tested by the COBAS 4800 system. Exploratory data analysis of risk factors associated with HR-HPV was conducted by chi-square test of independence and both raw and adjusted prevalence ratios used the Poisson regression model, at a 95% confidence interval. RESULTS: The high-risk HPV had a prevalence of 82.7%; HPV16 had a prevalence of 32.7%, HPV18 a prevalence of 21.7% and other HPV types scored 78.3%. The high-risk HPV prevalence in women was of 68.2% and 83.8% in men. The risk factors associated with high-risk HPV after adjustment were age under 30 years, elementary education, casual sex partners, and first sexual activity before 18 years old. CONCLUSIONS: The high incidence of high-risk HPV, along with the occurrence of coinfections by multiple types in the study population shows their susceptibility to develop some type of anal intra-epithelial neoplasia. It is important to establish sexual health programs focused on primary health care.


2014 ◽  
Vol 05 (08) ◽  
pp. 464-474 ◽  
Author(s):  
Zelalem Berhan ◽  
Fantu Abebe ◽  
Molla Gedefaw ◽  
Mulugeta Tesfa

2020 ◽  
Author(s):  
Eyob Araya Gebrekidan ◽  
Alehegn Bishaw Geremew ◽  
Telake Azale Bisetegn

Abstract Background: Antiretroviral therapy scales up globally and in Ethiopia, as a result, AIDS-related mortality has reduced, but the number of new HIV infections increasing. Antiretroviral therapy in Ethiopia gives a chance of living longer for reproductive-age women. Prevention of pregnancy among HIV positive women is the second WHO prongs of HIV transmission with respecting women’s reproductive rights. Antiretroviral therapy uses improve the health of HIV positive women using and women's fertility desire increasing. Therefore this study aimed to assess the fertility desire and associated factors among ART user reproductive-age women. Methods: A facility-based cross-sectional study design conducted from November 2-30/2018. The calculated sample size was 400 and study participants were selected by using systematic random sampling. A pre-tested structured questionnaire was used to collect data. A binary logistic regression model was employed and adjusted odds ratio with a 95% confidence interval used to consider statistically significant Results: A total of 397 clients were participated in the study, giving a response rate of 99.3%. The proportion of fertility desire in this study was 55.2 %(95% CI, 50.4%- 60.2%). A duration of marriage < 4 year [AOR=6.9(95 CI: 1.65, 28.81)], and 5–9 years duration of marriage [AOR= 13.8 (95% CI: 2.39, 80.39)] higher as compared to 15 years and above, family influence 3.4 times more likely to have fertility desire than have no family influence [AOR= 3.4 (95% CI: 1.06, 11.25)], partner desire 4.3 times more likely have had fertility desires as compared to with counterpart [AOR= 4.3 (95% CI: 1.93,9.41)], and discussion with health care provider 66 % less likely to have fertility desire as compared with counterpart [AOR = 0.34 (95% CI: 0.39, 3.31)]. Conclusion: In this study, we have identified a high proportion of fertility desire among ART user reproductive-age women. The duration of marital status, partner influence, family influence, and discussion of health care were associated with fertility desire. Family-oriented counseling, partner involvement on reproductive health services should be encouraged to support the rights of all women to safely achieve their fertility. Keywords: Fertility desire, reproductive age, women on ART.


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