An assessment of Ryan white title IIIb HIV early intervention programs in region VI of the United States public health service.
A survey was conducted of 15 early intervention programs in Region VI of the United States Public Health Service (USPHS) to determine when human immunodeficiency virus (HIV) - infected clients accessed care.
Data were collected from 672 HIV-infected patients who received medical care between March 1991 and July 1993.
Eighty-four percent were male, 42% were white, 35% were African-American, 22% were Hispanic, and less than 1% defined themselves as « other. » Information also was obtained on HIV risk factors and CD4 counts on entry to the facility.
Thirty percent of patients had entry CD4 counts>500/mm3,55% had counts between 499 and 200/mm3, and 25%<200/mm3.
The distribution of entry CD4 counts were similar to those reported from two large, urban, public-hospital HIV clinics.
The most common risk factor for all ethnicities was male-to-male sex (53%), followed by heterosexual exposure (17%), and injection drug use (16%). The results indicate that the majority of clients who initially present to Title Illb « early intervention » programs in Region VI are of ethnic minority groups.
Based on entry CD4 counts, patients in Title Illb programs present late with one fourth at acquired immunodeficiency syndrome (AIDS) - defining levels.
Regardless of ethnicity, male-to-male sex was the highest risk factor in this region.
Mots-clés Pascal : Séropositivité, Virus immunodéficience humaine, Corrélation, Taux, Indicateur biologique, Pronostic, Prévention, Epidémiologie, Homme, CD4, Lentivirinae, Retroviridae, Virus, Infection, Virose
Mots-clés Pascal anglais : Seropositivity, Human immunodeficiency virus, Correlation, Rate, Biological indicator, Prognosis, Prevention, Epidemiology, Human, Lentivirinae, Retroviridae, Virus, Infection, Viral disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0365107
Code Inist : 002B30A01A2. Création : 01/03/1996.