Advanced disease at HIV diagnosis in the surrounding area of the city of Buenos Aires

Abstract

Objectives: To analyze characteristics of the population and determine frequency and possible associated factors with advanced disease (AD) at the time of diagnosis of HIV infection.

Method: A crosssectional descriptive study was carried out. Retrospective analysis of the reported data in two patient follow-up cohorts of two hospitals of the western region of Buenos Aires.

Results: We analyzed HCs from 211 patients. Female gender 108 (51.2%), male 102 (48.3%) and transgender 1 (0.5%). The primary mode of transmission was described as heterosexual in 89% of patients. The CD4 count was less than 200 cells / ml in 60.2% of patients and less than 350 cells / ml in 77%. At the time of diagnosis of infection, 65 patients (30%) had an AIDS event and were symptomatic 86 (40.8%). Male sex (OR 3.1 IC95% 1.7-5.6), age of 45 years or above (OR 4.0 IC95% 2.1-7.8), and to be unemployed or with informal employment (OR 3.3 IC95% 1.8-5.9) were statistically associated to EA in both the bivariate and multivariate analyzes, while have begun the secondary level of education was associated with a low probability only in the bivariate.

Conclusions: We observed a high frequency of AD in the studied population. characterized as statistically associated to male sex, lack of employment and age above 45 years. The situation of men referred as heterosexual should be specially evaluated.