No Association Found Between Traditional Healer Use and Delayed Antiretroviral Initiation in Rural Uganda

被引：11

作者：

Horwitz, Russell H. ^{[1
,2
,3
]}

Tsai, Alexander C. ^{[4
]}

Maling, Samuel ^{[5
]}

Bajunirwe, Francis ^{[6
,7
]}

Haberer, Jessica E. ^{[8
,9
]}

Emenyonu, Nneka ^{[10
,11
]}

Muzoora, Conrad ^{[10
]}

Hunt, Peter W. ^{[11
,12
]}

Martin, Jeffrey N. ^{[13
]}

Bangsberg, David R. ^{[2
,8
,9
,10
,14
]}

机构：

[1] Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02114 USA

[2] Harvard Univ, Sch Med, Boston, MA USA

[3] MGH Revere HealthCare Ctr, Dept Mental Hlth, Revere, MA 02151 USA

[4] Harvard Univ, Robert Wood Johnson Hlth & Soc Scholars Program, Cambridge, MA 02138 USA

[5] Mbarara Univ Sci & Technol, Dept Psychiat, Mbarara, Uganda

[6] Mbarara Univ Sci & Technol, Dept Community Hlth, Mbarara, Uganda

[7] Case Western Reserve Univ, Dept Epidemiol & Biostat, Cleveland, OH 44106 USA

[8] Harvard Initiat Global Hlth, Cambridge, MA USA

[9] Massachusetts Gen Hosp, Ctr Global Hlth, Boston, MA 02114 USA

[10] Mbarara Univ Sci & Technol, Dept Med, Mbarara, Uganda

[11] Univ Calif San Francisco, Dept Med, San Francisco, CA USA

[12] Univ Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA

[13] Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA 94143 USA

[14] Harvard Univ, Phillip T & Susan M Ragon Inst, Massachusetts Gen Hosp, MIT, Charlestown, MA USA

来源：

AIDS AND BEHAVIOR | 2013年 / 17卷 / 01期

关键词：

HIV/AIDS; Traditional healer; Spiritual counselor; Late presentation; Uganda; HOPKINS SYMPTOM CHECKLIST-25; SUB-SAHARAN AFRICA; QUALITY-OF-LIFE; HIV-INFECTION; MEDICAL OUTCOMES; SCREENING INSTRUMENT; LATE DIAGNOSIS; BREAST-CANCER; RISK-FACTORS; CARE;

D O I：

10.1007/s10461-011-0132-7

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Traditional healer and/or spiritual counselor (TH/SC) use has been associated with delays in HIV testing. We examined HIV-infected individuals in southwestern Uganda to test the hypothesis that TH/SC use was also associated with lower CD4 counts at antiretroviral therapy (ART) initiation. Approximately 450 individuals initiating ART through an HIV/AIDS clinic at the Mbarara University of Science and Technology (MUST) were recruited to participate. Patients were predominantly female, ranged in age from 18 to 75, and had a median CD4 count of 130. TH/SC use was not associated with lower CD4 cell count, but age and quality-of-life physical health summary score were associated with CD4 cell count at initiation while asset index was negatively associated with CD4 count at ART initiation. These findings suggest that TH/SC use does not delay initiation of ART.

引用

页码：260 / 265

页数：6

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