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Socioeconomic disparity of immunologic outcome among people living with HIV in Guangxi, China.
- Source :
-
AIDS Care . Mar2021, Vol. 33 Issue 3, p347-351. 5p. 2 Charts. - Publication Year :
- 2021
-
Abstract
- The socioeconomic disadvantage may adversely affect HIV treatment outcomes, particularly in resource-limited settings. Data from people living with HIV (PLWH) who were receiving antiretroviral therapy (ART) in Guangxi, China were analyzed to investigate the impact of socioeconomic status (SES) on the immunologic outcome (i.e., CD4 counts). Among 1198 participants, 55.0% were having CD4 counts ≤500 cells/mm3 and over two-third (68.5%) were considered to have a low level of SES. PLWH with high SES were more likely to have higher CD4 counts (adjusted Odds Ratio [aOR]: 1.44, 95%CI: 1.08–1.91) than PLWH with low SES, after adjusting for potential confounders. CD4 counts were also significantly associated with certain socio-demographic characteristics such as age, gender, and sexual orientation. In order to reduce SES-related disparity, a holistic approach may be needed to address the barriers to successful HIV treatment and care among PLWH with low SES. Poverty reduction and other structural interventions in addressing the socioeconomic disadvantages among PLWH should be key components of the national response to improving HIV treatment outcomes and ending the HIV epidemic in China and other low- and middle-income countries. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HIV infections
*SEXUAL orientation
*CONFIDENCE intervals
*AGE distribution
*TREATMENT effectiveness
*SOCIOECONOMIC factors
*HIGHLY active antiretroviral therapy
*SEX distribution
*CD4 lymphocyte count
*DESCRIPTIVE statistics
*POVERTY
*ODDS ratio
*PSYCHOLOGY of HIV-positive persons
*EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 33
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 148883026
- Full Text :
- https://doi.org/10.1080/09540121.2020.1738004