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Instituto Nacional de Salud Pública

2012, Número 5

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salud publica mex 2012; 54 (5)


Alta prevalencia de diagnóstico tardío de VIH durante la era TARAA en México

Crabtree-Ramírez B, Caro-Vega Y, Belaunzarán-Zamudio F, Sierra-Madero J

Idioma: Español
Referencias bibliográficas: 58
Paginas: 506-514
Archivo PDF: 248.63 Kb.


RESUMEN

Objetivo. Estimar la prevalencia de diagnóstico tardío (DT) (CD4‹200 cel/mm3) de VIH en una clínica en la Ciudad de México entre 2001 y 2008, evaluar cambios en la prevalencia en este periodo y determinar factores de riesgo asociados con el DT. Material y métodos. Mediante un estudio de cohorte transversal de pacientes de VIH se estimó la proporción de pacientes con DT y se compararon sus características demográficas con pacientes sin DT. Se evaluaron los factores de riesgo asociados a DT usando regresión logística. Resultados. Se encontró una prevalencia de DT de 61%, sin cambios entre 2001-2008 (p=0.37). Mayor edad (RM: 2.4; 95%IC 1.2-4.7), desempleo (RM: 1.75; 95%IC 1.12-2.75) y menos de nueve años de educación (RM: 2.44; 95%IC 1.37-4.33) fueron independientemente asociados a DT. Conclusiones. El DT tiene alta prevalencia en México. Esto impacta en la efectividad de tratamiento antirretroviral y posiblemente en la transmisión del VIH. Deben dirigirse políticas de prevención a reducir el DT mediante estrategias agresivas de diagnóstico.


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