Matches in SemOpenAlex for { <https://semopenalex.org/work/W3189705488> ?p ?o ?g. }
Showing items 1 to 82 of
82
with 100 items per page.
- W3189705488 endingPage "e0255781" @default.
- W3189705488 startingPage "e0255781" @default.
- W3189705488 abstract "Objective The study aims to assess changes in HIV treatment outcomes for Jamaica after the implementation of the WHO Treat All strategy in January 2017, as well as identify variables associated with clinical stage at diagnosis and viral load status, in order to understand implications for enhancing the HIV clinical cascade and boosting progress towards the UNAIDS 90-90-90 targets. Method This is a population-based study using the National Treatment Service Information System. The sample consists of persons 15 years and older, placed on treatment before and after Treat All was implemented, across all 4 regional health authorities in Jamaica. Patients were assessed for two binary outcomes: 1. stage at HIV diagnosis (early/baseline CD4 cell count ≧350 cells/mm 3 , or late/ baseline CD4 <350 cells/mm 3 ), 2. viral load status achieved after ART initiation (suppressed/<1000 copies/ml or non-suppressed/ ≥1000 copies/ml). Categorical variables: age/years, gender and health regions, were investigated using multivariable logistic regression. Adjusted odds ratios and 95% confidence intervals are reported. Results After Treat All, there was an increase in median baseline CD4 results as the proportion of late diagnoses decreased from 60% to 39%. There was a small increase in viral suppression from 76% to 80%, a decrease in baseline viral load testing from 61% to 46% and an increase in the uptake of first viral load testing after starting treatment from 13% to 19%. Males and persons 40+ years had higher odds of late diagnosis before and after Treat All. Conclusion Jamaica’s HIV program outcomes have improved after Treat All was implemented. ART initiation time significantly decreased. Early diagnosis, viral load testing uptake and viral suppression increased. However, there is a need to implement targeted testing for men and persons over 40 years to decrease the frequency of late diagnosis." @default.
- W3189705488 created "2021-08-16" @default.
- W3189705488 creator A5021283299 @default.
- W3189705488 creator A5023800585 @default.
- W3189705488 creator A5044556057 @default.
- W3189705488 creator A5068889265 @default.
- W3189705488 date "2021-08-12" @default.
- W3189705488 modified "2023-09-30" @default.
- W3189705488 title "HIV program outcomes for Jamaica before and after “Treat All”: A population-based study using the national treatment services database" @default.
- W3189705488 cites W1965610763 @default.
- W3189705488 cites W2180038971 @default.
- W3189705488 cites W2325440334 @default.
- W3189705488 cites W2331612363 @default.
- W3189705488 cites W2807788883 @default.
- W3189705488 cites W2945638044 @default.
- W3189705488 doi "https://doi.org/10.1371/journal.pone.0255781" @default.
- W3189705488 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/8360520" @default.
- W3189705488 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34383797" @default.
- W3189705488 hasPublicationYear "2021" @default.
- W3189705488 type Work @default.
- W3189705488 sameAs 3189705488 @default.
- W3189705488 citedByCount "2" @default.
- W3189705488 countsByYear W31897054882023 @default.
- W3189705488 crossrefType "journal-article" @default.
- W3189705488 hasAuthorship W3189705488A5021283299 @default.
- W3189705488 hasAuthorship W3189705488A5023800585 @default.
- W3189705488 hasAuthorship W3189705488A5044556057 @default.
- W3189705488 hasAuthorship W3189705488A5068889265 @default.
- W3189705488 hasBestOaLocation W31897054881 @default.
- W3189705488 hasConcept C126322002 @default.
- W3189705488 hasConcept C142462285 @default.
- W3189705488 hasConcept C143095724 @default.
- W3189705488 hasConcept C144024400 @default.
- W3189705488 hasConcept C149923435 @default.
- W3189705488 hasConcept C151956035 @default.
- W3189705488 hasConcept C156957248 @default.
- W3189705488 hasConcept C203014093 @default.
- W3189705488 hasConcept C2908647359 @default.
- W3189705488 hasConcept C2910823671 @default.
- W3189705488 hasConcept C2993143319 @default.
- W3189705488 hasConcept C3013748606 @default.
- W3189705488 hasConcept C44249647 @default.
- W3189705488 hasConcept C71924100 @default.
- W3189705488 hasConcept C99454951 @default.
- W3189705488 hasConceptScore W3189705488C126322002 @default.
- W3189705488 hasConceptScore W3189705488C142462285 @default.
- W3189705488 hasConceptScore W3189705488C143095724 @default.
- W3189705488 hasConceptScore W3189705488C144024400 @default.
- W3189705488 hasConceptScore W3189705488C149923435 @default.
- W3189705488 hasConceptScore W3189705488C151956035 @default.
- W3189705488 hasConceptScore W3189705488C156957248 @default.
- W3189705488 hasConceptScore W3189705488C203014093 @default.
- W3189705488 hasConceptScore W3189705488C2908647359 @default.
- W3189705488 hasConceptScore W3189705488C2910823671 @default.
- W3189705488 hasConceptScore W3189705488C2993143319 @default.
- W3189705488 hasConceptScore W3189705488C3013748606 @default.
- W3189705488 hasConceptScore W3189705488C44249647 @default.
- W3189705488 hasConceptScore W3189705488C71924100 @default.
- W3189705488 hasConceptScore W3189705488C99454951 @default.
- W3189705488 hasIssue "8" @default.
- W3189705488 hasLocation W31897054881 @default.
- W3189705488 hasLocation W31897054882 @default.
- W3189705488 hasLocation W31897054883 @default.
- W3189705488 hasOpenAccess W3189705488 @default.
- W3189705488 hasPrimaryLocation W31897054881 @default.
- W3189705488 hasRelatedWork W2015691254 @default.
- W3189705488 hasRelatedWork W2037611947 @default.
- W3189705488 hasRelatedWork W2136460280 @default.
- W3189705488 hasRelatedWork W3010075638 @default.
- W3189705488 hasRelatedWork W3139085109 @default.
- W3189705488 hasRelatedWork W4220790736 @default.
- W3189705488 hasRelatedWork W4226042254 @default.
- W3189705488 hasRelatedWork W4322739880 @default.
- W3189705488 hasRelatedWork W4361270321 @default.
- W3189705488 hasRelatedWork W881425895 @default.
- W3189705488 hasVolume "16" @default.
- W3189705488 isParatext "false" @default.
- W3189705488 isRetracted "false" @default.
- W3189705488 magId "3189705488" @default.
- W3189705488 workType "article" @default.