Missed opportunities for TB diagnostic testing among people living with HIV in Zimbabwe: Cross-sectional analysis of the Zimbabwe Population-based HIV Impact Assessment (ZIMPHIA) survey 2015–16
Rattachement africain : Zimbabwe, us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background: Using data from the Zimbabwe Population-based HIV Impact Assessment survey 2015-2016, we examined the TB care cascade and factors associated with not receiving TB diagnostic testing among adult PLHIV with TB symptoms. Methods: Statistical Analysis was limited to PLHIV aged 15 years and older in HIV care. Weighted logistic regression with not receiving TB testing as outcome was adjusted for covariates with crude odd ratios (ORs) with p < 0.25. All analyses accounted for multistage survey design. Results: Among 3507 adult PLHIV in HIV care, 2288 (59.7 %, 95 % CI:58.1-61.3) were female and 2425 (63.6 %, 95 % CI:61.1-66.1) lived in rural areas. 1197(48.7 %, 95 % CI:46.5-51.0) reported being screened for TB symptoms at their last HIV care visit. In the previous 12 months, 639 (26.0 %, 95 % CI:23.9-28.1) reported having symptoms and of those, 239 (37.8 %, 95 % CI:33.3-42.2) received TB testing. Of PLHIV tested for TB, 36 (49.5 %, 95 % CI:35.0-63.1) were diagnosed with TB; 32 (90.3 %, 95 % CI:78.9-100) of those diagnosed with TB received treatment. Never having used IPT was associated with not receiving TB testing. Conclusion: The results suggest suboptimal utilization of TB screening and diagnostic testing among PLHIV. New approaches are needed to reach opportunities missed in the HIV/TB integrated services.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Missed opportunities for TB diagnostic testing among people living with HIV in Zimbabwe: Cross-sectional analysis of the Zimbabwe Population-based HIV Impact Assessment (ZIMPHIA) survey 2015–16
- Date Crossref
- 01/05/2024
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Practical Action Zimbabwe (code pays fourni par la source)Organisation à but non lucratif
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Ministry of Health and Child Welfare Zimbabwe (code pays fourni par la source)Organisme public
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Centers for Disease Control and Prevention Harare, Zimbabwe (pays nommé en fin d’affiliation)Organisme public
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PHI/CDC Global Health Fellowship Harare, Zimbabwe (pays nommé en fin d’affiliation)Institution
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Ministry of Health and Child Care Harare, Zimbabwe (pays nommé en fin d’affiliation)Organisme public
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ICAP Harare, Zimbabwe (pays nommé en fin d’affiliation)Institution
Practical Action (Zimbabwe), Ministry of Health and Child Welfare (Zimbabwe) et Centers for Disease Control and Prevention (Harare, Zimbabwe), avec 3 autres affiliations. Pays d’affiliation : Zimbabwe.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.