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Found 2 documents that match the search criteria.
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Late HIV treatment remains a global public health issue despite significant efforts. To better understand what shapes this issue, we interviewed 36 Vietnamese ART-naive patients who came to HIV treatment in 2017. Half of them had intake CD4 counts fewer than 100 cells/mm3/the others had intake CD4 counts of 350 cells/mm3 and above. Late diagnosis was the reason of late treatment in our sample. Most late presenters were not members of the key populations at increased risk of HIV (e.g., people who inject drugs, commercial sex workers, and men who have sex with men). Individual-level factors included low risk appraisal, habit of self-medication, and fear of stigma. Network and structural-level factors included challenges to access quality health care, normalization of HIV testing in key populations and inconsistent provider-initiated HIV testing practices. Structural interventions coupled with existing key population–targeted strategies would improve the issue of late HIV diagnosis.
Ha Ngoc Do, Milkie Vu, Anh Tuan Nguyen, Hoa Quynh Thi Nguyen, Thanh Phuong Bui, Quy Van Nguyen, Ngan Thu Thi Tran, Ly Bac Thi La, Nga Thu Thi Nguyen, Quang N Nguyen, Men Thi Hoang, Linh Gia Vu, Thuc Minh Thi Vu, Bach Xuan Tran, Carl A Latkin, Cyrus S H Ho, Roger C M Ho
Background
While internal migrants in Vietnam have been a key driving force in the country's rapid economic development, they also face many vulnerabilities. Our study seeks to explore possible inequalities in housing and working conditions between local
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