عنوان
پدید آورنده
موضوع
رده
کتابخانه
محل استقرار
شماره کتابشناسی ملی
شماره
TLpq2420236137
زبان اثر
زبان متن نوشتاري يا گفتاري و مانند آن
انگلیسی
عنوان و نام پديدآور
عنوان اصلي
The HIV Care Continuum and Barriers to Viral Suppression Among Men Who Have Sex with Men in Greater Kuala Lumpur, Malaysia
نام عام مواد
[Thesis]
نام نخستين پديدآور
Kim, Lauren Haerin
نام ساير پديدآوران
Gonsalves, Gregg
وضعیت نشر و پخش و غیره
نام ناشر، پخش کننده و غيره
Yale University
تاریخ نشرو بخش و غیره
2020
مشخصات ظاهری
نام خاص و کميت اثر
31
یادداشتهای مربوط به پایان نامه ها
جزئيات پايان نامه و نوع درجه آن
M.P.H.
کسي که مدرک را اعطا کرده
Yale University
امتياز متن
2020
یادداشتهای مربوط به خلاصه یا چکیده
متن يادداشت
Background: Men who have sex with men (MSM) now account for nearly half of all new HIV cases in Malaysia. There has been little research, however, characterizing the HIV care continuum among MSM living with HIV in Malaysia. This study describes the HIV care continuum and examines factors associated with HIV viral non-suppression among newly diagnosed MSM living with HIV in Kuala Lumpur, Malaysia. Methods: We enrolled 163 MSM living with HIV who were in care at a major university hospital in Kuala Lumpur, Malaysia. Participants completed a self-administered questionnaire. Electronic medical chart review also provided data on engagement in the care continuum, including CD4 counts and HIV viral loads. Bivariate and multivariable logistic regression was used to identify correlates of HIV viral non-suppression. Results: 94.4% of this sample is currently on ART while 79.7% self-reported 100% adherence to medication. Nearly 80% of this population were optimally virally suppressed at <20 copies/mL. In the multivariable model, not having a full-time job (aOR = 6.25; 95% CI = 1.53 - 25.49; p = 0.011) and being single (aOR = 9.15; CI = 1.07 - 78.21; p = 0.043) were associated with viral non-suppression (viral load of 200 copies/mL or more). 9.8% of all participants reported active (last 30 days) chemsex participation while nearly 40% indicated severe depression symptoms. Conclusions: This is the first study to describe the HIV care continuum on MSM from Malaysia. Though many MSM in this sample were able to achieve viral suppression, others continue to face socioeconomic barriers to treatment and retention in care. Future studies should recruit from a wider range of venues and include those disengaged from care.
موضوع (اسم عام یاعبارت اسمی عام)
موضوع مستند نشده
Behavioral sciences
موضوع مستند نشده
Epidemiology
موضوع مستند نشده
Public health
نام شخص به منزله سر شناسه - (مسئولیت معنوی درجه اول )
مستند نام اشخاص تاييد نشده
Gonsalves, Gregg
مستند نام اشخاص تاييد نشده
Kim, Lauren Haerin
دسترسی و محل الکترونیکی
نام الکترونيکي
مطالعه متن کتاب وضعیت انتشار
فرمت انتشار
p
اطلاعات رکورد کتابشناسی
نوع ماده
[Thesis]
کد کاربرگه
276903
اطلاعات دسترسی رکورد
سطح دسترسي
a
تكميل شده
Y
