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Gaceta Médica Boliviana

On-line version ISSN 1012-2966


QUIROGA TROCHE, Rocio; LEGUIZAMON CASTRO, Ariel; ILLANES, Daniel  and  CASTRO, Mildreth. Factors influencing the delayed diagnosis of VIH. Gac Med Bol [online]. 2016, vol.39, n.2, pp.72-78. ISSN 1012-2966.

Objective: to determine the factors influencing the delay of HIV diagnosis from the perception of patients and medical staff, in the municipality of Cercado. Method: a descriptive and quantitative cross-sectional study through interviews with patients HIV (+), surveys of medical personnel and medical record review. Results: it was the review of 121 clinical histories in different establishments, obtaining 65% of them, a diagnosis late (DT) for the presence of opportunistic disease at diagnosis; DT 60% for CD4 counts less than 200. Initial Among patients, 59% say they have a stable partner; 80% was not considered vulnerable to disease and 44% had incomplete or no information on HIV / AIDS. In the statistical analysis, we found relationship variables (age / if they thought HIV was for everyone) with a value of p = 0.000000049; (Sex / for whom thought was HIV) with a value of p = 0.000012; between (age / if they knew about HIV) with a value of p = 0.000013; (Having a stable partner / considered at risk) with a value of p = 0.00098; (Level of education / reason for performing HIV test) with a value of p = 0.00083. Among doctors 39% of them have insufficient knowledge about HIV / AIDS and the norm. Conclusions: the delay of HIV diagnosis influence the perception of risk, the offer of proof and the erroneous knowledge of HIV; further education level / age influence access to information. To improve diagnosis should improve information, make it more complete, adequate and accessible; looking for a change of attitude.

Keywords : delayed diagnosis; incomplete information; change of attitude; health education; prevention.

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