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Oregon patients with HIV infection who experience delayed diagnosis

机译：俄勒冈州HIV感染患者的诊断延迟

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This project sought to understand factors contributing to the delayed diagnosis of HIV in the state of Oregon, USA in order to increase timely testing and diagnosis. People unaware of their positive HIV status account for a disproportionate number of transmissions of HIV, making delayed diagnosis a profound public health concern. We interviewed a sample of 17 adults, diverse in age, reported risk behaviors and sexual orientation, who were identified as being diagnosed late, about their experiences with testing and diagnosis. We defined delayed diagnosis as a diagnosis of AIDS within 12 months of the first positive HIV test. We conducted thematic analysis using NVivo? software for data management. Three overarching themes emerged: risk perception, missed opportunities for diagnosis, routine testing and the role of the medical community. Definitions of these themes, corresponding sub-themes, and illustrious quotations provide an informative description of characteristics of late testers, factors contributing to delayed diagnosis, and potential points of intervention to increase regular and timely testing. We conclude that routine HIV screening as part of regular medical care might significantly reduce the number of delayed diagnoses and minimize the stigma of testing by normalizing it as part of routine medical care. Earlier diagnosis of HIV will result in better outcomes for individual patients and lower rates of HIV transmission by unknowing individuals.
机译：该项目试图了解导致美国俄勒冈州HIV延迟诊断的因素，以便增加及时的检测和诊断。人们不知道自己的艾滋病毒呈阳性状态，导致艾滋病毒的传播数量不成比例，使延迟诊断成为对公共卫生的深切关注。我们采访了17位年龄各异的成年人，他们报告了他们的测试和诊断经验，这些成年人的风险行为和性取向被确定为被诊断为较晚诊断。我们将延迟诊断定义为第一次HIV阳性检测后12个月内对AIDS的诊断。我们使用NVivo进行了主题分析。数据管理软件。出现了三个总体主题：风险感知，错过的诊断机会，常规检测和医疗界的作用。这些主题的定义，相应的子主题以及引人注目的引语为后期测试者的特征，导致延迟诊断的因素以及增加定期和及时测试的潜在干预点提供了信息丰富的描述。我们得出的结论是，作为常规医疗保健一部分的常规HIV筛查可以通过将其作为常规医疗保健的一部分进行标准化来显着减少延迟诊断的次数，并最大程度地减少测试的污名。对HIV的早期诊断会导致个体患者更好的结局，并且会在不知情的情况下降低HIV的传播率。

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