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AIDS Behav. 2009 Dec;13(6):1075-83. doi: 10.1007/s10461-008-9519-5. Epub 2009 Jan 6.

Identifying people with acute HIV infection: demographic features, risk factors, and use of health care among individuals with AHI in North Carolina.

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1
Department of Infectious Disease, University of North Carolina School of Medicine, Chapel Hill, NC, 27599, USA. lisa_hightow@med.unc.edu

Abstract

Identifying and counseling individuals with Acute HIV Infection (AHI) offers a critical opportunity to avert preventable HIV transmission, however, opportunities to recognize these individuals may be missed. We surveyed 32 adults diagnosed with AHI during voluntary HIV testing from 1/1/03 to 2/28/05 in publicly funded testing sites in NC to describe their clinical, social, and behavioral characteristics. Eighty-one percent of participants were men; 59% were African American. Seventy-five percent experienced symptoms consistent with acute retroviral syndrome; although 83% sought medical care for these symptoms, only 15% were appropriately diagnosed at that initial medical visit, suggesting opportunities to diagnose these individuals earlier were missed. Eighty-five percent of the men engaged in sex with men. More than 50% of the participants thought they were infected with HIV by a steady partner. This study yields important information to assist in identifying populations at risk for or infected with AHI and designing both primary and secondary prevention interventions.

PMID:
19127422
PMCID:
PMC2787774
DOI:
10.1007/s10461-008-9519-5
[Indexed for MEDLINE]
Free PMC Article
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