{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T21:10:10Z","timestamp":1760044210858},"reference-count":8,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2013,8,28]],"date-time":"2013-08-28T00:00:00Z","timestamp":1377648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Late entry of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010positive persons into specialized care is a significant challenge to limiting the spread of the <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> epidemic. In 2008\u20132010, only 54% of 108\u2009116 persons who tested <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> positive enrolled in care at <jats:styled-content style=\"fixed-case\">AIDS C<\/jats:styled-content>enters in <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>kraine, and almost half of new <jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content> cases are found in patients with first\u2010time <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> diagnoses. We aimed to identify factors associated with delayed enrolment in <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> care in <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>dessa <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>egion, <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>kraine.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective data analysis of patients who enrolled in <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> care in 1995\u20132010, comparing patients on the basis of the reported route of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> transmission (injecting drug use or sexual transmission). The nonparametric <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ann\u2212<jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>hitney <jats:italic><jats:styled-content style=\"fixed-case\">U<\/jats:styled-content><\/jats:italic>\u2010test was used to compare the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the period analysed, the delay in enrolment in <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> care among people who inject drugs (<jats:styled-content style=\"fixed-case\">PWID<\/jats:styled-content>) in Odessa Region was longer than that among people infected via sexual transmission. The mean delay in enrolment in care among <jats:styled-content style=\"fixed-case\">PWID<\/jats:styled-content> increased over time for men and women; their mean age at the time of enrolment also gradually increased. Urban residents accounted for the majority of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> cases, with some growth in the proportion of rural residents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>People who acquired <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> via injecting drug use showed later enrolment in <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> care compared with people infected via sexual transmission. There is an urgent need to improve <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> counselling and referral services, taking into account differences in the behaviour of drug\u2010using and non\u2010drug\u2010using populations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.12059","type":"journal-article","created":{"date-parts":[[2013,8,28]],"date-time":"2013-08-28T10:53:45Z","timestamp":1377687225000},"page":"38-41","source":"Crossref","is-referenced-by-count":22,"title":["Association of injecting drug use and late enrolment in <scp>HIV<\/scp> medical care in <scp>O<\/scp>dessa <scp>R<\/scp>egion, <scp>U<\/scp>kraine"],"prefix":"10.1111","volume":"14","author":[{"given":"TK","family":"Kiriazova","sequence":"first","affiliation":[{"name":"\u2018Future without AIDS\u2019 Foundation  Odessa"},{"name":"Ukrainian Institute on Public Health Policy  Kyiv"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"OV","family":"Postnov","sequence":"additional","affiliation":[{"name":"I. I. Mechnikov Anti\u2010Plague Research Institute  Odessa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"IB","family":"Perehinets","sequence":"additional","affiliation":[{"name":"WHO Country Office in Ukraine  Kyiv Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"OO","family":"Neduzhko","sequence":"additional","affiliation":[{"name":"Ukrainian Institute on Public Health Policy  Kyiv"},{"name":"I. I. Mechnikov Anti\u2010Plague Research Institute  Odessa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,8,28]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"MoH of Ukraine.HIV infection in Ukraine: informational bulletin No 37. \u2013 Kyiv 2012."},{"key":"e_1_2_6_3_1","unstructured":"MoH of Ukraine.Report on the results of monitoring and efficiency of activities to prevent HIV in Ukraine during 2011. \u2013 Kyiv 2012."},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.7.734"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.168.11.1181"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2008.0213"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2011.565026"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200101050-00012"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3181ab6eab"}],"container-title":["HIV Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fhiv.12059","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hiv.12059","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T03:05:48Z","timestamp":1694574348000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hiv.12059"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8,28]]},"references-count":8,"journal-issue":{"issue":"S3","published-print":{"date-parts":[[2013,10]]}},"alternative-id":["10.1111\/hiv.12059"],"URL":"https:\/\/doi.org\/10.1111\/hiv.12059","archive":["Portico"],"relation":{},"ISSN":["1464-2662","1468-1293"],"issn-type":[{"value":"1464-2662","type":"print"},{"value":"1468-1293","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,8,28]]}}}