{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T09:00:44Z","timestamp":1784970044649,"version":"3.55.0"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to identify determinants of late ART initiation among adults living with HIV in public health facilities of West Guji Zone, Oromia, Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Unmatched case\u2013control study was conducted among 226 adults living with HIV (113 cases and 113 controls) selected by simple random sampling. Data was collected using an interviewer-administered questionnaire and analyzed using SPSS version 25. Multivariable logistic binary regression was used to identify determinants of late ART initiation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Late ART initiation was associated with inability to read and write (AOR = 6.21, 95% CI: 2.32\u20137.98), rural residence (AOR = 4.26, 95% CI: 1.23\u201314.74), fear of job loss (AOR = 8.43, 95% CI: 6.72\u201320.05), lack of family support (AOR = 7.28, 95% CI: 1.90\u201312.19), absence of intention to protect family members (AOR = 6.16, 95% CI: 4.15\u201312.97), visiting traditional healers (AOR = 5.24, 95% CI: 1.51\u201313.40), and contact with commercial sex workers (AOR =5.59, 95% CI: 4.07\u201313.80).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Delayed ART initiation was driven by interacting sociodemographic, psychosocial, and behavioral factors. Addressing social disadvantages, fear-related concerns, weak family support, and reliance on non-formal care pathways is essential to promote timely initiation of ART.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582261471978","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T17:20:31Z","timestamp":1784827231000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Determinants of Late Initiation in Anti-retroviral Therapy Among HIV Positive Adult Patients in Public Health Facilities, West Guji Zone, Oromia, Ethiopia: A Case Control Study"],"prefix":"10.1177","volume":"25","author":[{"given":"Atsedemariam","family":"Mamo","sequence":"first","affiliation":[{"name":"AMREF Health Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8462-2285","authenticated-orcid":false,"given":"Melese Tikusie","family":"Tewoldie","sequence":"additional","affiliation":[{"name":"Hawassa City Administration"},{"name":"Sidama Regional Health Bureau"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4207-9816","authenticated-orcid":false,"given":"Zerihun Berhanu","family":"Mamo","sequence":"additional","affiliation":[{"name":"Hawassa University"},{"name":"Dilla University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"e_1_3_8_2_2","volume-title":"Predictors of Late HIV Diagnosis among People Living with HIV in Adare and Yirgalem General Hospitals, SNNPR, Ethiopia: A Case Control Study","author":"Alemayehu A","year":"2014","unstructured":"Alemayehu A. Predictors of Late HIV Diagnosis among People Living with HIV in Adare and Yirgalem General Hospitals, SNNPR, Ethiopia: A Case Control Study. Addis Ababa University; 2014."},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000000232"},{"key":"e_1_3_8_4_2","volume-title":"Web annex C: safety of dolutegravir in pregnancy and breastfeeding: updated recommendations on first-line and second-line antiretroviral regimens and post-exposure prophylaxis and recommendations on early infant diagnosis of HIV: interim guidelines. Supplement to the 2016 consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection","author":"Mofenson L","year":"2018","unstructured":"Mofenson L, Organization WH. Web annex C: safety of dolutegravir in pregnancy and breastfeeding: updated recommendations on first-line and second-line antiretroviral regimens and post-exposure prophylaxis and recommendations on early infant diagnosis of HIV: interim guidelines. Supplement to the 2016 consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection. World Health Organization; 2018."},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.12708"},{"key":"e_1_3_8_6_2","first-page":"44","article-title":"Level of knowledge and associated factor toward cervical Cancer among women age (21-64) years visiting health facilities in Gulele sub-city Addis Ababa Ethiopia","volume":"18","author":"Segni MT","year":"2017","unstructured":"Segni MT, Demissie HF, Tadesse DM, et al. Level of knowledge and associated factor toward cervical Cancer among women age (21-64) years visiting health facilities in Gulele sub-city Addis Ababa Ethiopia. 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