Public Health and Preventive Medicine Archive
Vol. 2 No. 2 (2014)

Correlation between Demographics, Clinical and Risk Factors for HIV Infection with HIV/TB Co‑infection in Amertha Clinic Kerti Praja Foundation Denpasar

Yuneti Octavianus Nyoko (Public Health Postgraduate Program Udayana University)
I Wayan Gede Artawan Eka Putra (Public Health Postgraduate Program Udayana University, School of Public Health Faculty of Medicine Udayana University)
Anak Agung Sagung Sawitri (Public Health Postgraduate Program Udayana University, Department of Community and Preventive Medicine Faculty of Medicine Udayana University)



Article Info

Publish Date
01 Dec 2014

Abstract

Background and purpose: HIV infection increases the risk of developing tuberculosis (TB), as TB infection increases the progression of HIV. In Bali, HIV/TB co-infected patients have increased from 26% in 2012 to 30% in 2013. Study on factors related with the occurrence of HIV/TB co-infection is limited in Indonesia. This study aims to determine the correlation between demographics, clinical and risk factors for HIV infection with HIV/TB co-infection in Amertha ClinicKerti Praja Foundation Bali.Methods: The study design was cross-sectional using secondary data of patients with HIV/AIDS who were receiving antiretroviral therapy (ART) from 2002-2012. Independent variables were demographics: gender, age, education level, working status, and presence of ART supervisor; clinical: hemoglobin count, weight, CD4 count; and risk factor for HIV infected. The status of HIV/TB co-infection was the dependent variable. Data was analysed using univariate, bivariate (chi-square) and multivariate (cox regression).Results: From the 531 patients, the majority were male (57.6%) and aged ≥31 years (50.8%). About 5.5% of patients experienced HIV/TB coinfection. Multivariate analysis indicated that the variables correlating with HIV/TB co-infection occurrence were CD4 count at baseline ≤200 cell/mm3 (PR=10.34; 95%CI: 1.39-76.69; p=0.022) and risk factor for HIV infected with IDU (PR=3.27; 95%CI: 1.56-6.88; p=0.002).Conclusion: Patients with CD4 count ≤200 cell/mm3 and HIV infected by IDU have correlating with HIV/TB co-infection.

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Journal Info

Abbrev

phpma

Publisher

Subject

Public Health

Description

ublic Health and Preventive Medicine Archive (PHPMA) is an open access, peer reviewed journal published by Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University. Issues covered in the journal are as the following: Environmental and occupational health Field and ...