Open AccessBrief Report
Author(s) -
Sara Yeatman,
Risa M. Hoffman,
Abdallah Chilungo,
Sydney R. Lungu,
Hazel Namadingo,
Angela Chimwaza,
Jenny Trinitapoli
Publication year - 2015
Publication title -
journal of acquired immune deficiency syndromes
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 2.162
H-Index - 157
eISSN - 1944-7884
pISSN - 1525-4135
DOI - 10.1097/qai.0000000000000536
Subject(s) - malaria , medicine , human immunodeficiency virus (hiv) , transmission (telecommunications) , cohort , population , health care , public health , pediatrics , immunology , environmental health , pathology , electrical engineering , economics , engineering , economic growth
HIV transmission is most likely to occur during the first few months after infection, yet few cases are identified during this period. Using a population-based cohort of young Malawian women, we identify the distinct symptomology and health-seeking behavior marking early HIV infection by comparing it with periods of seronegativity and chronic infection. During early HIV infection, women are more likely to report malaria-like symptoms and visit clinics for malaria care. In malaria-endemic contexts, where acute HIV symptoms are commonly mistaken for malaria, early diagnostic HIV testing and counseling should be integrated into health care settings where people commonly seek treatment for malaria.