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1 ,**/ The Japanese Society for AIDS Research The Journal of AIDS Research HIV +, + -. / , -. / :HIV AIDS AIDS HIV :.,**, ++,**-. HIV AIDS HIV AIDS HIV +1* :HIV 00 HIV +,, HIV +0- HIV , AIDS -. AIDS HIV,. 10 HIV :HIV :HIV AIDS HIV 1 : -+-0,**/ HIV AIDS HIV HIV HIV +,, HIV AIDS HIV HIV -,. HIV HIV HIV HIV :.1*++3, +32 Fax : */0,3-,./0,**. 2 -* ;,**. +*,3 HIV AIDS /1 AIDS AIDS HIV HIV HIV HIV HIV HIV 2+* HIV HIV HIV AIDS HIV AIDS AIDS HIV -+ -+

2 S Hashimoto et al :Delay in Awareness of HIV and Hospital Visit after Date of Infection among HIV-infected and AIDS Patients in Japan +., + +,**, ++,**-. HIV AIDS HIV + 0*-,,**, ++,**-.,33 +1* /1 AIDS AIDS AIDS HIV HIV HIV HIV - +1* HIV HIV HIV + +, -/ , - AIDS AIDS HIV HIV * HIV +-* AIDS -/ / -* , HIV + HIV HIV *. +*- HIV HIV + 0, +,,+ - +1, HIV HIV HIV AIDS -/,*40 +-* 104/ /, , ,,*,3 -*-3.*.3 /*/3 0*03, , +/ , +* , , , +4, ++4, +., +* / /43 +*40 -, -,

3 The Journal of AIDS Research Vol. 1 No. +,**/ + HIV, HIV,3 +, - AIDS HIV - AIDS HIV AIDS -. AIDS HIV,. 10,0 HIV 03 HIV AIDS HIV

4 S Hashimoto et al :Delay in Awareness of HIV and Hospital Visit after Date of Infection among HIV-infected and AIDS Patients in Japan - AIDS HIV HIV AIDS ++, +, /*,33 0*- /1 +1*,33 -* HIV AIDS -*,* HIV +-, HIV -3 HIV HIV , HIV 1 HIV +, -0 -,2 HIV. HIV ,**,,**- HIV HIV 2+* AIDS AIDS HIV 10 HIV HIV AIDS +* +. AIDS HIV HIV HIV HIV HIV HIV -. -.

5 The Journal of AIDS Research Vol. 1 No. +,**/ : +/ HIV + : HIV,**. - +/ HIV,**.., Graham NM, Zeger SL, Park LP, Vermund SH, Detels R, Rinaldo C, Phair JP : The e#ects on survival of early treatment of human immunodeficiency virus infection. N Eng J Med -,0 : +*-1+*.,, +33,. - Klein D, Hurley LB, Merrill D, Quesenberry CP, Consortium for HIV/AIDS Interregional Research : Review of medical encounters in the / years before a diagnosis of HIV-+ infection : implication for early detection. J AIDS -, : +.-+/,,,**-.. : HIV AIDS. : 2+0,**,. / Samet JH, Freedberg KA, Savetsky JB, Sullivan LM, Stein MD : Understanding delay to medical care for HIV infection : the long-term non-presenter. AIDS +/ : 112/,,**+. 0 Matsuyama Y, Hashimoto S, Ichikawa S, Nakamura Y, Kidokoro T, Umeda T, Kamakura M, Kimura S, Fukutomi K, Ikeda C, Kihara M : Trends in HIV and AIDS based on HIV/AIDS surveillance data in Japan. Int J Epidemiol,2 : //, Hashimoto S, Matsumoto T, Nagai M, Matsuyama Y, Nakamura Y, Umeda T, Kamakura M, Ichikawa S, Kimura S, Fukutomi K, Kihara M : Delays and continuation of hospital visits among HIV-infected persons and AIDS cases in Japan. J Epidemiol +* : 0/1*,,***. 2 : HIV CD. HIV-RNA HIV - : +0,,,**+. 3 : HIV CD. HIV-RNA HIV - :,--*,**+. +* : HIV Epidemiology +0 : +/0+0,,**-. ++ : HIVAIDS. : 3+3/,**,. +, : HIVAIDS 0 : -+-0,**.. +- : +/ +/,** , -+,**.. +. Chin J, Lwanga SK : Estimation and projection of adult AIDS cases : a simple epidemiological model. Bull WHO 03 : -33.*0, / -/

6 S Hashimoto et al :Delay in Awareness of HIV and Hospital Visit after Date of Infection among HIV-infected and AIDS Patients in Japan Delay in Awareness of HIV and Hospital Visit after Date of Infection among HIV-infected and AIDS Patients in Japan Shuji HASHIMOTO +,Yoji INOUE,,Miyuki KAWADO +, Yoshitaka MURAKAMI -,Hirokazu KIMURA.,Seiichi ICHIKAWA /, Yosikazu NAKAMURA 0,Masahiro KIHARA 1 and Kazuo FUKUTOMI 2 + Department of Hygiene, Fujita Health University School of Medicine, Department of Community Nursing, School of Nursing, Chiba University - Epidemiology and International Health Research Section, Environmental Health Sciences Division, National Institute for Environmental Studies. Department of Public Health, Yokohama City University School of Medicine / Nagoya City University School of Nursing 0 Department of Public Health, Jichi Medical School 1 Kyoto University School of Public Health 2 National Institute of Public Health Objective :The delay between HIV infection and patient awareness and hospital visit among HIV-infected and AIDS patients in Japan was examined. Material & Methods :Aself-administered questionnaire was distributed to HIV-infected and AIDS patients visiting. area hospitals specializing in AIDS treatment between November,**, and April,**-. The questionnaire included dates of HIV infection, awareness of it and hospital visit, and HIV testing before AIDS developed. We then analyzed the data from +1* patients. Results :The delay from HIV infection until awareness of it was +, years for,+ and more than - years for +1 of 00 respondants. The delay from awareness of HIV infection until hospital visit was less than + month for 03 and more than + year for, of +0- patients responding. Before AIDS developed, 10 of the AIDS patients did not undergo HIV testing. The frequent reason for no HIV testing was I was not afraid of HIV infection. Conclusion :These results suggested that the delay from HIV infection until awareness of it was long, but that the delay in visiting a hospital was short. Further research is important. Key words : HIV, AIDS, awareness of HIV infection, hospital visit, delay -0-0

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