CAPTION
Height (cm)
Weight (kg)
Age (Years)
STUB
BODY OF THE TABLE
* Sources: 1. Kailasha Foundation – Fun & Learn Portal LMS Directory *Footnotes: The entire upper part of the table is called BOX HEAD.
3. Diagrammatic Mode of Presentation:
A. Non-Frequency Diagrams: Non-frequency diagrams correspond to the data which are NOT frequency data. (a) Bar Diagrams (b) Line Diagrams (Historiagram) (c) Pie Diagram or Pie Chart
B. Frequency Diagrams: Frequency Data are presented. Mostly class-intervals are presented via this mode. Three most common frequency diagrams are: (a) Histogram (b) Frequency Polygon (c) Ogives: (i) Less than type Ogives (ii) More than type Ogives
Bar Diagrams:
Line Diagram:
Multiple Bar Diagram:
Frequency Polygon:
A smooth join of all vertices of a frequency polygon. This is broadly divided into four shapes:
(i) Bell Shaped (Most Common Shape) (ii) U-Shaped (iii) J – Shaped: Simple J – shaped & Inverted J – Shaped (iv) Mixed Curve (Second Most Common Shape)
Hindi explanation:.
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Written by: Mahnoor Sheikh
Looking for relevant and up-to-date presentation statistics to guide your next presentation?
A great presentation not only looks beautiful, but also manages to engage the audience and helps them remember important information after it’s finished.
In this article, we’ve curated a list of interesting and useful presentation statistics that will help you design and deliver stunning presentations that leave a strong impact.
Before we dive in, here’s a short selection of 8 easy-to-edit presentation templates you can edit, share and download with Visme. View more templates below:
Check out the infographic below to view a visual summary of all the presentation statistics. If you want to read the full post with all the details, keep scrolling.
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Does the thought of giving a presentation make you feel nervous?
You’re not alone. Millions of people all over the world are affected by glossophobia, or a fear of public speaking.
In fact, studies have estimated that 75% of adults are affected by a fear of public speaking.
Glossophobia can affect a person in multiple ways.
They may experience anxiety, feel uncomfortable in large gatherings or even feel embarrassed when speaking in public—all of which can lead to lower self-esteem.
Speaking of anxiety, did you know that 90% of anxiety that people feel right before giving a presentation is due to lack of preparation?
This shows us how important it is to rehearse well before a presentation. Not doing so can lead to difficulty in speaking, sweaty palms and overall a presentation that could have been better.
A beautiful presentation can not only help you create a great first impression in front of your audience, but can also make you feel more confident while you’re presenting.
In fact, studies show that 91% of presenters feel more confident when presenting with a well-designed slide deck.
But designing a presentation that’s stunning and effective isn't as easy as you might think. If you’re a non-designer, you might find it tricky to put together a nice-looking slide deck using basic presentation software.
You’re not the only one. Research shows that 45% of presenters find it difficult to design creative layouts for their presentations.
If you’re using a drag-and-drop presentation maker like Visme , you don’t need to worry about finding beautiful layouts. You can access a large library of fully designed presentation templates and themes that you can use to create your own slide deck in minutes.
Creating beautiful presentations requires the use of high-quality visuals that add value to your content and make your slides look more engaging.
But the type of visuals you use largely affects the aesthetic appeal and effectiveness of your presentation, and finding the right ones can be challenging.
According to studies, 41% of presenters find it challenging to find and use great visuals in their presentations.
You also need to choose the right fonts for your presentation. The fonts you choose should be clear and attractive, as well as consistent with your brand.
Research shows that 7% of presenters find it challenging to look for attractive fonts to use in their presentations.
This means that the ideal presentation software should have a large library of fonts available for presenters to choose from.
Now, when it comes to designing, you’re probably wondering whether you should design your presentation yourself or hire a professional to do it for you.
Interestingly, a study showed that 65.7% of presenters prefer to design presentations on their own, with no help from a professional designer.
This shows that presenters like having total control over what their presentation looks like. It helps them better prepare and know their way around the slides.
But designing a presentation can take time, especially if you want it to look beautiful.
According to research, 47% of presenters put in more than 8 hours into designing their presentations.
This statistic makes sense, considering that a well-designed presentation requires you to look for external resources, such as images and data. You might even need to spend hours creating graphs and charts out of spreadsheets.
If you’re creating a business presentation, you probably want to use your company’s brand colors. Surprisingly, there are plenty of presenters who don’t agree with that.
According to studies, 35.3% of presenters actually prefer to use bright and vibrant colors to make their presentations look more engaging, instead of using their actual brand colors.
Considering that engagement is highly important during a presentation, this makes a lot of sense.
However, you should always try not to use colors that clash too much with your brand, as they may negatively impact your brand image.
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A memorable presentation involves more than just a beautiful slide deck and well-researched content. It’s just as important, if not more, to have great presenting skills.
According to SOAP presentations , the elements that contribute most to effective presentations include voice (38%) and non-verbal communication (55%).
The actual content of your presentation only makes up about 7%.
This shows how important it is to have good presentation skills, as it can largely determine whether your presentation is a success or not.
Plus, research shows that it can take as little as 5 seconds for the audience to determine whether a presenter is charismatic or not.
If they find you uncharismatic, they might lose interest or even stop listening to you.
A key part of presentation skills is your body language. The more comfortable you are in your skin, the more likely you’ll be to deliver a powerful presentation.
For starters, you need to make enough eye contact with your audience to engage them.
According to research, the ideal amount of eye contact to make an emotional connection with your listeners is between 60% and 70% .
Another important thing to consider is how you carry yourself in front of your audience. The way you pose or walk around on the stage can determine how well you present.
Studies show that power posing , such as open arms, keeping your hands on your hips and a straight back, can increase confidence and reduce stress during a presentation.
So, the next time you’re presenting, make sure you don’t stay in a corner huddled up behind the podium. You need to look confident if you want to feel confident.
The way you present information can have a huge impact on how your audience processes that information.
Some people like to simply state facts and figures. But is that really effective?
Not if you want your audience to remember your message.
Research shows that people are 22 times more likely to remember a fact when it’s been told in the form of a story.
Humans love stories. A strong narrative can enable people to make sense of information faster because it helps them see how that information relates to them.
Another study showed that after a presentation, 63% of attendees were able to remember stories, while only 5% could remember statistics.
The next time you want to present a statistic or fact, think about how you can relate it to people and their lives. Wrap it in a story so they’re able to process it more effectively and remember it after your presentation.
If your presentation fails to engage your audience, you might not get your point across or make a strong impact.
You need to grab their focus so they stay hooked to your presentation till the very end. This task, though, is not as easy as it sounds.
According to Prezi, 4 in 5 business professionals said they shifted their focus away from the speaker in the last presentation they attended.
And let’s face it. Presentations can often get boring, especially when the speaker is droning on and on about a topic.
In fact, a research showed that 79% of people agree that “most presentations are boring.”
So, how do you make a boring presentation interesting? How do you get your audience to sit up in their seats and focus?
Studies show that the key to engaging your audience is to make them feel involved in your presentation. Of course, storytelling is one of the best ways to do that.
The study by Prezi showed that 55% of people find that a great story is what mainly helps them focus during a presentation.
Another way to get your audience involved with your presentation is to interact with them during the presentation.
In fact, studies show that if a presenter does all the talking without letting the audience participate, then audience engagement drops by 14% .
This is why you should make sure your presentation is interactive. For example, you could ask your audience questions throughout your presentation to keep them feeling involved.
Microsoft PowerPoint is the most widely used presentation software in the world.
In fact, more than 35 million PowerPoint presentations are given each day to over 500 million audiences. But does that make PowerPoint the best presentation software out there?
According to studies, most people stop listening to a PowerPoint presentation within 10 minutes .
While not the most effective presentation software, PowerPoint is still immensely popular.
Despite having dozens of newer and better options for creating presentations, 89% of people still use PowerPoint to put together their slideshow.
But their reason for doing so isn’t always the tool’s effectiveness.
In fact, the top three reasons why people still use PowerPoint to create presentations is because they’re familiar with the tool (73%), they find it easy to use (59%) or they simply don’t have a choice (43%).
Did you enjoy the presentation statistics above? Keep these facts in mind before your next presentation to make sure your message hits home.
If you’re looking for a powerful and easy-to-use alternative to PowerPoint, check out Visme’s online presentation maker . It’s free!
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Mahnoor Sheikh is the content marketing manager at Visme. She has years of experience in content strategy and execution, SEO copywriting and graphic design. She is also the founder of MASH Content and is passionate about tea, kittens and traveling with her husband. Get in touch with her on LinkedIn .
July 8, 2024 /
A statistical slide deck service typically includes several key components designed to present data in a clear, engaging, and impactful manner. Firstly, it involves data analysis and interpretation, where raw data is transformed into meaningful insights. This is followed by the creation of visually appealing charts, graphs, and infographics that make complex information easily digestible. The service also includes the development of a coherent narrative that ties the data together, ensuring that each slide logically flows into the next. Additionally, professional design elements such as consistent color schemes, typography, and layout are incorporated to enhance readability and aesthetic appeal. Finally, the service often provides revisions and feedback sessions to ensure the final product meets your specific needs and objectives. By leveraging these elements, a statistical slide deck service helps you effectively communicate your data-driven story to your audience.
Popular posts.
Transforming the understanding and treatment of mental illnesses.
Información en español
Bipolar disorder , sometimes referred to as manic-depressive disorder, is characterized by dramatic shifts in mood, energy, and activity levels that affect a person’s ability to carry out day-to-day tasks. These shifts in mood and energy levels are more severe than the normal ups and downs that are experienced by everyone.
Additional information about bipolar disorder can be found on the NIMH Health Topics page on Bipolar Disorder .
Demographic | Percent | |
---|---|---|
Overall | 2.8 | |
Sex | Female | 2.8 |
Male | 2.9 | |
Age | 18-29 | 4.7 |
30-44 | 3.5 | |
45-59 | 2.2 | |
60+ | 0.7 |
Severity | Percent |
---|---|
Moderate | 17.1 |
Serious | 82.9 |
Total | 100 |
Demographic | Percent | |
---|---|---|
Overall | 2.9 | |
With Severe Impairment | 2.6 | |
Sex | Female | 3.3 |
Male | 2.6 | |
Age | 13-14 | 1.9 |
15-16 | 3.1 | |
17-18 | 4.3 |
National comorbidity survey replication (ncs-r).
Diagnostic Assessment and Population:
Survey Non-response:
Breaking the degeneracies between the galaxy cluster mass-observable relation and cosmological parameters is one of the crucial quests in the current cosmological studies. This can be achieved through joint analyses of mass measurements and cosmological probes such as cluster abundance and clustering, as a function of redshift and mass proxy. Novel methododologies must be developed to get the most out of the potentialities of current and upcoming galaxy cluster surveys, with a particular focus on enhancing cluster mass calibrations. With this presentation, I will provide an overview on the cosmological analyses carried out by our group on the Kilo Degree Survey (KiDS) photometric data, based on the detections of galaxy clusters performed through the use of the cluster finder code AMICO (Adaptive Matched Identifier of Clustered Objects). Firstly, I will focus on the cosmological constraints derived from cluster count and clustering measurements in the third data release of KiDS (KiDS-DR3). The analysis included about 3700 galaxy clusters over the redshift range z ∈ [0.1, 0.6] and in an effective area of 377 square degrees. Through a joint analysis of mass-richness relation and cluster statistics, we derived robust constraints on the fundamental cosmological parameters Ωm and σ8, also showing the impact of the cosmological probes on the constraints on the mass-richness relation. In addition, I will detail the preliminary results on mass calibration and cosmological parameters based on the AMICO cluster sample derived from the fourth KiDS data release (KiDS-1000). This cluster catalogue covers an effective area of 840 square degrees and the mass calibration extends up to redshift z = 0.8, with this leading to a cosmological sample of about 8000 detections. I will discuss the blinding strategy adopted for our cosmological analysis, along with a thorough description of the AMICO selection function. Moreover, I will detail how self-organising maps, commonly used to calibrate galaxy photometric redshifts, can be employed to assess the robustness of galaxy cluster weak-lensing measurements.
Gdp up by 0.3% in both the euro area and the eu, announcement.
Following recommendations for a harmonised European revision policy for national accounts and balance of payments , EU countries will carry out a benchmark revision of their national accounts estimates in 2024. The purpose of this benchmark revision is to implement changes introduced by the amended ESA 2010 regulation , and to incorporate new data sources and other methodological improvements. Most of the revised quarterly and annual country data are expected to be released by Eurostat between June and October 2024, and will be progressively integrated in European estimates. The impact of these revisions is expected to be limited, but still noticeable for some European aggregates and more pronounced for certain Member States. For further details, please consult the available documentation on Eurostat’s website .
In the second quarter of 2024, seasonally adjusted GDP increased by 0.3% in both the euro area and the EU , compared with the previous quarter, according to a preliminary flash estimate published by Eurostat, the statistical office of the European Union . In the first quarter of 2024, GDP had also grown by 0.3% in both zones.
These preliminary GDP flash estimates are based on data sources that are incomplete and subject to further revisions.
Compared with the same quarter of the previous year, seasonally adjusted GDP increased by 0.6% in the euro area and by 0.7% in the EU in the second quarter of 2024, after +0.5% in the euro area and +0.6% in the EU in the previous quarter.
Among the Member States for which data are available for the second quarter of 2024, Ireland (+1.2%) recorded the highest increase compared to the previous quarter, followed by Lithuania (+0.9%) and Spain (+0.8%). The highest declines were recorded in Latvia (-1.1%), Sweden (-0.8%) and Hungary (-0.2%). The year on year growth rates were positive for eight countries and negative for three.
Published growth rates of GDP in volume up to 2024Q2 (based on seasonally adjusted* data) | ||||||||
---|---|---|---|---|---|---|---|---|
Percentage change compared with the previous quarter | Percentage change compared with the same quarter of the previous year | |||||||
2023Q3 | 2023Q4 | 2024Q1 | 2024Q2 | 2023Q3 | 2023Q4 | 2024Q1 | 2024Q2 | |
Euro area | 0.0 | 0.0 | 0.3 |
| 0.1 | 0.2 | 0.5 |
|
EU | 0.1 | 0.0 | 0.3 |
| 0.2 | 0.4 | 0.6 |
|
Belgium | 0.3 | 0.3 | 0.3 |
| 1.3 | 1.3 | 1.3 |
|
Czechia | -0.4 | 0.3 | 0.2 |
| -0.4 | 0.0 | 0.3 |
|
Germany | 0.2 | -0.4 | 0.2 |
| -0.3 | -0.2 | -0.1 |
|
Ireland | -1.7 | -1.5 | 0.7 |
| -8.3 | -9.8 | -4.0 |
|
Spain | 0.5 | 0.7 | 0.8 |
| 1.9 | 2.2 | 2.6 |
|
France | 0.1 | 0.4 | 0.3 |
| 0.9 | 1.3 | 1.5 |
|
Italy | 0.3 | 0.1 | 0.3 |
| 0.6 | 0.7 | 0.6 |
|
Latvia | -0.3 | 0.3 | 0.8 |
| 0.2 | -0.2 | 0.8 |
|
Lithuania | -0.1 | -0.2 | 0.9 |
| 0.1 | 0.1 | 3.0 |
|
Hungary | 0.8 | 0.0 | 0.7 |
| -0.2 | 0.5 | 1.6 |
|
Austria | -0.2 | 0.1 | 0.2 |
| -1.7 | -1.3 | -1.3 |
|
Portugal | -0.2 | 0.7 | 0.8 |
| 1.9 | 2.1 | 1.5 |
|
Sweden** | 0.2 | 0.3 | 0.5 |
| -0.7 | -0.1 | 0.7 |
|
* Growth rates to the previous quarter and to the same quarter of the previous year presented in this table are both based on seasonally and calendar adjusted figures, except where indicated. Unadjusted data are not available for all Member States that are included in GDP flash estimates. ** Percentage change compared with the same quarter of the previous year calculated from calendar adjusted data. Source dataset:
|
The next estimates for the second quarter of 2024 will be released on 14 August 2024.
The reliability of GDP flash estimates was tested by dedicated working groups and revisions of subsequent estimates are continuously monitored . Further information can be found on Eurostat website .
With this preliminary flash estimate, euro area and EU GDP figures for earlier quarters are not revised.
All figures presented in this release may be revised with the GDP t+45 flash estimate scheduled for 14 August 2024 and subsequently by Eurostat’s regular estimates of GDP and main aggregates (including employment) scheduled for 6 September 2024 and 18 October 2024, which will reflect the impact of countries’ benchmark revisions as available.
The preliminary flash estimate of GDP growth for the second quarter of 2024 presented in this release is based on the data of 18 Member States, covering 96% of euro area GDP and 94% of EU GDP.
Comprehensive estimates of European main aggregates (including GDP and employment) are based on countries regular transmissions and published around 65 and 110 days after the end of each quarter. To improve the timeliness of key indicators, Eurostat also publishes flash estimates for GDP (after around 30 and 45 days) and employment (after around 45 days). Their compilation is based on estimates provided by EU Member States on a voluntary basis.
This news release presents preliminary flash estimates for euro area and EU after around 30 days.
European quarterly national accounts are compiled in accordance with the European System of Accounts 2010 (ESA 2010).
Gross domestic product (GDP) at market prices measures the production activity of resident production units. Growth rates are based on chain-linked volumes.
Two statistical working papers present the preliminary GDP flash methodology for the European estimates and Member States estimates .
The method used for compilation of European GDP is the same as for previous releases.
Euro area (EA20): Belgium, Germany, Estonia, Ireland, Greece, Spain, France, Croatia, Italy, Cyprus, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Austria, Portugal, Slovenia, Slovakia and Finland.
European Union (EU27): Belgium, Bulgaria, Czechia, Denmark, Germany, Estonia, Ireland, Greece, Spain, France, Croatia, Italy, Cyprus, Latvia, Lithuania, Luxembourg, Hungary, Malta, the Netherlands, Austria, Poland, Portugal, Romania, Slovenia, Slovakia, Finland and Sweden.
Website section on national accounts , and specifically the page on quarterly national accounts
Database section on national accounts and metadata on quarterly national accounts
Statistics Explained articles on measuring quarterly GDP and presentation of updated quarterly estimates
Country specific metadata
Country specific metadata on the recording of Ukrainian refugees in main aggregates of national accounts
European System of Accounts 2010
Euro indicators dashboard
Release calendar for Euro indicators
European Statistics Code of Practice
Media requests
Eurostat Media Support
Phone: (+352) 4301 33 408
E-mail: [email protected]
Further information on data
Thierry COURTEL
Johannes BUCK
E-mail: [email protected]
BMC Infectious Diseases volume 24 , Article number: 764 ( 2024 ) Cite this article
221 Accesses
Metrics details
Late presentation with advanced HIV disease (LP-AHD) remains a significant challenge to Human Immunodeficiency Virus (HIV) care, contributing to increased morbidity, mortality, and healthcare costs. Despite global efforts to enhance early diagnosis, a considerable proportion of individuals with HIV infection are unaware of being infected and therefore present late for HIV care. For the first time in Ghana, this study assessed the prevalence of LP-AHD and associated factors among people diagnosed with HIV (PDWH).
This bi-center retrospective cross-sectional study included 315 PDWH at the Aniniwah Medical Centre and Komfo Anokye Teaching Hospital, both in Kumasi, Ghana. A well-structured questionnaire was used to collect data on sociodemographic, clinical, lifestyle and psychosocial factors from the study participants. Statistical analyses were done in SPSS version 26.0 and GraphPad Prism version 8.0 at significant p -value of < 0.05 and 95% confidence interval. Predictors of LP-AHD were assessed using binary logistic regression models.
This study observed that, 90 out of the 315 study PDWH (28.6%) reported late with advanced HIV disease (AHD). Participants within the age group of 36–45 years (adjusted Odds Ratio [aOR]: 0.32, 95% CI: 0.14–0.69; p = 0.004) showed a significantly decreased likelihood of LP-AHD. However, participants who perceived cost of HIV care to be high (aOR: 7.04, 95% CI: 1.31–37.91; p = 0.023), who were diagnosed based on clinical suspicion (aOR: 13.86, 95 CI: 1.83–104.80; p = 0.011), and missed opportunities for early diagnosis by clinicians (aOR: 2.47, 95% CI: 1.30–4.74; p = 0.006) were significantly associated with increased likelihood of LP-AHD.
The prevalence of LP-AHD among PDWH in Ghana is high. Efforts to improve early initiation of HIV/AIDS care should focus on factors such as the high perceived costs of HIV care, diagnosis based on clinical suspicion, and missed opportunities for early diagnosis by physicians.
Peer Review reports
Acquired Immune Deficiency Syndrome (AIDS) caused by Human Immunodeficiency Virus (HIV), remains a significant global health challenge despite efforts by international and local initiatives to address the epidemic [ 1 ]. At the end of 2022, an estimated 39 million people worldwide were living with HIV [ 2 ]. Africa remains the most affected, with nearly 1 in every 25 adults (3.4%) living with HIV and accounting for more than two-thirds of the people living with HIV worldwide [ 3 ]. Ghana has HIV prevalence of 1.7%, affecting 334,713 people and accounting for over fourteen thousand annual deaths [ 4 ]. HIV testing has been a gateway to HIV care, however coverage with HIV testing services is not adequate [ 5 ]. Despite the availability and accessibility of HIV testing, people continue to test late in the course of HIV infection [ 6 ].
In 2015, WHO recommended that all people living with HIV start ART (Antiretroviral therapy) irrespective of clinical or immune status [ 7 ]. However, people living with HIV continue to present to care late and with advanced disease [ 7 ]. Late presentation with Advanced HIV disease (LP-AHD) is defined as an individual presenting with a CD4 + count lower than 200 cells/µL or at WHO clinical stage-3 or stage-4 [ 8 ]. LP-AHD can lead to serious outcomes, such as increased mortality [ 9 , 10 ], development of opportunistic infections [ 11 ], increased risk of drug resistance to antiretroviral therapies (ART) [ 12 ], high healthcare costs [ 12 ], and increased transmission due to ignorance of infection status [ 13 ].
Multiple sociodemographic, psychosocial, and structural risk factors at the patient and provider levels have been found to be associated with LP-AHD. Fear of HIV-related stigma [ 14 ] and discrimination [ 15 ], poor social support [ 14 ], and low risk perception [ 13 ] are among the common patient-related factors that discourage people from seeking timely testing. Providers have described inadequate time and resources [ 16 ], the burdensome counseling and consent process [ 17 ], and the provider’s perceived low risk of transmission [ 18 ], as barriers to providing HIV testing.
Despite the challenges LP-AHD poses to HIV care, there is a paucity of data on the prevalence and factors associated with LP-AHD. There is no study that has been done to assess the scope of LP-AHD in the Ghanaian context. For the first time, we determined the prevalence and predictors of LP-AHD among newly diagnosed HIV/AIDS subjects in Ghana.
Study design and study site.
A retrospective cross-sectional study was conducted at HIV clinics of Komfo Anokye Teaching Hospital (KATH) and Aniniwah Medical Centre (AMC) in the Ashanti Region of Ghana. KATH and AMC are located in Kumasi, the capital of the Ashanti region of Ghana and have a well-resourced HIV care clinics making it suitable for the successful implementation of the study.
This study recruited newly diagnosed individuals confirmed of HIV/AIDS by clinicians using the standard diagnoses protocols.
Participants eligible for inclusion in this study were adults aged 18 years and older with a newly confirmed diagnosis of HIV infection based on standardized diagnostic criteria. In addition, these participants were willing to share relevant information for the research study. Also, these individuals had complete and valid data for the study variables, which encompass sociodemographic, clinical, and psychosocial factors considered in the study.
Individuals below the age of 18 are excluded, as well as those with incomplete or missing data related to crucial study variables encompassing sociodemographic, clinical, and psychosocial factors. Additionally, individuals who decline informed consent or express unwillingness to share pertinent information for research purposes were not considered.
The sample size was calculated using the Cochrane formula: \(\:n=\:\frac{{z}^{2}pq}{{e}^{2}}\) ; where: n is the minimum sample size, p is the prevalence of HIV in Ghana = 1.7% [ 6 ], q = 1-p, (98.3), z = z value at 95% confidence (1.96), and e is the margin of error (0.05). Hence a minimum of twenty-six (26) participants were required for the study. To increase statistical power, 315 people diagnosed of HIV/AIDS were included for the study. The participants included 252 from the Komfo Anokye Teaching Hospital (KATH) and 63 from the Aniniwah Medical Centre, both within the Ashanti Region of Ghana.
Ethical approval was sought from the Committee on Human Research, Publication, and Ethics at the School of Medicine and Dentistry of the Kwame Nkrumah University of Science and Technology (KNUST) (CHRPE/AP/385/23). Written informed consent was sought from each participant before the data collection of the study. Participation was voluntary and participants were allowed to opt out any time on their personal reasons.
Data for this study were collected using a structured questionnaire comprising four main sections: Sociodemographic, Lifestyle, Clinical Factors, and Psychosocial Factors. The questionnaire was designed to gather comprehensive information pertaining to the study’s objectives. Data were collected through face-to-face interviews conducted by trained research assistants. Participants’ responses were recorded as per their answers to the structured questions in the questionnaire. Participants were stratified into late presenters and non-late presenter based on the WHO HIV staging system.
Participant with LP-AHD – People confirmed with HIV/AIDS at WHO stage 3 or 4 at the time of diagnosis.
Participant without LP-AHD – People confirmed with HIV/AIDS at WHO stage 1 or 2 at the time of diagnosis.
Data analysis was performed using Statistical Package for the Social Sciences 26.0 software (SPSS, Inc.; Chicago, IL, USA) and GraphPad Prism version 8.0. Categorical variables were presented as frequencies and percentages. A simple bar chart was used to illustrate the prevalence of LP-AHD among study participants. Pearson chi-square test or Fischer exact test was conducted to ascertain the relationship between LP-AHD and the study variables. Variables were also tested in the Univariate logistic regression prediction model and significant variables from the univariate and potential cofounders were tested in the multivariate logistic regression prediction model to assess the independent predictors of LP-AHD. p -value of less than 0.05 and 95% confidence interval were considered statistically significant.
Of the 315 participants enrolled in the study, one-third (33.3%) were within the ages of 46-55years, one-quarter (25.4%) were within the age range of 36–45 years with the least percentage of age range being 18–35 years (13.0%). Most of the participant in the study were females (85.7%) with males accounting for 14.3% of the population. Considering marital status, 37.5% were married with 17.5% being single. Also, a higher percentage of the participants had 2–3 children (44.3%) and Junior High School education (39.0%). Majority of the enrolled participants lived in urban areas (85.7%), were Christians (87.6%) and Akans (81.6%). With respect to employment status, 7.3% were employees whilst 63.5% were self-employed. Moreover, 47.5% of the participants earned < \(\not C\) 500 and 45.0% took 31–60 min to reach the clinic on visit days ( Table 1 ).
The study found that the prevalence of LP-AHD among the study participants was 28.6% which accounted for 90 of the participants. 225 of the study participants did not present late (71.4%) (Fig. 1 ).
Prevalence of late presentation with advanced HIV disease (LP-AHD)
The age of the study participants showed a significant association with LP-AHD ( p = 0.002). On the contrary, gender ( p = 0.140), educational level ( p = 0.480), marital status ( p = 0.257), number of children ( p = 0.290), educational level ( p = 0.480), residence ( p = 0.067), employment status ( p = 0.183), ethnicity ( p = 0.933), religion ( p = 0.678), monthly income ( p = 0.784), and time taken to reach the clinic ( p = 0.928) did not exhibit statistically significant associations with LP-AHD ( Table 2 ).
Alcohol intake ( p value = 0.714), alcohol Intake Frequency ( p value = 0.152), knowledge of partner’s HIV status ( p = 0.164), history of smoking ( p = 0.798), action taken by participants when feeling sick ( p = 0.167), history of Needle Sharing for Drug Use ( p = 0.352), history of blood donation ( p = 0.129) and number of sexual partners ( p = 0.479) all showed no statistical significance with LP-AHD (Table 3 ).
Opportunistic infections ( p = 0.017) showed a significant association with LP-AHD. However, type of HIV infection ( p = 0.388), history of other STDs ( p = 0.400), opportunistic infection ( p = 0.692), viral suppression ( p = 0.295) and viral rebound ( p = 0.487) did not exhibit a significant association with LP-AHD ( Table 4 ).
Various reasons for delayed testing ( p < 0.001) showed a significant association with LP-AHD. Additionally, participants with a fear of perceived side effects of ART ( p = 0.002), participants who expressed concerns about confidentiality ( p = 0.002), had difficulty accessing healthcare ( p = 0.029), fear of stigma associated with HIV/AIDS ( p < 0.001), participants who disclosed their HIV Status to partner/close relative ( p = 0.011), participants who sought medical care that eventually led to their HIV diagnosis ( p < 0.0001) were all significantly associated with LP-AHD ( Table 5 ).
In a univariate logistic regression model, participants aged 36–45 years (cOR: 0.30, 95% CI: (0.14–0.65), p = 0.002) showed a 70% reduced likelihood of LP-AHD compared to the reference age group (56–90 years). Moreover, participants who were diagnosed based on clinical suspicion (cOR: 17.36, 95% CI: (2.33–129.33), p = 0.005), were not tested after reporting to the hospital with symptoms (cOR: 3.06, 95% CI: (1.74–5.36), p < 0.0001), thought HIV testing was expensive (cOR: 19.17, 95% CI: (3.83–95.96), p < 0.001), had perceived severe side effects of ART (cOR: 2.39, 95% CI: (1.29–4.44), p = 0.006), had concerns about confidentiality (cOR: 2.25, 95% CI: (1.35–3.74), p = 0.002), had difficulty accessing healthcare (cOR: 1.75, 95% CI: (1.06–2.90), p = 0.029) or had a fear of stigma associated with HIV/AIDS (cOR: 2.51, 95% CI: (1.52–4.14), p < 0.001) were associated with decreased chances of presenting late with advanced HIV disease.
In a multivariate logistic regression model, participants lower aged of 36–45 years were associated with approximately 70% decreased chances of LP-AHD (aOR: 0.32, 95% CI: (0.14–0.60), p = 0.004). Participants who weren’t told to get tested after reporting to the hospital (aOR: 2.47, 95% CI: (1.30–4.74), p = 0.006), were diagnosed based on clinical suspicion hospital (aOR: 13.86, 95% CI: (1.83–104.80), p = 0.011) or thought HIV testing was expensive hospital (aOR: 7.04, 95% CI (1.31–37.91), p = 0.023) ( Table 5 ).
Although there has been remarkable progress in HIV prevention and treatment, LP-AHD is still a major public health problem globally. A significant proportion of people living with HIV do not know they are infected and therefore seek medical care late. This study revealed that approximately 29% (28.6%) of the study participants presented late for care at WHO HIV stages 3 and 4. Moreover, the age group of 36–45 years, perceived high cost of HIV care, diagnosis based on clinical suspicion, and missed opportunities for early diagnosis by were associated with LP-AHD.
The prevalence of LP-AHD in this study, 28.6% was lower compared to previous studies conducted by Gesesew et al., in Ethiopia (65.5%) [ 5 ] and Jeong et al., in Asia (72-83.3%) [ 19 ]. The disparity could be due to the utilization of just WHO staging for defining LP-AHD in this study whilst the other studies employed both CD4 count and WHO staging in their classification. Although the prevalence of LP-AHD in this study is lower compared to the overall prevalence of late presentation in Africa estimated to be between 35% and 65%, it still undermines the 95-95-95 targets set by the UNAIDS to end HIV/AIDS by 2030.
The current study did not find any significant association between gender and LP-AHD. However, there was a larger proportion of males (37.8%) who presented with LP-AHD compared to females (27.0%); even though majority of study population included in the study were females (85.7%). This could be due to the fact that men may not be seeking care consistently and are accessing treatment at a later stage of their disease than women, which has also been reported in previous study [ 20 ]. Previous studies have cited being male as a strong correlate for LP-AHD [ 14 , 21 , 22 ]. However this trend conflicts with other studies which showed that being female is a risk factor for LP-AHD [ 5 , 23 ]. This study findings call for enhance public health education especially among males on the clinical important of continuous health seeking behaviors.
Moreover, participants in lower age group between 36 and 45 years bracket were less likely to present late than their older counterparts and this is supported by other studies which showed that old age was a predictor of LP-AHD [ 13 , 24 ]. This may be due to the misconception that older people are perceived to be at lower risk of HIV infection, which may lead to lower awareness and a lower sense of urgency for regular HIV testing in older populations.
Also, seeking herbal medication was a significant cause of two-fold increased likelihood of LP-AHD among study participants. Reliance on unorthodox medication has also been reported by Agaba et al. as a cause of LP-AHD [ 25 ]. Over dependence on herbal medicine and faith healers coupled with unaware of HIV status could account for HIV progression and eventual presentation with advanced HIV disease.
Investigating the type of HIV infection did not reveal a conclusive statistically significant relationship with LP-AHD. However, a previous study conducted in Guinea-Bissau showed that HIV-2 and HIV-1/2 dually infected patients had lower risk of late presentation compared with HIV-1 infected patients [ 26 ]. Differences in study populations and methods may account for this disparity. While history of other STDs and opportunistic infection were not statistically significant findings in this current study, results from a prospective study of 115 PDWH in Turkey [ 27 ] showed that opportunistic infections were likely implications of late diagnosis as the immune system is weakened and more susceptible to other infections. People with such infections fall into the WHO HIV staging criteria for late presentation and are therefore diagnosed as such.
Although there is routine HIV testing in the Ghanaian healthcare setting, individuals may not be screened for HIV unless they specifically request a test or present with symptoms that prompt clinicians to consider HIV testing. This finding ties in with the missed chances of diagnosis observed in this study as patients were not tested initially when they reported to the hospital with symptoms.
Furthermore, those who perceived HIV testing as expensive showed a nineteen times increased risk of LP-AHD. This calls for awareness creation as HIV testing is covered by the Ghana national health insurance [ 28 ]. Furthermore, concerns about confidentiality were associated with more than a two-fold increased risk of LP-AHD although it didn’t reach significance after adjusting for cofounders. Other studies have also identified confidentiality issues as a barrier to HIV self-testing [ 13 , 29 ] showing the importance of privacy protection and adherence to ethical standards in the healthcare setting.
The findings from this study could inform policymakers, public health officials, and HIV physicians in their fight against HIV. By recognizing the challenges to a timely HIV diagnosis, physicians can prioritize HIV testing, especially for people who show evidence of symptoms or risk factors. Additionally, awareness of the association between the perceived cost of HIV treatment and delayed presentation may prompt physicians and public health officials to address financial misinformation regarding HIV care since WHO has been HIV care entirely free as well increase access to testing and treatment options.
This study presents a novel data on the prevalence and predictors of LP-AHD in Ghana. However, using WHO HIV grading alone to distinguish between late and non-late presenters limited the scope of this study. Additionally, our study used participant self-reported responses and available hospital records, which presented issues with subject bias and data completeness. The retrospective nature of this study also shows the need for a prospective investigation that would allow for real-time monitoring of late presenters and, also to reduce the possibility of bias. Future studies are needed to investigate the immunological correlates of late presenters.
The prevalence of LP-AHD among people diagnosed with HIV is high. Missed opportunities for early diagnosis by clinicians, diagnosis based on clinical suspicion, old age and perceived cost of HIV care were associated with LP-AHD. These factors call for targeted campaigns among the general populace and clinicians alike to promote routine HIV testing and enhanced education on the awareness of early signs of HIV.
All data generated or analyzed during this study are included in this article and can be requested from the corresponding author.
Human Immunodeficiency Virus/ Acquired Immune Deficiency Syndrome (AIDS)
People diagnosed with HIV
Late presentation with advanced HIV/AIDS disease
Committee on Human Research, Publication, and Ethics
Kwame Nkrumah University of Science and Technology
World health organization
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The authors are grateful to study participants, as well as research assistants who contributed in diverse ways to the successful implementation of the study.
This study did not receive funding from private, government or non-for-profit organization.
Samuel Asamoah Sakyi, Samuel Kwarteng and Ebenezer Senu contributed equally and are all first authors.
Department of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti region, Ghana
Samuel Asamoah Sakyi, Samuel Kwarteng, Ebenezer Senu, Alfred Effah, Stephen Opoku, Success Acheampomaa Oppong, Samuel Kekeli Agordzo, Oscar Simon Olympio Mensah & Tonnies Abeku Buckman
Department of Medical Diagnostics, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti region, Ghana
Samuel Kwarteng, Success Acheampomaa Oppong, Kingsley Takyi Yeboah, Solomon Abutiate, Augustina Lamptey, Mohammed Arafat & Festus Nana Afari-Gyan
Department of Medical Microbiology, College of Health Sciences, University of Ghana Medical School, Accra, Greater Accra region, Ghana
Emmauel Owusu
Department of Medical Laboratory Sciences, KAAF University College, Buduburam, Accra, Greater Accra region, Ghana
Tonnies Abeku Buckman
Department of Biomedical Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Central region, Ghana
Benjamin Amoani
Pediatric Infectious Disease Unit, Child Health Directorate, Komfo Anokye Teaching Hospital, Kumasi, Ashanti region, Ghana
Anthony Kwame Enimil
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SAS and AKE supervised the project, SK, ES, AE and SO were involved in the statistical analyses, SAS, SK, ES, AE, SO, SAO, KTY, SA, AL, MA, FNAG, SKA, OSOM, EO, TAB, BA, and AKE were involved in study design, data curation, methodology, manuscript drafting. All authors reviewed the manuscript.
Correspondence to Ebenezer Senu .
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Ethical approval was sought from the Committee on Human Research, Publication, and Ethics at the School of Medicine and Dentistry of the Kwame Nkrumah University of Science and Technology (KNUST) (CHRPE/AP/385/23). Written informed consent was sought from each participant before the data collection of the study. Participation was voluntarily and participants were allowed to opt out any time on their personal reasons.
All authors have approved the manuscript and agree with its publication in the BMC Infectious Diseases Journal.
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Sakyi, S.A., Kwarteng, S., Senu, E. et al. High prevalence of late presentation with advanced HIV disease and its predictors among newly diagnosed patients in Kumasi, Ghana. BMC Infect Dis 24 , 764 (2024). https://doi.org/10.1186/s12879-024-09682-6
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Late presentation with advanced HIV disease (LP-AHD) remains a significant challenge to Human Immunodeficiency Virus (HIV) care, contributing to increased morbidity, mortality, and healthcare costs. Despite global efforts to enhance early diagnosis, a considerable proportion of individuals with HIV infection are unaware of being infected and therefore present late for HIV care.