移民中艾滋病毒/性病的快速诊断方法:来自单心意大利队列的结果
Vito Fiore1, Valentina Manca1, Andrea De Vito1
1Unit of Infectious and Tropical Diseases, Department of Medicine, Surgery and Pharmacy, University of Sassari, Sassari, Italy.
Journal of infection in developing countries
|December 8, 2023
概括
移民的性传播疾病 (STD) 和艾滋病毒等感染率很高,这凸显了对可访问的查和后续护理的需求. 快速测试提高了查接受度,但长期护理途径对这一群体至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 移民 卫生 移民 卫生
背景情况:
- 移民显著影响性健康和性病风险,少数群体和土著人口之间存在差异.
- 移民可能表现出高风险的性行为,加上对其医疗保健需求和风险的低认知.
研究的目的:
- 评估移民人口中性病和艾滋病毒的流行率.
- 评估快速查和咨询在改善移民获得医疗保健方面的有效性.
主要方法:
- 收集的数据包括病史,体检和基于CDC 2018年指南的HIV/STD测试.
- 在对391名门诊患者和移民居民进行查之前,提供了同行辅导.
- 查的重点是乙型肝炎,艾滋病毒,乙型肝炎,梅毒,,和软体动物传染性.
主要成果:
- 高频率的HBsAg/抗HBc阳性测试 (41.7%),艾滋病毒 (1%),HCV (0.2%),生殖器 (12%),梅毒 (2.3%),和软体动物传染性 (3.3%).
- 几乎所有参与者 (99.4%) 接受了咨询,高比例的参与者 (94.8%) 接受了查.
- 快速测试方法增加了查接受度.
结论:
- 移民对性传播疾病和艾滋病的负担很高,需要有针对性的干预措施.
- 虽然快速检测提高了查的普及率,但护理保留率低仍然是一个挑战.
- 改善对查,治疗和专门的随访途径的获取对于管理移民性健康至关重要.
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