美国疾病预防控制中心资助的艾滋病毒检测和未诊断的艾滋病毒感染在美国司法管辖区结束艾滋病毒流行
Deesha Patel1, Weston O Williams2, Carolyn Wright1
1Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
Journal of acquired immune deficiency syndromes (1999)
|March 27, 2024
概括
艾滋病毒检测率通常与未诊断的艾滋病毒感染率保持一致,但某些地区需要更多的检测. 识别障碍和扩大艾滋病毒检测计划对于诊断所有艾滋病毒感染者至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 预防艾滋病毒/艾滋病 预防
背景情况:
- 大约13%的艾滋病毒感染者 (PWH) 仍然不知道自己的身份.
- 了解艾滋病毒检测率与未诊断的感染之间的联系对于艾滋病毒预防工作至关重要.
研究的目的:
- 检查艾滋病毒检测率与未诊断的艾滋病毒感染率在美国 (EHE) 司法管辖区结束艾滋病毒之间的关联.
- 确定EHE司法管辖区对艾滋病毒检测服务有重大未满足需求.
主要方法:
- 利用了来自国家艾滋病毒监测系统和国家艾滋病毒预防计划监测和评估系统的2021年数据.
- 每个人口未被诊断的艾滋病毒感染率和CDC资助的艾滋病毒检测的计算率.
- 使用斯皮尔曼等级相关性评估协会,并计算了EHE司法管辖区的等级差异.
主要成果:
- 在每1000人中接受CDC资助的艾滋病毒检测和每10万人中未被诊断的艾滋病毒感染率 (rho=0.55,p<0.001) 之间观察到正相关性.
- 具有较高未诊断的艾滋病毒率和较低的测试率的司法管辖区包括乔治王子县,MD; 麦克伦堡县,NC; 哈德逊县,NJ; 布朗克斯县,纽约, 和 汉密尔顿县,OH.
结论:
- 虽然艾滋病毒检测通常发生在最需要的地区,但在一些EHE司法管辖区存在重大差异.
- 这些确定的司法管辖区应调查艾滋病毒检测的障碍,并加强改善所有PWH诊断率的计划.
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