低收入和中等收入国家的残疾人和没有残疾人的HIV知识和检测机会:来自37个多指标集群调查的证据
Sara Rotenberg1, Shanquan Chen1, Jill Hanass-Hancock2,3
1International Center for Evidence in Disability, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Journal of the International AIDS Society
|April 3, 2024
概括
在全球范围内,残疾人对艾滋病毒的认识和检测率较低. 有针对性的干预措施对于改善这一群体获得艾滋病毒预防和医疗保健服务至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 关于残疾人的研究.
背景情况:
- 残疾和艾滋病毒是相互关联的,对于残疾人来说,艾滋病毒的风险更高,艾滋病毒有可能导致残疾.
- 有限的国际数据存在于艾滋病毒知识和残疾人的检测访问.
研究的目的:
- 评估全球残疾人对艾滋病毒的知识和检测机会.
- 为残疾人提供与艾滋病毒有关的信息和服务的差异.
主要方法:
- 利用了来自联合国儿童基金会六个地区的37个多指标集群调查的横截面数据.
- 分析了来自513,252个人的数据,其中包括24,695名残疾人.
- 进行了元分析,以确定按性别对艾滋病毒知识和测试指标的综合估计.
主要成果:
- 残疾人对艾滋病毒的全面知识 (aRR:0.74-0.75) 和对检测地点的认识 (aRR:0.94-0.95) 都有所减少.
- 残疾女性对预防母婴艾滋病毒传播的知识较低 (aRR:0.87),并且测试率较低 (aRR:0.90).
结论:
- 对于残疾人,特别是妇女,在艾滋病毒知识和检测获取方面存在重大差异.
- 政府必须在艾滋病毒计划,信息和医疗保健服务中优先考虑残疾人包容性和可访问性.
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