县级社会脆弱性与美国疾病控制和预防中心资助的艾滋病毒检测计划结果之间的关联,2020-2022年
Wei Song1, Mesfin S Mulatu, Nicole Crepaz
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)
|January 9, 2025
概括
社区层面的社会脆弱性会影响艾滋病毒检测结果. 虽然CDC资助的项目到达脆弱地区,但艾滋病毒阳性,护理联系和预防转诊的差异仍然存在,需要有针对性的资源分配.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 社区层面的社会脆弱性对艾滋病毒的结果有很大影响.
- 这项研究检查了县级社会脆弱性与由疾病控制和预防中心 (CDC) 资助的艾滋病毒检测计划结果之间的联系.
研究的目的:
- 评估县级社会脆弱性与CDC资助的艾滋病毒检测计划的关键绩效指标之间的关系.
- 根据社会脆弱性指标,识别艾滋病毒检测结果的差异.
主要方法:
- 利用来自60个州/地方卫生部门和119个社区组织 (2020-2022) 的艾滋病毒检测数据.
- 综合艾滋病毒检测数据与县级的少数民族健康社会脆弱性指数 (SVI).
- 高和低SVI县之间的HIV阳性,与护理联系,伴侣服务和暴露前预防 (PrEP) 转诊的计算差异措施.
主要成果:
- 在490万例艾滋病毒检测中,超过85%发生在高度社会脆弱的地区.
- 在高SVI县观察到更高的HIV阳性 (1.1%) 和与护理的联系 (77.5%).
- 较低的合作伙伴服务率 (72.1%) 和PrEP推率 (48.1%) 在高SVI县发现,因人口统计和地点类型而有差异.
结论:
- 美国疾病预防控制中心 (CDC) 资助的艾滋病毒检测计划有效地接触到弱势群体.
- 艾滋病毒检测计划的结果,包括链接和预防转诊,表明受社会脆弱性,人口统计和测试地点影响的变化.
- 持续监测社会脆弱性对艾滋病毒检测的影响对于资源分配和结束艾滋病毒流行病至关重要.
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