在津巴布韦整合状态中立和有针对性的艾滋病毒检测:一个互补的战略
Hamufare D Mugauri1, Owen Mugurungi2, Joconiah Chirenda1
1Faculty of Medicine and Health Sciences, The University of Zimbabwe, Global, Public Health and Family Medicine Department, Harare, Zimbabwe.
PloS one
|February 24, 2025
概括
津巴布韦 津巴布韦 津巴布韦 津巴布韦
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 艾滋病毒/艾滋病研究研究
背景情况:
- 津巴布韦在2022年从针对性艾滋病毒检测转向状态中立检测.
- 针对性测试侧重于高风险群体,而状态中立测试则强调测试后与护理的联系.
- 了解这些策略之间的实际相关性对于有效的艾滋病毒病例识别和管理至关重要.
研究的目的:
- 探索津巴布韦的状态中立和有针对性的艾滋病毒检测方法之间的相关性.
- 为有效的艾滋病毒病例识别和与预防和治疗服务的联系制定综合战略.
- 评估查对艾滋病毒阳性比率和与测试后服务的联系的影响.
主要方法:
- 在津巴布韦4个省份的36个地点进行了横截面研究.
- 利用国家查算法来识别有风险的个体;被查的个体接受了艾滋病毒自检 (HIVST).
- 分析了艾滋病毒阳性比率和与服务的联系,使用单变量,双变量和多变量分析 (显著程度:5%).
主要成果:
- 在23,058个测试中,在风险查患者中观察到75.1%的阳性.
- 45-49岁的个人,男性,以及那些第一次接受测试的人显示出更高的阳性率.
- 与未接受查的患者相比,查的患者与艾滋病毒预防服务的连接率 (3.89倍) 显著更高.
结论:
- 这项研究证明了状态中立和有针对性的艾滋病毒检测策略的互补性.
- 整合这些方法可以提高艾滋病毒感染者的识别和管理.
- 这种综合战略优化了资源利用,改善了低收入和中等收入国家的健康状况.
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