基于初级保健中的指标条件的艾滋病毒检测中的隐性偏见:西班牙加泰罗尼亚2017年至2021年的基于人口的研究
Cristina Agustí1,2,3, Oriol Cunillera4, Juanjo Mascort5,6
1Germans Trias i Pujol Research Institute (IGTP), Campus Can Ruti, Badalona, Spain.
概括
在初级保健中,大多数指标状况 (IC) 诊断没有导致及时的艾滋病毒检测,突出了推的艾滋病毒查中的重大差距. 需要进行干预措施,以改善早期艾滋病毒诊断和治疗的坚持.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 主要护理医学 医疗保健
背景情况:
- 世界卫生组织建议以指标条件 (IC) 为指导的HIV检测用于早期诊断.
- 在日常初级保健 (PC) 环境中遵守这些艾滋病毒检测指南仍然在很大程度上未得到量化.
- 了解IC患病率和相关的HIV检测模式对于改善诊断策略至关重要.
研究的目的:
- 为了确定在西班牙加泰罗尼亚的初级保健中ICs的流行和分布.
- 在IC诊断后4个月内识别与HIV检测相关的因素.
- 评估随着时间的推移,IC指导的HIV检测的趋势.
主要方法:
- 一项以人口为基础的横截面研究利用了加泰罗尼亚初级保健研究信息系统 (5.8百万个人) 的数据.
- 在2017年1月至2021年8月期间,在16-65岁的患者中确定了372,712个指标状况事件.
- 在每次IC诊断后4个月内评估HIV检测.
主要成果:
- 只有22.7% (84,694/372,712) 的IC发作在4个月内导致了艾滋病毒检测.
- 在男性,移民和年轻患者 (16-30岁) 中,艾滋病毒检测率更高.
- 梅毒 (68.4%),生殖器疹 (50.6%),克拉米迪亚 (48.2%) 和淋病 (43.1%) 的检测率最高.
结论:
- 在实施世卫组织推的基于指标条件的艾滋病毒检测方面存在重大差距,在加泰罗尼亚的初级保健中.
- 诸如男性性别,更高的社会经济贫困,急性性传播感染和多重IC等因素与测试增加有关.
- 有针对性的干预措施至关重要,以加强对IC指导的艾滋病毒检测的坚持,以便更早地检测和治疗.
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