改善艾滋病毒辅助合作伙伴服务的结果,在初次接触后引发更多的合作伙伴
George Otieno1, Sarah Masyuko2,3, Unmesha Roy Paladhi4,5
1PATH-Kenya, Kisumu, Kenya.
PLOS global public health
|February 3, 2026
概括
在初始艾滋病毒诊断后继续提供伴侣服务显著增加了对艾滋病毒风险更高的男性伴侣的识别. 随访期间持续的诱导导致了更多的新艾滋病毒诊断,而不是最初的合作伙伴命名.
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:
- 辅助性伴侣服务 (APS) 对预防艾滋病毒至关重要,但伴侣诱导通常仅在初步诊断时才发生.
- 指数客户可能不愿意最初披露所有合作伙伴,这限制了传统APS的有效性.
- 除了初次艾滋病毒诊断访问之外,持续诱导伴侣的好处尚未得到充分理解.
研究的目的:
- 评估在辅助性伴侣服务 (APS) 中持续的伴侣诱导对识别艾滋病毒风险增加的男性伴侣的影响.
- 为了比较在APS计划中的初始与后续访问期间命名的合作伙伴的特征和艾滋病毒诊断率.
- 评估持续的伴侣诱导和新的艾滋病毒诊断人数之间的关联.
主要方法:
- 一项前性研究涉及872名肯尼亚西部接受APS的女性指数客户.
- 在最初的艾滋病毒诊断和12个月的随访诊所期间,伴侣被引发.
- 用多变量Poisson通用估计方程模型分析了对伴侣特征和艾滋病毒诊断的数据.
主要成果:
- 总共有3461名男性伴侣被命名,其中2920人成功接触并接受了艾滋病毒检测.
- 与初次访问 (4.9%) 命名的合作伙伴相比,在后续访问中命名的合作伙伴被新诊断为艾滋病毒 (17.5%) 的可能性显著更高.
- 在后续访问中命名的合作伙伴被诊断为艾滋病毒感染的可能性是3.9倍,并且报告了高风险行为.
结论:
- 在初始艾滋病毒诊断后12个月内,持续的伴侣诱导APS显著增加了男性伴侣在艾滋病毒风险增加的识别.
- 持续的合作伙伴服务在诊断新的艾滋病毒感染方面更有效,而不是仅依赖初始合作伙伴披露.
- 持续的APS努力对于全面的艾滋病毒病例发现和预防战略至关重要.
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