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南非德班结核病患者对高效抗逆转录病毒疗法的知晓情况与可接受性

Knowledge and acceptability of HAART among TB patients in Durban, South Africa.

作者信息

Gebrekristos Hirut T, Lurie Mark N, Mthethwa Nkosinathi, Karim Quarraisha Abdool

机构信息

Centre for AIDS Programme of Research in South Africa, Nelson R Mandela School of Medicine, Durban, South Africa.

出版信息

AIDS Care. 2005 Aug;17(6):767-72. doi: 10.1080/09540120412331336661.

Abstract

From October 2002 to February 2003, we conducted semi-structured interviews on knowledge of HIV, antiretroviral treatment, and willingness to participate in voluntary counselling and testing and HAART with 54 consenting patients attending a tuberculosis (TB) clinic in Durban, South Africa. 74% of patients interviewed reported not knowing anything about antiretroviral treatment (HAART). Knowledge of antiretroviral drugs (ARVs) was restricted to use in preventing mother to child HIV transmission (MTCT). 57.4% of the patients reported having an HIV test in the past, but less than 10% were aware of their current HIV status. Patients who did not know their current HIV status expressed fear and hesitation about testing HIV positive. However, 91% of the patients expressed willingness to participate in HIV treatment given the opportunity. The findings from this study indicate that knowledge of HIV treatment is limited. As access to HAART is expanded, information about HIV treatment options will need to be disseminated. TB centres may present unique opportunities for disseminating HIV prevention, care, and treatment options.

摘要

2002年10月至2003年2月,我们对南非德班一家结核病诊所的54名同意参与的患者进行了关于艾滋病病毒(HIV)知识、抗逆转录病毒治疗以及参与自愿咨询检测和高效抗逆转录病毒治疗(HAART)意愿的半结构式访谈。接受访谈的患者中有74%报告称对抗逆转录病毒治疗(HAART)一无所知。对抗逆转录病毒药物(ARVs)的了解仅限于用于预防母婴HIV传播(MTCT)。57.4%的患者报告过去进行过HIV检测,但不到10%的人知道自己目前的HIV感染状况。不知道自己目前HIV感染状况的患者对检测出HIV呈阳性表示恐惧和犹豫。然而,91%的患者表示若有机会愿意参与HIV治疗。这项研究的结果表明,对HIV治疗的了解有限。随着HAART的可及性扩大,需要传播有关HIV治疗方案的信息。结核病中心可能为传播HIV预防、护理和治疗方案提供独特的机会。

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