San Antonio-Gaddy Mara, Richardson-Moore April, Burstein Gale R, Newman Daniel R, Branson Bernard M, Birkhead Guthrie S
New York State Department of Health AIDS Institute, Corning Tower Rm. 315, Albany, NY 12237, USA.
J Acquir Immune Defic Syndr. 2006 Dec 1;43(4):446-50. doi: 10.1097/01.qai.0000243055.65698.51.
To assess rapid and conventional HIV test use, client satisfaction, and counselors' comfort.
At 61 HIV test sites in New York State, we compared HIV test use during the first 6 months of rapid testing in 2003 with the same time period in 2002. We administered surveys to clients at each site during the first 30 days of rapid testing and to counselors before and after training and after 12 weeks of using rapid tests in the field.
Almost all (1249 [96.5%] of 1294) clients surveyed selected rapid over conventional HIV testing. During the evaluation period, 6187 HIV tests were reported, 1667 (36.9%) more than during the same period in 2002. All 5771 (100%) of 5771 clients received their rapid HIV test results compared with 333 (85.8%) of 388 clients (P < 0.0001) who had elected conventional testing. After performing rapid testing for 12 weeks, 32 (80%) of 40 trained counselors reported feeling "very comfortable" delivering reactive rapid test results compared with 14 (35%) of 40 trained counselors (P < 0.001) before training.
Rapid testing presents a key opportunity to increase the number of people undergoing HIV testing and the proportion receiving their test results.
评估快速和传统HIV检测的使用情况、客户满意度以及咨询员的舒适度。
在纽约州的61个HIV检测点，我们将2003年快速检测前6个月的HIV检测使用情况与2002年同期进行了比较。在快速检测的前30天，我们对每个检测点的客户进行了调查，并在培训前后以及在现场使用快速检测12周后对咨询员进行了调查。
几乎所有接受调查的客户（1294人中的1249人[96.5%]）选择了快速HIV检测而非传统检测。在评估期间，共报告了6187次HIV检测，比2002年同期多1667次（36.9%）。5771名客户全部（100%）收到了快速HIV检测结果，而选择传统检测的388名客户中只有333名（85.8%）收到了结果（P<0.0001）。在进行了12周的快速检测后，40名经过培训的咨询员中有32名（80%）表示在传达快速检测阳性结果时“非常自在”，而在培训前，40名经过培训的咨询员中只有14名（35%）有此感受（P<0.001）。
快速检测为增加接受HIV检测的人数以及收到检测结果的比例提供了一个关键契机。
