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纽约市一项识别急性和近期HIV感染的外展项目的开展与实施

The Development and Implementation of an Outreach Program to Identify Acute and Recent HIV Infections in New York City.

作者信息

Silvera Richard, Stein Dylan, Hutt Richard, Hagerty Robert, Daskalakis Demetre, Valentine Fred, Marmor Michael

机构信息

Department of Environmental Medicine, NYU School of Medicine, New York, NY, USA.

出版信息

Open AIDS J. 2010 Mar 5;4:76-83. doi: 10.2174/1874613601004010076.

Abstract

INTRODUCTION

Since 2004, the authors have been operating First Call NYU, an outreach program to identify acute and recent HIV infections, also called primary HIV infections, among targeted at-risk communities in the New York City (NYC) metropolitan area.

MATERIALS AND METHODOLOGY

First Call NYU employed mass media advertising campaigns, outreach to healthcare providers in NYC, and Internet-based efforts including search engine optimization (SEO) and Internet-based advertising to achieve these goals.

RESULTS

Between October 2004 and October 2008, 571 individuals were screened through this program, leading to 446 unique, in-person screening visits. 47 primary HIV infections, including 14 acute and 33 recent HIV infections, were identified.

DISCUSSION

Internet and traditional recruitment methods can be used to increase self-referrals for screening following possible exposure to HIV.

CONCLUSION

Community education of at-risk groups, with the goal of increased self-diagnosis of possible acute HIV infection, may be a useful addition to traditional efforts to identify such individuals.

摘要

引言

自2004年以来,作者一直在运营纽约大学“第一呼叫”项目,这是一项外展计划,旨在纽约市(NYC)大都市区的目标高危社区中识别急性和近期HIV感染,也称为原发性HIV感染。

材料与方法

纽约大学“第一呼叫”项目采用大众媒体广告活动、与纽约市医疗服务提供者进行外展工作以及基于互联网的努力,包括搜索引擎优化(SEO)和基于互联网的广告,以实现这些目标。

结果

在2004年10月至2008年10月期间,通过该项目筛查了571人,进行了446次独特的面对面筛查访问。共识别出47例原发性HIV感染,包括14例急性和33例近期HIV感染。

讨论

互联网和传统招募方法可用于增加在可能接触HIV后进行自我转诊筛查的人数。

结论

对高危人群进行社区教育,目标是提高对可能的急性HIV感染的自我诊断率,这可能是识别此类个体的传统努力的有益补充。

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