爱沙尼亚塔林快速检测参与者的 HIV 状况和高危行为监测报告。

A surveillance report of HIV status and high risk behaviors among rapid testing participants in Tallinn, Estonia.

机构信息

Department of Medicine, School of Medicine, University of South Carolina, Columbia, SC 29203, USA.

出版信息

AIDS Behav. 2011 May;15(4):761-6. doi: 10.1007/s10461-010-9777-x.

PMID:20703793

Abstract

Estonia has the second highest adult HIV prevalence in Europe of 1.3%. The primary transmission is among injecting drug users (IDU), who account for 56-90% of HIV infections (Report on the Global AIDS Epidemic: UNAIDS/WHO, July 2008 and Platt et al. AIDS 20(16):2120-2123, 2006). Of those persons newly diagnosed, 50.4% reported injecting drugs in the last 12 months, 16.3% of these reported IDU as the sole risk factor and 31.2% reported IDU among other risk factors. In this sample (n = 790) 170 persons reported a high risk behavior and 51 persons received a positive result through rapid testing. The largest proportion (35.29%) was among persons reporting high risk heterosexual intercourse and second (33.33%) among persons sharing injecting equipment. Covariates in a logistic regression model indicate that male sex (OR = 2.57, 95% CI 1.00-6.59), non-Estonian ethnicity (OR = 2.68, 95% CI 1.46-4.93), higher education (OR = 0.56, 95% CI 0.40-0.80), and high risk heterosexual intercourse (OR = 2.68, 95% CI 1.19-6.02) are statistically significant in predicting a positive HIV status.

摘要

爱沙尼亚的成年人艾滋病毒感染率为欧洲第二高，达到 1.3%。主要传播途径是注射吸毒者（IDU），占艾滋病毒感染者的 56-90%（全球艾滋病流行情况报告：艾滋病规划署/世卫组织，2008 年 7 月和 Platt 等人，艾滋病 20(16):2120-2123, 2006）。在新诊断出的患者中，50.4%的人报告在过去 12 个月内注射过毒品，其中 16.3%的人将 IDU 作为唯一的风险因素，31.2%的人报告 IDU 是其他风险因素之一。在这个样本（n = 790）中，有 170 人报告了高风险行为，51 人通过快速检测得到阳性结果。比例最大的（35.29%）是报告高风险异性性行为的人，其次是（33.33%）是共用注射设备的人。逻辑回归模型中的协变量表明，男性（OR = 2.57，95%CI 1.00-6.59）、非爱沙尼亚族裔（OR = 2.68，95%CI 1.46-4.93）、高等教育（OR = 0.56，95%CI 0.40-0.80）和高风险异性性行为（OR = 2.68，95%CI 1.19-6.02）是预测 HIV 阳性状态的统计学显著因素。