Department of Epidemiology, Jimma University, Jimma, Ethiopia.
Int J Tuberc Lung Dis. 2010 Nov;14(11):1442-6.
Twenty-seven health centres in Addis Ababa, Ethiopia.
To assess the uptake of human immunodeficiency virus (HIV) testing among tuberculosis (TB) suspects in Addis Ababa, and to determine reasons for non-acceptance of the test.
From February to March 2009, new TB suspects identified in 27 health centres in Addis Ababa were offered HIV testing. Patients were interviewed by trained nurses using a pretested questionnaire.
Of the 506 TB suspects, 59% were tested for HIV and accepted the test result. Individuals with knowledge about HIV counselling and testing procedures were 2.5 times more likely to be tested than individuals with poor knowledge. TB suspects who had previously been tested for HIV were twice as likely to accept HIV testing and to receive the result of the test (OR = 2.0, 95%CI 1.4-2.9). Government employees (OR = 2.8, 95%CI 1.2-6.3) and merchants (OR = 2.7, 95%CI 1.2-5.7) were more likely to be tested for HIV as compared to jobless individuals.
The TB control programme in Ethiopia should increase its educational efforts among all TB suspects, but especially among jobless individuals, to increase the uptake of HIV testing.
埃塞俄比亚亚的斯亚贝巴的 27 个卫生中心。
评估亚的斯亚贝巴的结核病（TB）疑似患者中艾滋病毒（HIV）检测的接受率，并确定不接受检测的原因。
2009 年 2 月至 3 月，在亚的斯亚贝巴的 27 个卫生中心新发现的结核病疑似患者接受了 HIV 检测。由经过培训的护士使用预测试问卷对患者进行了访谈。
在 506 名结核病疑似患者中，有 59%接受了 HIV 检测并接受了检测结果。对 HIV 咨询和检测程序有一定了解的个体比知识水平较差的个体接受检测的可能性高 2.5 倍。以前接受过 HIV 检测的结核病疑似患者接受 HIV 检测和接受检测结果的可能性是以前未接受过检测的患者的两倍（OR = 2.0，95%CI 1.4-2.9）。与失业者相比，政府雇员（OR = 2.8，95%CI 1.2-6.3）和商人（OR = 2.7，95%CI 1.2-5.7）更有可能接受 HIV 检测。
埃塞俄比亚的结核病控制规划应加强对所有结核病疑似患者的教育工作，但特别是针对失业者，以提高 HIV 检测的接受率。
