Nam Nguyen Thi Thu, Bygbjerg Ib Christian, Mogensen Hanne Overgaard, Rasch Vibeke
Health Strategy and Policy Institute, Hanoi, Vietnam.
AIDS Care. 2011 Jan;23(1):1-9. doi: 10.1080/09540121.2010.496846.
In Vietnam, ARV access has been scaled up since 2005 in high HIV prevalence areas in order to meet increasing demands for HIV treatment. This paper aims to estimate ARV unmet need and its associated socio-demographic characteristics among HIV-positive women in Haiphong, Vietnam. A cross-sectional study using structured questionnaires and CD4 cell count was conducted with 353 HIV-positive women recruited from groups of people living with HIV/AIDS (PLWHA), by snowball technique through member of PLWHA groups and the local AIDS management system (Provincial AIDS Center (PAC)). The percentage of HIV-positive women having an unmet ARV need was estimated to be 40%, particularly high among women who were not registered at PAC. Having an unmet ARV need was associated with not participating in PLWHA groups (OR 6.5; 2.4-17.2) and being younger than 30 years old (OR 2.9; 1.1-7.3).
自2005年以来，越南已在艾滋病毒高流行地区扩大抗逆转录病毒药物（ARV）的可及性，以满足对艾滋病毒治疗日益增长的需求。本文旨在估计越南海防市艾滋病毒阳性女性中未满足的抗逆转录病毒药物需求及其相关的社会人口学特征。通过滚雪球技术，通过艾滋病毒/艾滋病感染者（PLWHA）群体成员和当地艾滋病管理系统（省级艾滋病中心（PAC）），对从艾滋病毒/艾滋病感染者群体中招募的353名艾滋病毒阳性女性进行了一项使用结构化问卷和CD4细胞计数的横断面研究。估计有未满足的抗逆转录病毒药物需求的艾滋病毒阳性女性比例为40%，在未在PAC登记的女性中尤其高。有未满足的抗逆转录病毒药物需求与未参加艾滋病毒/艾滋病感染者群体（比值比6.5；2.4 - 17.2）以及年龄小于30岁（比值比2.9；1.1 - 7.3）有关。
