Crystal S, Dengelegi L, Beck P, Dejowski E
AIDS Research Group, Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, NJ 08903.
AIDS Educ Prev. 1990 Winter;2(4):284-95.
As part of an 1988-89 evaluation of New Jersey's newly established HIV Notification Assistance Program (NAP), data were collected concerning number of HIV+ persons providing contact names; contact characteristics; reactions to NAP of HIV counselors, their clients, and of notified contacts; and program costs. There was initial resistance to the program both from HIV counselors and their clients. By mid-1989, acceptance of the program by referring HIV counselors had increased. The proportion of HIV+ clients who referred contacts was still low, but had increased to 10%. 160 contacts were notified: 72% sexual contacts and 28% needle sharing contacts, 59% male and 41% female, 58% black, 29% white, 13% Hispanic. 67% considered themselves at moderate or high risk for HIV; 31% stated that they had already been tested for HIV, with 7% having tested positive. Cost per notified contact was $2,260; cost per contact not previously tested HIV+ and unaware of risk was $3,014. Findings suggest that persuading counselors at HIV counseling and testing sites of the program's value is a key prerequisite for success, in situations where notification is carried out by a separate agency. Once the program has been in place for a time and has established credibility, the opportunity exists for initial resistance to be overcome.
作为1988 - 1989年对新泽西州新设立的艾滋病病毒通报援助项目（NAP）评估的一部分，收集了以下数据：提供联系人姓名的艾滋病病毒呈阳性者的数量；联系人特征；艾滋病病毒咨询员、其客户以及被通报联系人对该项目的反应；以及项目成本。艾滋病病毒咨询员及其客户最初都对该项目存在抵触情绪。到1989年年中，转诊的艾滋病病毒咨询员对该项目的接受度有所提高。转诊联系人的艾滋病病毒呈阳性客户比例仍然较低，但已增至10%。共通报了160名联系人：72%为性接触联系人，28%为共用针头联系人；59%为男性，41%为女性；58%为黑人，29%为白人，13%为西班牙裔。67%的人认为自己感染艾滋病病毒的风险为中度或高度；31%的人表示他们已经接受过艾滋病病毒检测，其中7%检测呈阳性。每位被通报联系人的成本为2260美元；每位此前未检测出艾滋病病毒呈阳性且未意识到风险的联系人的成本为3014美元。研究结果表明，在由独立机构进行通报的情况下，说服艾滋病病毒咨询和检测点的咨询员认识到该项目的价值是项目成功的关键前提。一旦该项目实施一段时间并建立起可信度，就有机会克服最初的抵触情绪。
