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在扩大抗逆转录病毒治疗时代,艾滋病毒预防和护理的检测和咨询的作用。

The role of testing and counselling for HIV prevention and care in the era of scaling-up antiretroviral therapy.

机构信息

Department of Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, UK.

出版信息

Epidemics. 2009 Jun;1(2):77-82. doi: 10.1016/j.epidem.2009.02.001. Epub 2009 Mar 17.

Abstract

OBJECTIVE

HIV Testing and Counselling (TC) programmes are being scaled-up as part of efforts to provide universal access to antiretroviral treatment (ART).

METHODS AND FINDINGS

Mathematical modelling of TC in Zimbabwe shows that if universal access is to be sustained, TC must include prevention counselling that enables behaviour change among infected and uninfected individuals. The predicted impact TC is modest, but improved programmes could generate substantial reductions in incidence, reducing need for ART in the long-term.

CONCLUSIONS

TC programmes that focus only on identifying those in need of treatment will not be sufficient to bring the epidemic under control.

摘要

目的

艾滋病毒检测和咨询(TC)计划正在扩大规模,作为提供抗逆转录病毒治疗(ART)普及服务的努力的一部分。

方法和发现

在津巴布韦,对 TC 的数学建模表明,如果要维持普及服务,TC 必须包括预防咨询,以使感染者和未感染者的行为发生改变。预测 TC 的影响是适度的,但改进的方案可以大大减少发病率,从长期来看减少对 ART 的需求。

结论

仅仅关注确定需要治疗的人的 TC 方案将不足以控制疫情。

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