Department of Medical Laboratory Science, Rivers State University of Science and Technology, Port Harcourt, Nigeria.
J Community Health. 2012 Feb;37(1):25-31. doi: 10.1007/s10900-011-9411-5.
The military community is considered a high-risk environment for HIV transmission. In this study, a total of One hundred and fifty military personnel aged between 20 and 55 years attending the Nigerian army Hospital, Air Force Clinic and Police Clinic in the Niger Delta of Nigeria were randomly recruited for the study. Samples were tested for HIV using an immunochromatographic assay. The CD4 cell count was estimated using the Partec Cyflow Counter (Partec, Germany). Results of the study showed an overall HIV prevalence rate of 14.67%. The prevalence of HIV was significantly higher among subjects in the ≥40 years age group (P = 0.03). The HIV prevalence was higher among female subjects compared to male military personnel (P = 0.05). Also, there was a significant negative correlation between the CD4 count and HIV positivity (r = -0.443, P<0.01). Out of the 22 subjects positive for HIV, 9.1% were severely immune compromised with CD4 count below<200 cells/μL while 72.7 and 18.2% had CD4 count of 200-350 and 350-500 cells/μL respectively. There is need for the development of a strategic plan that integrates HIV/AIDS and other STIs programs into existing systems and structures to foster behavior change through information dissemination. Policies should be instituted to make condoms regularly available and freely distributed, with the goal of achieving a 100%-condom-use rate. There is the need for an effective voluntary counseling and testing (VCT) and sentinel surveillance survey in the Nigerian military. Also critical is the establishment of a fully integrated and comprehensive care and support system including universal access of antiretroviral treatment for infected people.
军人被认为是艾滋病毒传播的高风险环境。在这项研究中，共有 150 名年龄在 20 至 55 岁之间的军人在尼日利亚尼日尔三角洲的尼日利亚陆军医院、空军诊所和警察诊所接受了随机招募。使用免疫层析测定法对样本进行了 HIV 检测。使用 Partec Cyflow Counter（德国 Partec）估计 CD4 细胞计数。研究结果显示，总体 HIV 流行率为 14.67%。在≥40 岁年龄组中，HIV 流行率显著更高（P = 0.03）。与男性军人相比，女性受试者的 HIV 流行率更高（P = 0.05）。此外，CD4 计数与 HIV 阳性之间存在显著负相关（r = -0.443，P<0.01）。在 22 名 HIV 阳性的受试者中，有 9.1%的人严重免疫受损，CD4 计数低于<200 个细胞/μL，而 72.7%和 18.2%的人 CD4 计数分别为 200-350 和 350-500 个细胞/μL。需要制定一项战略计划，将艾滋病毒/艾滋病和其他性传播感染方案纳入现有系统和结构，通过信息传播促进行为改变。应制定政策，使避孕套定期供应并免费分发，目标是实现 100%的避孕套使用率。尼日利亚军队需要有效的自愿咨询和检测（VCT）和哨点监测调查。此外，建立一个全面综合的关怀和支持系统也至关重要，包括为感染者提供普遍获得抗逆转录病毒治疗。
