Guy R, Mustikawati D E, Wijaksono D B, Nugraihini N, Priohutomo S, Silitonga N, Kaldor J M
Centre for Population Health, Burnet Institute, Melbourne, Australia.
Int J STD AIDS. 2011 Sep;22(9):505-11. doi: 10.1258/ijsa.2009.009445.
A new system for monitoring HIV voluntary counselling and testing (VCT) outcomes was established in 2007 at seven VCT clinics in Jakarta and Bali, Indonesia. Counsellors collected demographic and risk information from VCT clients. Logistic regression was used to determine factors associated with HIV infection. In 15 months, HIV prevalence in 5569 new clients without HIV symptoms was 63.3% in injecting drug users (IDUs) (n = 783), 7.7% in female sex workers (n = 1437), 31.6% among transgender people (n = 395), 9.3% in men who have sex with men (n = 268), 13.5% in clients of sex workers (n = 643), 21.1% in people with high-risk partners (n = 569) and 3.2% in other VCT clients (n = 822). Among IDUs, being older, tested though outreach, tested due to being 'at risk' and having injected for one or more years were independently associated with HIV infection. This network confirmed high HIV prevalence among IDUs and transgender people. HIV prevalence estimates were consistent with serosurveys.
2007年，在印度尼西亚雅加达和巴厘岛的七家自愿咨询检测（VCT）诊所建立了一个监测HIV自愿咨询检测结果的新系统。咨询员收集了VCT服务对象的人口统计学和风险信息。采用逻辑回归分析来确定与HIV感染相关的因素。在15个月内，5569名无HIV症状的新服务对象中，注射吸毒者（IDU）（n = 783）的HIV感染率为63.3%，女性性工作者（n = 1437）为7.7%，变性人（n = 395）为31.6%，男男性行为者（n = 268）为9.3%，性工作者的服务对象（n = 643）为13.5%，有高危性伴者（n = 569）为21.1%，其他VCT服务对象（n = 822）为3.2%。在注射吸毒者中，年龄较大、通过外展服务接受检测、因“处于风险中”接受检测以及注射一年或一年以上与HIV感染独立相关。该监测网络证实了注射吸毒者和变性人中HIV的高感染率。HIV感染率估计与血清学调查结果一致。
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