精神科患者在精神卫生中心取 HIV/性传播感染检测结果的情况。
Psychiatric patients' return for HIV/STI test results in mental health centers.
机构信息
Universidade Federal de São João Del-Rei, Divinópolis, MG, Brazil.
出版信息
Rev Saude Publica. 2012 Apr;46(2):290-9. doi: 10.1590/s0034-89102012005000017. Epub 2012 Feb 24.
OBJECTIVE
To assess individual and/or health service factors associated with patients returning for results of HIV or sexually transmitted infection (STI) tests in mental health centers.
METHODS
Cross-sectional national multicenter study among 2,080 patients randomly selected from 26 Brazilian mental health centers in 2007. Multilevel logistic regression was used to assess the effect of individual (level 1) and mental health service characteristics (level 2) on receipt of test results.
RESULTS
The rate of returning HIV/STI test results was 79.6%. Among health service characteristics examined, only condom distribution was associated with receiving HIV/STI test results, whereas several individual characteristics were independently associated including living in the same city where treatment centers are; being single; not having heard of AIDS; and not having been previously HIV tested.
CONCLUSIONS
It is urgent to expand HIV/STI testing in health services which provide care for patients with potentially increased vulnerability to these conditions, and to promote better integration between mental health and health services.
目的
评估与精神卫生中心的 HIV 或性传播感染（STI）检测结果返回相关的个体和/或卫生服务因素。
方法
2007 年，从巴西 26 家精神卫生中心中随机选取了 2080 名患者，开展了一项全国性的多中心横断面研究。采用多水平逻辑回归评估个体（一级）和精神卫生服务特征（二级）对获得检测结果的影响。
结果
HIV/STI 检测结果的返回率为 79.6%。在所检查的卫生服务特征中，只有避孕套的发放与获得 HIV/STI 检测结果有关，而一些个体特征则与之独立相关，包括居住在与治疗中心相同的城市；单身；未听说过艾滋病；且之前未进行过 HIV 检测。
结论
迫切需要扩大在为可能更容易感染这些疾病的患者提供护理的卫生服务中进行 HIV/STI 检测，并促进精神卫生和卫生服务之间的更好整合。
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