Kurapati Sravya, Vajpayee Madhu, Raina Meenakshi, Vishnubhatla Sreenivas
Department of Microbiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.
AIDS Res Treat. 2012;2012:576149. doi: 10.1155/2012/576149. Epub 2012 Jun 24.
Purpose. Although there have been studies on the presence of Human Immunodeficiency Virus (HIV) among the adult and even pediatric population, the adolescent population has been neglected. The main objective of this study was to understand and describe the profile of adolescents accessing the Integrated Counseling and Testing Centre (ICTC) at a tertiary healthcare centre in north India. This was a retrospective analysis of the data collected where, in addition to the analysis of the presence of HIV among the target population, a comparative analysis of HIV-positive and negative individuals was also carried out. Methods. Counselors at the ICTC of All India Institute of Medical Sciences recorded responses of the patients, and pre- and posttest counseling was performed appropriately. Also, HIV testing was performed using rapid tests (EIA) and ELISA. Both pre- and posttest counseling was performed for most of the patients. Also, the data collected from 2005 to May, 2011 was then retrospectively analyzed using various statistical tests, such as, Chi-square test and odds ratios. Results. Out of 979, 84 tested HIV positive. Discrimination at multiple levels was observed.The 10-14 years age group was 0.56 times more likely to be HIV positive than 15-19 year old. HIV serostatus was strongly associated with risk behavior (P = 0.003) with heterosexual transmission being the most common. Conclusion. These findings highlight the profile of adolescents in India and their equation with HIV on demographic and psychosocial levels.
目的。尽管已经有关于成人甚至儿童群体中人类免疫缺陷病毒(HIV)存在情况的研究,但青少年群体却被忽视了。本研究的主要目的是了解和描述在印度北部一家三级医疗中心就诊于综合咨询与检测中心(ICTC)的青少年的情况。这是对所收集数据的回顾性分析,除了分析目标人群中HIV的存在情况外,还对HIV阳性和阴性个体进行了比较分析。方法。全印度医学科学研究所ICTC的咨询师记录了患者的回答,并适当地进行了检测前和检测后咨询。此外,使用快速检测(酶免疫测定法,EIA)和酶联免疫吸附测定法(ELISA)进行HIV检测。对大多数患者都进行了检测前和检测后咨询。然后,使用各种统计检验,如卡方检验和比值比,对2005年至2011年5月收集的数据进行回顾性分析。结果。在979人中,84人HIV检测呈阳性。观察到在多个层面存在歧视。10 - 14岁年龄组HIV呈阳性的可能性比15 - 19岁年龄组高0.56倍。HIV血清状态与危险行为密切相关(P = 0.003),异性传播是最常见的传播方式。结论。这些发现突出了印度青少年的情况以及他们在人口统计学和社会心理层面与HIV的关系。