Division of STD Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road N.E., Atlanta, GA 30333, USA.
AIDS Behav. 2012 Oct;16(7):1902-16. doi: 10.1007/s10461-012-0253-7.
Using data from Botswana's largest HIV testing and counseling (HTC) provider, Tebelopele, we evaluate populations served and gender-specific correlates of testing HIV-positive among clients of two programs: standalone centers and outreach testing. Client records from January to June 2007 (n = 47,890) were evaluated by HTC program and gender. Bivariate and multivariate analyses were performed to identify demographic, testing, and risk-behavior variables associated with testing HIV-positive. Compared to outreach testing, standalone centers served proportionally more clients who were young, well-educated, unmarried, and HIV-infected; outreach testing reached an older, less-educated population. Age, educational attainment, marital status, couples testing, testing because of illness or discordant relationship, and nonuse of condoms (among young clients only) were consistently associated with testing HIV-positive, by HTC program and gender. Our evaluation suggests that Tebelopele standalone and outreach HTC programs serve different populations, and identifies strategies to reduce HIV infection risk and to improve uptake of HTC by HIV-infected, undiagnosed Batswana.
利用博茨瓦纳最大的艾滋病毒检测和咨询（HTC）服务提供商 Tebelopele 的数据，我们评估了两个项目服务的人群以及客户中 HIV 检测呈阳性的性别特定相关因素：独立中心和外展检测。对 2007 年 1 月至 6 月的客户记录（n=47890）进行了 HTC 项目和性别评估。进行了双变量和多变量分析，以确定与 HIV 检测呈阳性相关的人口统计学、检测和风险行为变量。与外展检测相比，独立中心服务的年轻、受教育程度高、未婚和 HIV 感染的客户比例更高；外展检测服务的人群年龄更大，受教育程度更低。年龄、教育程度、婚姻状况、夫妻检测、因疾病或不和谐关系检测以及年轻客户中未使用避孕套（仅在年轻客户中）与 HTC 项目和性别均与 HIV 检测呈阳性相关。我们的评估表明，Tebelopele 独立和外展 HTC 项目服务于不同的人群，并确定了减少 HIV 感染风险和提高感染 HIV 的未确诊博茨瓦纳人接受 HTC 的策略。
