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哥伦比亚的艾滋病毒检测与咨询:来自一项全国健康调查的证据及对医疗服务的建议

HIV testing and counselling in Colombia: evidence from a national health survey and recommendations for health-care services.

作者信息

Arrivillaga M, Hoyos P A, Tovar L M, Varela M T, Correa D, Zapata H

机构信息

Pontificia Universidad Javeriana Cali, Calle 18 No. 118-250 Vía a Pance, Cali, Colombia.

出版信息

Int J STD AIDS. 2012 Nov;23(11):815-21. doi: 10.1258/ijsa.2012.011468.

DOI:10.1258/ijsa.2012.011468
PMID:23155103
Abstract

The purpose of this study was to assess the prevalence of, and the factors associated with HIV testing and pre- and post-test counselling (PPTC) in Colombia. Cross-sectional data from the National Health Survey carried out during 2007 were analysed. Data were gathered from records of 29,760 individuals between the ages of 18 and 69 from the main regions of the country. Only 19.7% of the sample had taken an HIV test. Men, people with no education, those not affiliated with the health-care system, residents of rural areas and those aged older than 65 were less likely to have been tested for HIV; 42% of those tested did not receive pre-test counselling and 56.9% received no report of the results. Considering the low prevalence of HIV testing among the Colombian population, it is necessary to design and apply guidelines for HIV screening in all health-care settings and to conduct targeted testing in high-risk sub-populations. A national norm of PPTC in those who undergo HIV testing should be examined.

摘要

本研究的目的是评估哥伦比亚艾滋病毒检测以及检测前后咨询服务(PPTC)的普及率及其相关因素。分析了2007年进行的全国健康调查的横断面数据。数据收集自该国主要地区29760名年龄在18至69岁之间的个体记录。样本中只有19.7%的人进行过艾滋病毒检测。男性、未受过教育的人、未加入医疗保健系统的人、农村地区居民以及65岁以上的人接受艾滋病毒检测的可能性较小;42%的受检者未接受检测前咨询,56.9%的人未收到检测结果报告。鉴于哥伦比亚人群中艾滋病毒检测普及率较低,有必要制定并应用在所有医疗保健机构进行艾滋病毒筛查的指导方针,并对高危亚人群进行针对性检测。应审查针对接受艾滋病毒检测者的全国PPTC规范。

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