2013年美国艾滋病护理提供者提供的降低艾滋病传播风险服务
Delivery of HIV Transmission Risk-Reduction Services by HIV Care Providers in the United States-2013.
作者信息
Beer Linda, Weiser John, West Brady T, Duke Chris, Gremel Garrett, Skarbinski Jacek
机构信息
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
出版信息
J Int Assoc Provid AIDS Care. 2016 Nov;15(6):494-504. doi: 10.1177/2325957415612128. Epub 2015 Oct 23.
OBJECTIVES
Evidence-based guidelines have long recommended that HIV care providers deliver HIV transmission risk-reduction (RR) services, but recent data are needed to assess their adoption.
METHODS
The authors surveyed a probability sample of 1234 US HIV care providers on delivery of 9 sexual behavior- and 7 substance use-related HIV transmission RR services and created an indicator of "adequate" delivery of services in each area, defined as performing approximately 70% or more of applicable services.
RESULTS
Providers were most likely to encourage patients to disclose HIV status to all partners since HIV diagnosis (81%) and least likely to ask about disclosure to new sex and drug injection partners at follow-up visits (both 41%). Adequate delivery of sexual behavior- and substance use-related RR services was low (37% and 43%, respectively).
CONCLUSION
The majority of US HIV care providers may need additional support to improve delivery of comprehensive HIV transmission RR services.
目的
长期以来，循证指南一直建议为艾滋病毒感染者提供降低艾滋病毒传播风险（RR）的服务，但需要最新数据来评估这些建议的采纳情况。
方法
作者对1234名美国艾滋病毒感染者进行了概率抽样调查，了解他们提供9种与性行为和7种与物质使用相关的艾滋病毒传播RR服务的情况，并为每个领域创建了一个“充分”提供服务的指标，定义为提供约70%或更多适用服务。
结果
提供者最有可能鼓励患者自艾滋病毒诊断以来向所有性伴侣披露艾滋病毒感染状况（81%），而在随访中询问向新的性伴侣和药物注射伙伴披露情况的可能性最小（均为41%）。与性行为和物质使用相关的RR服务的充分提供率较低（分别为37%和43%）。
结论
大多数美国艾滋病毒感染者可能需要额外支持以改善全面的艾滋病毒传播RR服务的提供。
Zotero 插件