美国大都市地区及波多黎各的艾滋病毒感染晚期诊断
Late Diagnosis of HIV Infection in Metropolitan Areas of the United States and Puerto Rico.
作者信息
Hall H Irene, Tang Tian, Espinoza Lorena
机构信息
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, E-47, Atlanta, GA, 30329-4027, USA.
ICF International, Atlanta, GA, USA.
出版信息
AIDS Behav. 2016 May;20(5):967-72. doi: 10.1007/s10461-015-1241-5.
The majority of persons infected with HIV live in large metropolitan areas and many such areas have implemented intensified HIV testing programs. A national indicator of HIV testing outcomes is late diagnosis of HIV infection (stage 3, AIDS). Based on National HIV Surveillance System data, 23.3 % of persons with HIV diagnosed in 2012 had a late diagnosis in large MSAs, 26.3 % in smaller MSAs, and 29.6 % in non-metropolitan areas. In the 105 large MSAs, the percentage diagnosed late ranged from 13.2 to 47.4 %. During 2003-2012, the percentage diagnosed late decreased in large MSAs (32.2-23.3 %), with significant decreases in 41 of 105 MSAs overall and among men who have sex with men. Sustained testing efforts may help to continue the decreasing trend in late-stage HIV diagnosis and provide opportunities for early care and treatment and potential reduction in HIV transmission.
大多数感染艾滋病毒的人生活在大城市地区，许多这样的地区已经实施了强化艾滋病毒检测项目。艾滋病毒检测结果的一项全国性指标是艾滋病毒感染的晚期诊断（3期，艾滋病）。根据国家艾滋病毒监测系统的数据，2012年被诊断出感染艾滋病毒的人中，23.3%在大城市统计区被晚期诊断，在较小的大城市统计区为26.3%，在非都市地区为29.6%。在105个大城市统计区中，晚期诊断的百分比从13.2%到47.4%不等。在2003 - 2012年期间，大城市统计区晚期诊断的百分比有所下降（从32.2%降至23.3%），在105个大城市统计区总体以及男男性行为者中，有41个统计区出现了显著下降。持续的检测工作可能有助于继续降低艾滋病毒晚期诊断的趋势，并为早期护理和治疗提供机会，以及有可能减少艾滋病毒传播。
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