Alam Md Shah, Khan Sharful I, Reza Masud, Shahriar Ahmed, Sarker Md Safiullah, Rahman Anisur, Rahman Mustafizur, Azim Tasnim
aInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) bSave the Children in Bangladesh, Dhaka, Bangladesh.
Curr Opin HIV AIDS. 2016 Mar;11 Suppl 1(Suppl 1):S52-8. doi: 10.1097/COH.0000000000000267.
To determine HIV prevalence and assess the acceptability of HIV testing using oral fluid as a point of care (PoC) test method among returnee migrants in a rural area of Bangladesh.
A cross-sectional study.
Matlab is a rural area southeast of Dhaka where icddr,b hosts a health and demographic surveillance system covering 225,826 people of whom 934 are returnee migrants. The sample size of 304 was proportionately distributed among randomly selected households. HIV antibodies in oral fluid were tested using OraQuick Rapid HIV 1/2 antibody test. To understand reasons of acceptability a short questionnaire was applied and 32 in-depth interviews were conducted.
Of 304 returnee migrants approached, 97.4% accepted the test. The prevalence of HIV was 0.3% without a confirmatory blood test. Reasons for acceptance included easy accessibility of the test at the door-step which saved resources (i.e., time and money), comfortable test-procedure without any pain and fear, and receiving quick results with confidentiality. Some described knowing HIV status as a way to 'get certified' (of sexual fidelity) and to confront a prevailing silent stigma against migrants. Acceptability was moreover found to be grounded in icddr,b's institutional reputation and its close relationship with the local community.
The PoC oral fluid test for HIV has shown for the first time that assessment of HIV prevalence in rural-based returnee migrants is possible. Findings also suggest that PoC oral fluid test has the potential of increasing accessibility to HIV testing as it was found to be highly acceptable.
确定孟加拉国农村地区归国移民中艾滋病毒的流行情况，并评估使用口腔液作为即时检测（PoC）方法进行艾滋病毒检测的可接受性。
横断面研究。
Matlab是达卡东南部的一个农村地区，国际腹泻病研究中心（icddr,b）在那里建立了一个健康和人口监测系统，覆盖225,826人，其中934人为归国移民。304人的样本量按比例分配到随机选择的家庭中。使用OraQuick快速艾滋病毒1/2抗体检测法检测口腔液中的艾滋病毒抗体。为了解可接受性的原因，应用了一份简短问卷并进行了32次深入访谈。
在接触的304名归国移民中，97.4%接受了检测。未经确证血液检测的艾滋病毒流行率为0.3%。接受检测的原因包括在门口就能轻松进行检测，节省了资源（即时间和金钱），检测过程舒适，没有任何疼痛和恐惧，并且能快速获得保密结果。一些人将了解艾滋病毒状况描述为一种“获得认证”（关于性忠诚）的方式，以及面对针对移民的普遍沉默污名的方式。此外，发现可接受性基于icddr,b的机构声誉及其与当地社区的密切关系。
艾滋病毒即时检测口腔液检测首次表明，对农村归国移民中的艾滋病毒流行情况进行评估是可行的。研究结果还表明，即时检测口腔液检测有可能增加艾滋病毒检测的可及性，因为它被发现具有很高的可接受性。
