解决最初的90天问题：一种高效的性伴通知方法在坦桑尼亚找到了此前未被诊断的性伴侣。
Addressing the First 90: A Highly Effective Partner Notification Approach Reaches Previously Undiagnosed Sexual Partners in Tanzania.
作者信息
Kahabuka Catherine, Plotkin Marya, Christensen Alice, Brown Charlene, Njozi Mustafa, Kisendi Renatus, Maokola Werner, Mlanga Erick, Lemwayi Ruth, Curran Kelly, Wong Vincent
机构信息
Jhpiego Tanzania, Dar es Salaam, Tanzania.
, 1660 Thames Street, Baltimore, MD, 21231, USA.
出版信息
AIDS Behav. 2017 Aug;21(8):2551-2560. doi: 10.1007/s10461-017-1750-5.
Abstract
To meet UNAIDS' 90-90-90 treatment goals, effective approaches to HIV testing services (HTSs) are urgently needed. In 2015, a cross-sectional study was conducted to evaluate effectiveness and feasibility of partner notification for HTS in Tanzania. Men and women newly diagnosed with HIV were enrolled as index clients, listed sexual partners, and given options to notify and link their partners to HTS. Of 653 newly diagnosed individuals, 390 index clients were enrolled, listed 438 sexual partners, of whom 249 (56.8%) were successfully referred. Of 249 partners reaching the facilities, 96% tested for HIV, 148 (61.9%) tested HIV+ (all newly diagnosed), and 104 (70.3%) of partners testing positive were enrolled into HIV care and treatment. Results showed good acceptability, feasibility and effectiveness, as evidenced by high uptake of partner notification among newly diagnosed individuals, over half of listed partners successfully referred, and a very high positivity rate among referred sexual partners.
摘要
为实现联合国艾滋病规划署的90-90-90治疗目标，迫切需要有效的艾滋病毒检测服务（HTS）方法。2015年，开展了一项横断面研究，以评估坦桑尼亚HTS的性伴通知的有效性和可行性。新诊断出感染艾滋病毒的男性和女性被纳入为索引患者，列出其性伴，并为他们提供通知性伴并使其性伴接受HTS的选择。在653名新诊断出的个体中，390名索引患者被纳入研究，他们列出了438名性伴，其中249名（56.8%）被成功转介。在249名到达医疗机构的性伴中，96%接受了艾滋病毒检测，148名（61.9%）检测结果为艾滋病毒阳性（均为新诊断出），104名（70.3%）检测呈阳性的性伴被纳入艾滋病毒护理和治疗。结果显示出良好的可接受性、可行性和有效性，新诊断出的个体对性伴通知的接受率很高、超过半数列出的性伴被成功转介以及转介的性伴中艾滋病毒阳性率非常高均证明了这一点。
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