定位诊断为 HIV 的人群以采取公共卫生行动：HIV 病例监测和其他数据源的效用。
Locating People Diagnosed With HIV for Public Health Action: Utility of HIV Case Surveillance and Other Data Sources.
机构信息
1 Centers for Disease Control and Prevention, Atlanta, GA, USA.
2 San Francisco Department of Public Health, San Francisco, CA, USA.
出版信息
Public Health Rep. 2018 Mar/Apr;133(2):147-154. doi: 10.1177/0033354918754541. Epub 2018 Feb 27.
INTRODUCTION
Human immunodeficiency virus (HIV) case surveillance and other health care databases are increasingly being used for public health action, which has the potential to optimize the health outcomes of people living with HIV (PLWH). However, often PLWH cannot be located based on the contact information available in these data sources. We assessed the accuracy of contact information for PLWH in HIV case surveillance and additional data sources and whether time since diagnosis was associated with accurate contact information in HIV case surveillance and successful contact.
MATERIALS AND METHODS
The Case Surveillance-Based Sampling (CSBS) project was a pilot HIV surveillance system that selected a random population-based sample of people diagnosed with HIV from HIV case surveillance registries in 5 state and metropolitan areas. From November 2012 through June 2014, CSBS staff members attempted to locate and interview 1800 sampled people and used 22 data sources to search for contact information.
RESULTS
Among 1063 contacted PLWH, HIV case surveillance data provided accurate telephone number, address, or HIV care facility information for 239 (22%), 412 (39%), and 827 (78%) sampled people, respectively. CSBS staff members used additional data sources, such as support services and commercial people-search databases, to locate and contact PLWH with insufficient contact information in HIV case surveillance. PLWH diagnosed <1 year ago were more likely to have accurate contact information in HIV case surveillance than were PLWH diagnosed ≥1 year ago ( P = .002), and the benefit from using additional data sources was greater for PLWH with more longstanding HIV infection ( P < .001).
PRACTICE IMPLICATIONS
When HIV case surveillance cannot provide accurate contact information, health departments can prioritize searching additional data sources, especially for people with more longstanding HIV infection.
简介
人类免疫缺陷病毒（HIV）病例监测和其他医疗保健数据库越来越多地被用于公共卫生行动，这有可能优化艾滋病毒感染者（PLWH）的健康结果。然而，通常情况下，根据这些数据源中的现有联系方式，无法找到 PLWH。我们评估了 HIV 病例监测和其他数据源中 PLWH 联系方式的准确性，以及诊断后时间是否与 HIV 病例监测中的准确联系方式和成功联系相关。
材料和方法
基于病例监测的抽样（CSBS）项目是一个试点 HIV 监测系统，该系统从 5 个州和大都市区的 HIV 病例监测登记处随机选择了一组基于人群的 HIV 确诊人群。从 2012 年 11 月至 2014 年 6 月，CSBS 工作人员试图找到并采访 1800 名抽样人员，并使用 22 个数据源搜索联系信息。
结果
在联系到的 1063 名 PLWH 中，HIV 病例监测数据分别准确提供了 239（22%）、412（39%）和 827（78%）抽样者的电话号码、地址或 HIV 护理机构信息。CSBS 工作人员使用了额外的数据来源，如支持服务和商业人员搜索数据库，来查找和联系 HIV 病例监测中联系信息不足的 PLWH。诊断时间 <1 年的 PLWH 在 HIV 病例监测中拥有准确联系方式的可能性大于诊断时间≥1 年的 PLWH（P=0.002），并且对于 HIV 感染时间较长的 PLWH，使用额外数据源的益处更大（P<0.001）。
实践意义
当 HIV 病例监测无法提供准确的联系信息时，卫生部门可以优先搜索额外的数据来源，尤其是针对 HIV 感染时间较长的人群。
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