Division of Global HIV and Tuberculosis, US Centers for Disease Control and Prevention, 1600 Clifton Rd, NE, MS-30, Atlanta, GA, 30333, USA.
Mildmay Clinic, Mildmay, Uganda.
AIDS Behav. 2019 Apr;23(4):820-834. doi: 10.1007/s10461-018-2274-3.
Increasing HIV diagnosis is important for combatting HIV. We invited individuals aged ≥ 13 years seeking voluntary HIV testing at Mildmay Clinic in Uganda to undertake a computer or audio-computer-assisted self-interview to facilitate post-test counseling. We evaluated first-visit data from 12,233 consenting individuals between January 2011 and October 2013. HIV prevalence was 39.0%. Of those with HIV, 37.2% already knew they were infected. Undiagnosed infection was associated with not being single, screening positive for depression (aOR 1.16, 95% CI 1.04-1.28), and screening for harmful drinking behavior (aOR 1.23, 95% CI 1.10-1.39). The odds of retesting subsequent to HIV diagnosis were lower for males (aOR 0.80, 95% CI 0.70-0.92) and those screening positive for harmful drinking behavior (aOR 0.77, 95% CI 0.66-0.88). Retesting was also associated with higher education and perceived social status below 'better off'. Our findings reiterate the value of population-based HIV surveys to provide estimates of testing coverage.
提高 HIV 诊断率对于防治 HIV 至关重要。我们邀请了年龄在 13 岁及以上、在乌干达 Mildmay 诊所自愿接受 HIV 检测的人，让他们使用电脑或音频计算机辅助自我访谈来辅助检测后的咨询。我们评估了 2011 年 1 月至 2013 年 10 月期间 12233 名同意参与的个体的首次就诊数据。HIV 感染率为 39.0%。在这些 HIV 感染者中，37.2%的人已经知道自己感染了。未确诊的感染与非单身、抑郁筛查阳性（优势比 1.16，95%置信区间 1.04-1.28）和有害饮酒行为筛查阳性（优势比 1.23，95%置信区间 1.10-1.39）有关。男性（优势比 0.80，95%置信区间 0.70-0.92）和有害饮酒行为筛查阳性者（优势比 0.77，95%置信区间 0.66-0.88）随后进行 HIV 检测的可能性较低。较高的教育水平和认为自己的社会地位低于“较富裕”也与复筛有关。我们的研究结果重申了基于人群的 HIV 调查对提供检测覆盖估计的价值。
