塞拉利昂弗里敦艾滋病毒高流行地区伴侣检测率低：一项回顾性研究。
Low partner testing in high HIV prevalence setting in Freetown, Sierra Leone: a retrospective study.
作者信息
Lakoh Sulaiman, Firima Emmanuel, Jiba Darlinda F, Sesay Momodu, Conteh Mariama Marco, Deen Gibrilla Fadlu
机构信息
Department of Internal Medicine, College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Department of Medicine, University of Sierra Leone Teaching Hospitals Complex, Freetown, Sierra Leone.
出版信息
BMC Res Notes. 2019 Sep 24;12(1):629. doi: 10.1186/s13104-019-4662-9.
OBJECTIVE
Despite a 1.5% National HIV prevalence, less than 40% of people living with HIV in Sierra Leone know their status. Limited activities on testing partners of HIV patients could be contributory to this substantial unawareness of HIV status. We carried out a retrospective study aimed at assessing partner testing and HIV prevalence among adults (≥ 15 years) tested using Determine™ and SD Bioline as recorded in the HIV testing registers from January to December 2017 at Connaught Hospital, an urban tertiary hospital in Sierra Leone.
RESULTS
Of the 3808 clients tested for HIV, 2048 (53.8%) were females. The median age was 31 (IQR 24-42) years and 2104 (55.3%) were single. While 3014 (79.1%) had Provider-Initiated Testing and Counseling (PITC), 794 (20.9%) had Client-Initiated Testing and Counseling (CITC). HIV test was positive in 925 (24.3%) {CI 22.9-25.6, P < 0.001} clients. Of the 17 (0.4%) partners tested for HIV, 9 (52.9%) were positive. PITC yielded more HIV positive cases (760, 25.2%) than CITC (165, 20.8%). Partner testing (P = 0.007), female sex (P < 0.001) and PITC (P = 0.006) were associated with a positive HIV diagnosis. With high HIV prevalence and low partner testing, activities on partner testing are needed to improve the response to the epidemic.
目的
尽管塞拉利昂全国艾滋病病毒（HIV）感染率为1.5%，但该国知晓自身感染状况的HIV感染者不到40%。针对HIV患者性伴的检测活动有限，这可能是导致大量人群对自身HIV感染状况不知情的原因之一。我们开展了一项回顾性研究，旨在评估2017年1月至12月期间在塞拉利昂一家城市三级医院——康诺特医院的HIV检测登记册中记录的，使用Determine™和SD Bioline检测的成年人（≥15岁）中性伴检测情况及HIV感染率。
结果
在3808名接受HIV检测的客户中，2048名（53.8%）为女性。年龄中位数为31岁（四分位间距24 - 42岁），2104名（55.3%）为单身。3014名（79.1%）接受了医务人员主动提供的检测与咨询服务（PITC），794名（20.9%）接受了客户主动寻求的检测与咨询服务（CITC）。925名（24.3%）{置信区间22.9 - 25.6，P < 0.001}客户的HIV检测呈阳性。在17名（0.4%）接受HIV检测的性伴中，9名（52.9%）呈阳性。PITC检测出的HIV阳性病例（760例，25.2%）多于CITC（165例，20.8%）。性伴检测（P = 0.007）、女性（P < 0.001）和PITC（P = 0.006）与HIV诊断呈阳性相关。鉴于HIV感染率高且性伴检测率低，需要开展性伴检测活动以改善对该流行病的应对。
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