埃塞俄比亚北部提格雷南部地区政府医院中结核病-艾滋病诊断服务联系与检测的水平及预测因素

Levels and predictors of TB-HIV Diagnostic service linkage and testing in government hospitals of Southern zone of Tigray, Northern Ethiopia.

作者信息

Mitiku Ashebir Mengistu, Asfaw Gebrezgi Zinabu, Tsegay Haftu Tesfahun, Zewdie Berhe Yodit, Tesfay Atsibeha Mussie

机构信息

School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.

Department of Public Health, College of Health Sciences, Adigrat University, Adigrat, Ethiopia.

出版信息

Afr Health Sci. 2019 Sep;19(3):2335-2346. doi: 10.4314/ahs.v19i3.5.

DOI:10.4314/ahs.v19i3.5

PMID:32127802

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7040298/

Abstract

BACKGROUND

Tuberculosis (TB) and Human Immunodeficiency Virus (HIV) are global public health problems. TB and HIV diagnostic services linkage is imperative for the fight against the two diseases.

OBJECTIVE

To assess the diagnostic service linkage and testing of TB-HIV diagnostic services and identify predictors in Public hospitals of Northern Ethiopia.

METHODS

A cross-sectional study was conducted in five hospitals of Northern Ethiopia. Study subjects' socio-demographic, household and clinical variables were assessed. Data was analyzed using SPSS. Logistic regressions were used to determine the predictors of uptake of TB and HIV testing among HIV and TB patients, respectively.

RESULT

The level of HIV testing among TB patients was 94.4% and of TB screening among HIV patients was 90.5%. Factors that independently predict HIV testing among TB patients were Residence AOR=0.187(95% CI 0.05-0.76), being 9 grade and above AOR=13.17 (95%CI 2.67-65.03) and drinking alcohol AOR=0.03(95% CI 0.002-0.475). Likewise, being grade 9 and above AOR=6.92 (95% CI 1.75-27.4) and having chronic cough AOR=0.23 (95% CI 0.06-0.92) were predictor variables for having TB screening among HIV patients.

CONCLUSION

The levels of TB-HIV linkages and testing are high. Moreover, educational status is a strong predictor of TB screening among HIV patients and HIV testing among TB cases. The regional health bureau has to continue supporting its TB and HIV case teams in every health facility.

摘要

背景

结核病（TB）和人类免疫缺陷病毒（HIV）是全球公共卫生问题。结核病和艾滋病诊断服务的联动对于抗击这两种疾病至关重要。

目的

评估埃塞俄比亚北部公立医院结核病-艾滋病诊断服务的联动及检测情况，并确定预测因素。

方法

在埃塞俄比亚北部的五家医院开展了一项横断面研究。评估研究对象的社会人口统计学、家庭和临床变量。使用SPSS分析数据。分别采用逻辑回归确定HIV患者和结核病患者接受结核病和HIV检测的预测因素。

结果

结核病患者中HIV检测水平为94.4%，HIV患者中结核病筛查水平为90.5%。独立预测结核病患者接受HIV检测的因素有：居住地，比值比（AOR）=0.187（95%置信区间[CI]为0.05 - 0.76）；九年级及以上学历，AOR = 13.17（95%CI为2.67 - 65.03）；饮酒，AOR = 0.03（95%CI为0.002 - 0.475）。同样，九年级及以上学历，AOR = 6.92（95%CI为1.75 - 27.4）和患有慢性咳嗽，AOR = 0.23（95%CI为0.06 - 0.92）是HIV患者接受结核病筛查的预测变量。