一项基于社区的艾滋病毒咨询与检测项目发现，南非新接受艾滋病毒检测的人数比例在下降。

A community-based HIV counselling and testing programme found a decreasing proportion of new HIV testers in South Africa.

作者信息

Shamu Simukai, Farirai Thato, Slabbert Jean, Guloba Geoffrey, Masihleho Nomea, Kamera Julius, Nkwashu Nkhensani

机构信息

Foundation for Professional Development, Pretoria, South Africa.

University of the Witwatersrand School of Public Health, Johannesburg, South Africa.

出版信息

Afr J AIDS Res. 2020 Mar;19(1):34-39. doi: 10.2989/16085906.2019.1676804.

DOI:10.2989/16085906.2019.1676804

PMID:32200722

Abstract

This article assesses the history of HIV testing among community-based HIV counselling and testing (CBCT) clients between 2014 and 2018 in 13 South African districts. Consenting clients were tested for HIV and interviewed to categorise as first-time testers or repeat testers. Of the 1 800 753 clients tested for HIV, 15.7% (95% CI [15.6-15.7]) were first-time testers. The rate of identifying first-time testers decreased by 10.7% in four years from 18.4% in year one to 7.7% in year four. A substantial proportion (5.5% [5.4-5.6]) of HIV-positive people not yet on antiretroviral treatment sought HIV re-test, of whom nearly half (48.4% [47.1-49.6]) did not disclose their HIV-positive status during pre-counselling and were re-tested. A decreasing proportion of first-time testers may signal positive progress towards universal HIV testing. This downward trend should be sustained to control the HIV epidemic.

摘要

本文评估了2014年至2018年期间南非13个地区基于社区的艾滋病毒咨询和检测（CBCT）服务对象的艾滋病毒检测历史。同意接受检测的服务对象接受了艾滋病毒检测，并接受访谈以分类为初次检测者或重复检测者。在1800753名接受艾滋病毒检测的服务对象中，15.7%（95%置信区间[15.6 - 15.7]）为初次检测者。初次检测者的识别率在四年内下降了10.7%，从第一年的18.4%降至第四年的7.7%。相当一部分（5.5%[5.4 - 5.6]）尚未接受抗逆转录病毒治疗的艾滋病毒阳性者寻求重新检测艾滋病毒，其中近一半（48.4%[47.1 - 49.6]）在咨询前未透露其艾滋病毒阳性状态并接受了重新检测。初次检测者比例的下降可能标志着在普及艾滋病毒检测方面取得了积极进展。应维持这一下降趋势以控制艾滋病毒疫情。