Vietnam Authority of HIV/AIDS Control, Hanoi, Vietnam.
Duke University School of Medicine, Duke University, Durham, NC, USA.
AIDS Behav. 2021 May;25(5):1626-1635. doi: 10.1007/s10461-020-03079-7. Epub 2020 Nov 26.
Given the rapid development of HIV clinics in Vietnam, this study evaluates the infrastructure surrounding this expansion, identifying clinic-related factors that impact survival outcomes. A retrospective longitudinal study was conducted among people living with HIV (PLWH) who initiated antiretroviral therapy (ART) between 2011 and 2015 among 62 ART clinics in 15 provinces. The mortality rate during the 717674.1 person-years of observation (PYO) was 0.29/100 PYO. Location in rural areas (versus urban) and in Central Vietnam (versus Northern Vietnam) were associated with higher risk of mortality. The risk was lower among clinics that had peer-educators. As Vietnam's HIV/AIDS program continues to expand, this data supports increasing resource allocation for rural clinics, incorporation of ART with the community's existing healthcare infrastructure in its efforts to decentralize, and integration of services to reflect patients' anticipated needs.
鉴于越南艾滋病毒诊所的快速发展，本研究评估了这一扩张的基础设施，确定了影响生存结果的与诊所相关的因素。这项回顾性纵向研究在 2011 年至 2015 年间在越南 15 个省的 62 个艾滋病治疗诊所中开展，纳入了开始接受抗逆转录病毒治疗（ART）的艾滋病毒感染者（PLWH）。在 717674.1 人年的观察期间（PYO），死亡率为 0.29/100 PYO。与城市相比，农村地区（农村地区）和越南北部（中部地区）的地理位置与更高的死亡率风险相关。有同伴教育者的诊所的风险较低。随着越南的艾滋病毒/艾滋病规划继续扩大，这些数据支持为农村诊所增加资源分配，将艾滋病治疗纳入社区现有医疗保健基础设施，努力分散权力，并整合服务以反映患者的预期需求。
