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儿科患者的留医率:基贝拉社区卫生中心艾滋病毒/艾滋病方案的一项研究。

Retention of pediatric patients in care: a study of the Kibera Community Health Center HIV/AIDS Program.

机构信息

Amref Health Africa in Kenya.

College of Health Sciences, University of Nairobi.

出版信息

Afr Health Sci. 2021 May;21(Suppl):39-43. doi: 10.4314/ahs.v21i1.7S.

DOI:10.4314/ahs.v21i1.7S
PMID:34447422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8367313/
Abstract

BACKGROUND

In 2011, 3.4 million children were living with HIV worldwide1.

OBJECTIVES

Describe the characteristics of pediatric patients enrolled into the HIV program at the Kibera community health center between January 2012 and March 2013. Determine the proportion of enrolled paediatric patients lost to follow up. Determine the correlates associated with retention and loss to follow up.

METHODS

The study was a retrospective cohort study of program data of all pediatric patients enrolled into the HIV program in the facility between January 2012 and March 2013. The data was analyzed using SPSS.

RESULTS

Of the 100 pediatric patients enrolled during the study period, 79 and 21 were HIV negative and positive respectively. Only 4 (5%) of the HIV exposed Infants and 11 (52%) of the HIV positive children were started on ART within the study period. The retention rate of the children at 3 months was 87% while the retention at both 12 and 15 months was 79%. There was an association between the mother or guardian disclosing their status and the retention of the child (p-value 0.026).

CONCLUSION

The disclosure of the HIV status by parent/guardian to the child was associated with better retention of the children in the program.

摘要

背景

2011 年,全球有 340 万儿童感染艾滋病毒。

目的

描述 2012 年 1 月至 2013 年 3 月期间在基贝拉社区卫生中心艾滋病毒项目中登记的儿科患者的特征。确定失访的登记儿科患者的比例。确定与保留和失访相关的因素。

方法

这是一项回顾性队列研究,对 2012 年 1 月至 2013 年 3 月期间该设施中所有登记入艾滋病毒项目的儿科患者的项目数据进行了研究。使用 SPSS 对数据进行分析。

结果

在研究期间,登记的 100 名儿科患者中,79 名 HIV 阴性,21 名 HIV 阳性。只有 4 名(5%)HIV 暴露婴儿和 11 名(52%)HIV 阳性儿童在研究期间开始接受抗逆转录病毒治疗。儿童在 3 个月时的保留率为 87%,而在 12 个月和 15 个月时的保留率均为 79%。母亲或监护人透露其状况与儿童的保留之间存在关联(p 值为 0.026)。

结论

父母/监护人向儿童透露 HIV 状况与儿童在项目中的保留率较高有关。

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本文引用的文献

1
"Wamepotea" (they have become lost): outcomes of HIV-positive and HIV-exposed children lost to follow-up from a large HIV treatment program in western Kenya."Wamepotea"(他们已经迷失):来自肯尼亚西部一个大型艾滋病毒治疗项目中失访的艾滋病毒阳性和艾滋病毒暴露儿童的结局。
J Acquir Immune Defic Syndr. 2011 Jul 1;57(3):e40-6. doi: 10.1097/QAI.0b013e3182167f0d.