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评估埃塞俄比亚奥罗米亚沃利索镇以伴侣和家庭为基础的索引病例 HIV 检测的比例及其相关因素:一项横断面研究。

Assessment of the proportion and the factors associated with partner and family-based index case HIV testing in Woliso Town, Oromia, Ethiopia: a cross-sectional study.

机构信息

Department of HIV Control and Prevention, Woliso Town Health Office, Oromia, Ethiopia.

Department of Public Health, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.

出版信息

AIDS Care. 2023 Sep;35(9):1322-1328. doi: 10.1080/09540121.2023.2216007. Epub 2023 May 26.

Abstract

INTRODUCTION

Around 40% of estimated people with HIV infection remain undiagnosed globally. In Ethiopia, only 72% of people with HIV know their status. This study aims to assess the proportion and the factors associated with partner and family-based index case HIV testing in Woliso Town.

METHODS

A facility-based cross-sectional study was conducted among 346 people currently on ART. Data were entered into Epi Info™ 7.2.3.1 and analyzed using SPSS 21. Significance of odds ratios was determined with 95% CI and  < 0.05.

RESULTS

Among 345 study participants, 333 (96.5%) with 95% CI (94.5-98.3) index cases have families tested for HIV. The odds of HIV testing were 7.22 times higher among those who disclosed their HIV status (AOR = 7.22 95% CI: 1.45, 35.82) compared to those who did not disclose. Those who stayed <12 months on ARTwere 87% less likely to have tested families (AOR = 0.13 95% CI: 0.03, 0.63) compared to those who stayed ≥12 months on ART.

CONCLUSION

Higher proportions of index cases have tested families. Partner and family-based index case HIV testing has association with HIV status disclosure and duration the index cases stayed on ART. The platform of partner and family-based index case HIV testing should be sustained through strengthening disclosure counseling.

摘要

简介

全球约有 40%的艾滋病毒感染者未被发现。在埃塞俄比亚,只有 72%的艾滋病毒感染者知晓自身的感染状况。本研究旨在评估沃利索镇以伴侣和家庭成员为对象的确诊病例艾滋病毒检测比例及其相关因素。

方法

本项基于医疗机构的横断面研究纳入了 346 名正在接受抗逆转录病毒治疗的患者。数据输入 Epi InfoTM 7.2.3.1 并使用 SPSS 21 进行分析。使用 95%置信区间(CI)和 P<0.05 来确定比值比的显著性。

结果

在 345 名研究参与者中,333 名(96.5%)[95%CI(94.5-98.3)]确诊病例的家属接受了艾滋病毒检测。与未披露感染者身份的患者相比,披露感染者身份的患者进行艾滋病毒检测的可能性高 7.22 倍(AOR=7.22,95%CI:1.45,35.82)。与至少接受 12 个月抗逆转录病毒治疗的患者相比,接受治疗时间<12 个月的患者对家属进行艾滋病毒检测的可能性低 87%(AOR=0.13,95%CI:0.03,0.63)。

结论

更多的确诊病例对其家属进行了艾滋病毒检测。以伴侣和家庭成员为对象的确诊病例艾滋病毒检测与感染者身份披露以及确诊病例接受抗逆转录病毒治疗的时长有关。应通过加强披露咨询来维持以伴侣和家庭成员为对象的确诊病例艾滋病毒检测平台。

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