Ilegbodu A E, Frank M L, Johnson D, Poindexter A N
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas 77030.
Tex Med. 1994 Jul;90(7):58-65.
Demographic characteristics and risk factor data for 76,672 clients were studied to characterize the distribution of infection with human immunodeficiency virus (HIV) and the use of counseling and testing facilities in Houston, Tex. The number of clients who received free, voluntary HIV counseling and testing services between January 1990 and December 1992 doubled, while the seroprevalence rate declined from 6.1% to 2.9%. Rates were highest for white males, clients attending freestanding HIV testing sites, and those reporting male-to-male sexual contact. The number of females testing positive had increased by 67% over time and consisted almost entirely of blacks. Only 57% of clients who were tested returned for test results and received posttest counseling. Among those who were HIV negative, high-risk behaviors were frequently reported. Behavioral change must be reinforced, and priority must be given to contacting both seropositive and high-risk clients who seek testing.
对76672名客户的人口统计学特征和风险因素数据进行了研究，以描述德克萨斯州休斯顿市人类免疫缺陷病毒（HIV）感染分布情况以及咨询和检测设施的使用情况。1990年1月至1992年12月期间接受免费、自愿HIV咨询和检测服务的客户数量翻了一番，而血清阳性率从6.1%降至2.9%。白人男性、在独立HIV检测点检测的客户以及报告有男男性接触的客户的感染率最高。随着时间的推移，检测呈阳性的女性数量增加了67%，且几乎全是黑人。只有57%接受检测的客户回来获取检测结果并接受检测后咨询。在HIV检测呈阴性的客户中，经常报告有高危行为。必须加强行为改变，并且必须优先联系寻求检测的血清阳性和高危客户。
