Hertz-Picciotto I, Lee L W, Hoyo C
Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill 27599-7400, USA.
Am J Public Health. 1996 Oct;86(10):1446-50. doi: 10.2105/ajph.86.10.1446.
This study assessed the impact on HIV test-seeking of North Carolina's restriction of anonymous testing to 18 of its 100 counties as of September 1, 1991.
Trends from 4 months prerestriction to the 16-month restriction period in counties retaining vs counties eliminating anonymous testing were compared.
HIV testing increased throughout the state, but more rapidly where anonymous testing was retained than elsewhere: 64% vs 44%. These differences held for all sociodemographic subgroups and were most pronounced among adolescents and African Americans and other non-Whites.
The data are consistent with a detrimental effect of elimination of anonymous testing, although confounding from differences in AIDS awareness or in repeat tests is possible.
本研究评估了自1991年9月1日起北卡罗来纳州将匿名检测限制在其100个县中的18个县对寻求HIV检测的影响。
比较了保留匿名检测的县和取消匿名检测的县在限制前4个月至16个月限制期的趋势。
全州的HIV检测均有增加，但保留匿名检测的地区增长更快：分别为64%和44%。这些差异在所有社会人口亚组中均存在，在青少年、非裔美国人和其他非白人中最为明显。
数据表明取消匿名检测有不利影响，尽管可能存在艾滋病知晓率差异或重复检测带来的混杂因素。
