Self-Reported HIV and HCV Screening Rates and Serostatus Among Substance Abuse Treatment Patients.
Self-Reported HIV and HCV Screening Rates and Serostatus Among Substance Abuse Treatment Patients.
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DOI：
10.1007/s10461-015-1074-2
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发表时间：
2016-01
影响因子：
4.4
通讯作者：
Metsch L
中科院分区：
文献类型：
--
作者：
Hernández D;Feaster DJ;Gooden L;Douaihy A;Mandler R;Erickson SJ;Kyle T;Haynes L;Schwartz R;Das M;Metsch L
药物使用者感染HIV和HCV的风险增加。尽管如此，许多物质使用治疗计划（SUTP）未能提供HIV/HCV检测。目前对来自一项快速HIV检测的多中心随机试验的筛查数据进行的二次分析检查了12个以前未提供现场检测的社区站点中2，473名SUTP患者的自我报告的HIV/HCV检测模式和血清状态。结果表明，大多数接受随机试验筛查的受访者在摄入HIV（52%）和HCV（38%）前一年多进行了检测。HIV和HCV的患病率分别为3.6%和30%。大多数艾滋病毒（52.2%）和HCV阳性（40.5%）的参与者报告在过去一到五年内被诊断出来。多变量logistic回归分析显示，高危人群更有可能接受过检测。建议将HIV/HCV检测捆绑在一起并与护理问题联系起来，以扩大基于社区的SUTP环境中的检测。
Substance users are at increased risk for HIV and HCV infection. Still, many substance use treatment programs (SUTP) fail to offer HIV/HCV testing. The present secondary analysis of screening data from a multi-site randomized trial of rapid HIV testing examines self-reported HIV/HCV testing patterns and serostatus of 2,473 SUTP patients in 12 community-based sites that had not previously offered on-site testing. Results indicate that most respondents screened for the randomized trial tested more than a year prior to intake for HIV (52%) and HCV (38%). Prevalence rates were 3.6% and 30% for HIV and HCV, respectively. The majority of participants that were HIV (52.2%) and HCV-positive (40.5%) reported having been diagnosed within the last one to five years. Multivariable logistic regression showed that members of high-risk groups were more likely to have tested. Bundled HIV/HCV testing and linkage to care issues are recommended for expanding testing in community-based SUTP settings.