Prevalence of human immunodeficiency virus infection, risk behavior, and HIV knowledge among tuberculosis patients in Afghanistan.
Prevalence of human immunodeficiency virus infection, risk behavior, and HIV knowledge among tuberculosis patients in Afghanistan.
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阿富汗结核病患者的人类免疫缺陷病毒感染率、危险行为和艾滋病毒知识。
DOI：
10.1097/olq.0b013e318095068a
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发表时间：
2007
影响因子：
3.1
通讯作者：
Burnham,GilbertM
中科院分区：
文献类型：
--
作者：
Todd,CatherineS;Barbera-Lainez,Yolanda;Doocy,ShannonC;Ahmadzai,Ahmadullah;Delawar,FaisM;Burnham,GilbertM
研究设计：在这项横断面研究中，接受结核病治疗的成年参与者在2005年11月至2006年2月期间完成了问卷调查和艾滋病毒检测。计算HIV患病率和高危行为，评估高危行为的相关性和相关知识。结果：在1163名参与者中，2名（0.2%,95% CI: 0.0-0.6）感染了艾滋病毒。虽然从非医疗提供者处接受注射很常见（38%），但很少报告感染艾滋病毒的已知风险因素，如付钱给妇女进行性行为或男性与男性的性接触。5%的人群报告了疑似性传播感染的症状，并且与年轻（< 26岁）年龄显著相关（OR: 3.2, 95% CI: 1.7-6.0）。相对而言，很少有参与者听说过艾滋病毒（23%）或避孕套（25%）。在26岁及以上的参与者（OR: 2.9, 95% CI: 1.7-5.2）和男性参与者（OR: 1.5, 95% CI: 1.0-2.2）中，安全套的使用明显更频繁。结论：阿富汗结核病患者的艾滋病毒感染率目前相当低。然而，由于缺乏关于艾滋病毒的知识和从事高风险做法，特别是与保健有关的做法，使这一群体易受伤害。应在治疗过程中对结核病患者进行关于艾滋病毒、性传播感染和血液传播感染的健康教育。
Study Design:Adult participants undergoing treatment for tuberculosis in this cross-sectional study completed a questionnaire and HIV testing between November 2005 and February 2006. Prevalence of HIV and high-risk behaviors were calculated, with correlates of high-risk behavior and relevant knowledge assessed.Results:Of 1163 participants, 2 (0.2%, 95% CI: 0.0–0.6) were HIV-infected. Known risk factors for HIV infection, such as paying women for sex or male to male sexual contact, were rarely reported, though receipt of injections from a nonmedical provider was common (38%). Symptoms suspicious for sexually transmitted infection were reported by 5% of the population and were significantly associated with young (< 26 years) age (OR: 3.2, 95% CI: 1.7–6.0). Relatively, a few participants had ever heard of HIV (23%) or condoms (25%). Condom use was significantly more frequent among those 26 and older (OR: 2.9, 95% CI: 1.7–5.2) and among male participants (OR: 1.5, 95% CI: 1.0–2.2).Conclusions:HIV prevalence among tuberculosis patients in Afghanistan is currently quite low. However, lack of knowledge of HIV and engaging in high-risk practices, particularly regarding health, make this group vulnerable. Health education sessions regarding HIV, sexually transmitted infection, and blood-borne infections should be implemented for tuberculosis patients during the treatment course.