HIV Testing Factors Associated with Delayed Entry into HIV Medical Care among HIV-Infected Persons from Eighteen States, United States, 2000-2004
HIV Testing Factors Associated with Delayed Entry into HIV Medical Care among HIV-Infected Persons from Eighteen States, United States, 2000-2004
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DOI：
10.1089/apc.2008.0213
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发表时间：
2009-09-01
影响因子：
4.9
通讯作者：
Sullivan, Patrick
中科院分区：
文献类型：
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作者：
Reed, J. Bailey;Hanson, Debra;Sullivan, Patrick
尽管艾滋病毒诊断后及时进入护理的重要性，护理进入的时间没有被描述最近在一个大的，不同的艾滋病毒感染者的人口。艾滋病毒诊断和进入艾滋病毒护理的日期是通过对艾滋病毒感染的成年人进行访谈获得的，其中大多数人已经进入艾滋病毒护理，在18个美国。S.从2000年到2004年。进入护理的时间作为二分变量进行分析;延迟进入护理定义为HIV诊断后超过3个月进入护理。多变量logistic回归模型被用来描述与延迟进入护理相关的HIV检测相关因素。在3942名受访者中，28%的人推迟了护理进入。与延迟进入护理相关的诊断检测相关特征包括匿名和首次HIV检测。艾滋病毒检测提供者应该意识到，那些匿名检测呈阳性的人和那些第一次艾滋病毒检测呈阳性的人可能会增加延迟进入艾滋病毒护理的风险。制定加强及时与艾滋病毒护理联系的计划，针对那些延迟护理进入的风险增加的人，应该是公共卫生的优先事项。
Despite the importance of timely entry into care after HIV diagnosis, the timing of care entry has not been described recently in a large, diverse population of persons with HIV. Dates of HIV diagnosis and entry into HIV care were obtained by interview of HIV-infected adults, most of whom had entered care for HIV, in 18 U. S. states from 2000 through 2004. Time to care entry was analyzed as a dichotomous variable; delayed care entry was defined as care entry greater than 3 months after HIV diagnosis. Multivariable logistic regression models were used to describe HIV testing-related factors associated with delayed care entry. Among 3942 respondents, 28% had delayed care entry. Diagnostic testing-related characteristics associated with delayed care entry included anonymous and first-time HIV testing. Providers of HIV testing should be aware that those who test positive anonymously and those whose first HIV test is positive may have increased risk for delayed HIV care entry. Developing programs that reinforce timely linkage to HIV care, targeted at those at increased risk for delaying care entry, should be a public health priority.