HIV testing in adolescents and young adults receiving STI testing in an urban primary care setting

HIV testing in adolescents and young adults receiving STI testing in an urban primary care setting
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DOI:
10.1097/olq.0b013e31816b1f9b
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发表时间:
2008-07-01
影响因子:
3.1
通讯作者:
Trent, Maria
Trent, Maria
中科院分区:
医学4区
文献类型:
--
作者:
Arrington-Sanders, Renata;Ellen, Jonathan;Trent, Maria

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在美国,估计有100万人感染了人类免疫缺陷病毒(HIV),四分之一的人没有意识到自己的感染。1年轻人的新感染率有所上升,美国近一半的新艾滋病毒感染发生在13至24岁的黑人青少年和年轻人中。1-4尽管有证据表明,早期诊断可能具有促进预防的潜在优势,5-8改善免疫恢复,并将HIV感染者与护理联系起来9,但HIV检测一直是一个有争议和困难的领域,难以定义和制定相关指南。2001年,疾病控制和预防中心10(CDC)建议对以下所有人进行艾滋病毒检测:(a)生活在艾滋病毒流行率1%的社区;(B)已知有感染艾滋病毒的危险因素;(c)要求进行艾滋病毒检测。2006年9月,修改了卫生保健机构准则,建议所有13至64岁的人接受艾滋病毒检测。11
IN THE UNITED STATES, an estimated 1 million people are infected with the human immunodeficiency virus (HIV) and onequarter are unaware of their infection. 1 Rates of new infections have increased among young persons with nearly half of all new HIV infections in the US occurring in black adolescents and young adults aged 13 to 24. 1–4Despite evidence that early diagnosis may have potential advantages in promoting prevention, 5–8 improving immune restoration, and linking HIV-infected persons with care9 HIV testing has been a controversial and difficult area to define and produce relevant guidelines. In 2001, the Centers for Disease Control and Prevention10 (CDC) recommended universal HIV testing for all persons who (a) live in communities with an HIV prevalence 1%;(b) have known risk factors for HIV infection; and (c) request HIV testing. In September 2006, the guidelines for health care settings were modified to recommend that all persons aged 13 to 64 years be tested for HIV. 11