Earlier HIV diagnosis: are mobile services the answer?
Earlier HIV diagnosis: are mobile services the answer?
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DOI：
10.7196/samj.4162
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发表时间：
2010-10-01
期刊：
影响因子：
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通讯作者：
Bekker, L-G
中科院分区：
文献类型：
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作者：
van Schaik, N;Kranzer, K;Bekker, L-G
目标.评估访问移动的HIV咨询和检测（HCT）的客户与访问基于设施的检测的客户相比的年龄和性别差异，并确定HIV流行率和基线CD 4计数的差异。这是一项对开普敦3个不同HIV检测服务机构的前瞻性观察性横断面研究。我们比较了2008年8月至12月期间从一家移动的检测服务机构（称为Tutu Tester）、一家初级卫生保健诊所和一家地区医院收集的年龄、性别、艾滋病毒感染状况和CD 4计数数据。共对3 820人进行了测试：2 499人在移动的，657人在诊所，664人在医院。不同服务的年龄和性别分布不同，移动的测试更多的男性和老年人。与诊所（18.0%）和医院（23.3%）相比，移动的场所的艾滋病毒感染率最低（5.9%）。在来自移动的服务的艾滋病毒感染者中，75%的人的CD 4计数高于350个细胞/μ l，而在诊所和医院分别为48%和32%。与移动的服务相比，门诊和医院服务的年龄和性别调整后的HIV阳性风险分别高出3.5倍和4.9倍。与基于设施的服务相比，使用移动的服务的人群不同。移动的服务客户更有可能是男性，艾滋病毒阳性的可能性较小，而且那些感染者的发病时间较早。南非医学杂志2010; 100：671-674。
Objectives. To assess the age and gender differences of clients accessing mobile HIV counselling and testing (HCT) compared with clients accessing facility-based testing, and to determine the difference in HIV prevalence and baseline CD4 counts.Methods. This was a prospective observational cross-sectional study of 3 different HIV testing services in Cape Town. We compared data on age, sex, HIV status and CD4 counts collected between August and December 2008 from a mobile testing service (known as the Tutu Tester), a primary health care clinic, and a district hospital.Results. A total of 3 820 individuals were tested: 2 499 at the mobile, 657 at the clinic, and 664 at the hospital. Age and sex distribution differed across services, with the mobile testing more men and older individuals. HIV prevalence was lowest at the mobile (5.9%) compared with the clinic (18.0%) and hospital (23.3%). Of the HIV-infected individuals from the mobile service, 75% had a CD4 count higher than 350 cells/mu l compared with 48% and 32% respectively at the clinic and hospital. Age- and sex-adjusted risk for HIV positivity was 3.5 and 4.9 times higher in the clinic-based and hospital-based services compared with the mobile service.Conclusion. Mobile services are accessed by a different population compared with facility-based services. Mobile service clients were more likely to be male and less likely to be HIV positive, and those infected presented with earlier disease. S Afr Med J 2010; 100: 671-674.