Levels of HIV testing and low validity of self-reported test results among alcoholics and drug users.
Levels of HIV testing and low validity of self-reported test results among alcoholics and drug users.
复制标题
酗酒者和吸毒者的艾滋病毒检测水平和自我报告检测结果的有效性较低。
DOI：
10.1097/00002030-199408000-00018
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Hulley,SB
中科院分区：
文献类型：
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作者：
Lindan,CP;Avins,AL;Woods,WJ;Hudes,ES;Clark,W;Hulley,SB
Objectives：To evaluate HIV testing behavior，validity of self-reported serostatus，and intention to test among alcoholics and drug users entering treatment.Design：Longitudinal coholic study.Methods：A total of 952 clients voluntary entering three outpatient and two injury public alcohol treatment centers in San弗朗西斯科朗西斯科.其中76%是男性，50%是黑人，81%在过去一年中既酗酒又吸毒，43%注射毒品，9%的男性是同性恋。受试者完成了一个采访者管理的问卷调查和盲联HIV抗体检测在进入和1年后（81%的后续）。结果：百分之五十七的受试者报告说，他们以前寻求HIV检测。与艾滋病毒检测相关的因素包括同性恋接触、注射毒品、有接受过检测的伴侣以及使用避孕套。西班牙裔是所有种族群体中报告检测的可能性最小的。在60名艾滋病毒抗体受试者中，47名（78%）表示他们已经接受了检测;然而，19名（40%）不准确地报告了他们的血清状态为阴性，另有4名（9%）没有收集他们的检测结果。黑人比其他群体更有可能误报或不知道自己的艾滋病毒状况。68%的人表示计划在接下来的一年内接受检测，其中只有一半人这样做了。五（42%）的12个HIV阳性的个人谁不知道，或误报他们的血清状态在基线，并寻求另一个HIV检测在后续的一年继续报告自己为uninfected.Conclusions：一个很大比例的客户参加公共酒精治疗中心报告已被HIV检测，远远大于在其他人群中观察到的。然而，误报艾滋病毒检测结果在血清阳性受试者中非常常见。针对这一高危人群的酒精和药物治疗计划应包括干预措施，以优化艾滋病毒检测的预防和治疗，并提高对检测结果的理解。
Objectives:To evaluate HIV testing behavior, validity of self-reported serostatus, and intention to test among alcoholics and drug users entering treatment.Design:Longitudinal cohort study.Methods:A total of 952 clients voluntarily entering three outpatient and two inpatient public alcohol treatment centers in San Francisco were enrolled. Seventy-six per cent were men, 50% black, 81% had used both alcohol and drugs during the last year, 43% had injected drugs and 9% of the men were homosexual. Subjects completed an interviewer-administered questionnaire and blindly-linked HIV-antibody test at entry and after 1 year (81% follow-up).Results:Fifty-seven per cent of subjects reported that they had previously sought HIV testing. Factors associated with HIV testing included homosexual contact, injecting drug use, having a partner who had been tested, and using condoms. Hispanics were the least likely of all ethnic groups to report testing. Of 60 subjects with HIV antibodies, 47 (78%) said they had already been tested; however, 19 (40%) inaccurately reported that their serostatus was negative and another four (9%) had not collected their test results. Blacks were much more likely than other groups to misreport or be unaware of their HIV status. Only half of the 68% who said they planned to be tested during the following year did so. Five (42%) out of 12 HIV-positive individuals who were unaware of, or misreported their serostatus at baseline, and who sought another HIV test during the follow-up year continued to report themselves as uninfected.Conclusions:A large proportion of clients attending public alcohol treatment centers report having been HIV tested, much greater than that observed in other populations. However, misreporting of HIV test results was very common among seropositive subjects. Alcohol and drug treatment programs for this high-risk population should include interventions to optimize use of HIV testing for prevention and treatment, and improve understanding of test results.