Utilizing HIV transmission rates to assist in prioritizing HIV prevention services
Utilizing HIV transmission rates to assist in prioritizing HIV prevention services
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DOI：
10.1258/0956462042563639
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发表时间：
2004-12-01
影响因子：
1.4
通讯作者：
Anderson, T
中科院分区：
文献类型：
--
作者：
Holtgrave, DR;Anderson, T
总体而言，自20世纪90年代初以来，美国每年的艾滋病毒传播率约为4%。在本文中，我们发现，不知道自己的HIV血清状态的人的传播率约为10.79%，而知道自己的HIV血清阳性的人的总体传播率约为1.73%。然而，后一种统计数据可以进一步细分。对于接受艾滋病毒咨询和检测的人，以及这些服务对其有效的人，传播率接近0%。对于没有接受咨询服务和检测的人，或者咨询和检测不足以导致行为改变的人，艾滋病毒传播率大约在2%至4%之间。这些估计的传播率，以及这里审查的原始传播数量和具体的人口规模，表明(在这里提供)一些明确的建议，以优先为艾滋病毒携带者提供艾滋病毒预防服务。
The overall, annual HIV transmission rate in the US has been about 4% since the early 1990s. In this paper, we find that the transmission rate for persons unaware of their HIV serostatus is approximately 10.79%, and for persons aware of their HIV seropositivity is about 1.73% overall. However, the latter statistic can be further disaggregated. For persons who receive HIV counselling and testing, and for whom these services are effective, the transmission rate is near 0%. For persons who do not receive counselling services as well as testing, or for whom counselling and testing is insufficient to induce behavioural change, the HIV transmission rate is between approximately 2% and 4%. These estimated transmission rates, as well as the raw number of transmissions and the specific population sizes examined here, suggest some clear recommendations (provided here) for prioritizing HIV prevention services for persons living with HIV.