HIV testing among young adults and older adolescents in the setting of acute substance abuse treatment.
HIV testing among young adults and older adolescents in the setting of acute substance abuse treatment.
复制标题
在急性药物滥用治疗背景下对年轻人和老年青少年进行艾滋病毒检测。
DOI：
10.1097/00126334-200106010-00007
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
Brown,LK
中科院分区：
文献类型：
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作者：
Pugatch,DL;Levesque,BG;Lally,MA;Reinert,SE;Filippone,WJ;Combs,CM;Flanigan,TP;Brown,LK
目的：为了研究艾滋病毒检测的可行性和接受青年在急性物质滥用treatment.Methods：青年，年龄在18至25岁，在国家资助的住院戒毒完成了保密的人口统计学/危险行为问卷，并提供了一个选择没有测试，血清为基础的测试，或口服液（Orasure，Epitope，Inc.，比弗顿，俄勒冈州，美国）艾滋病毒检测。在多变量模型中，女性（比值比[OR]，0.32; 95%置信区间[CI] 0.14-0.74）和最近接受过测试（OR，0.11; 95% CI，0.05-0.26）与拒绝测试独立相关。最近的性活动（OR，5.4; 95%CI，1.5-20.4），最近使用甲基苯丙胺（速度）或可卡因和海洛因的组合（速度球）（OR，3.8; 95%CI，1.6-9.0），以及最近感知的艾滋病毒风险（OR，4.6; 95%CI，1.9-10.9）与测试接受度独立相关。因此，150人中有150人（100%）选择了Orasure测试。总体而言，64.6%（97 150）的测试收到了他们的结果，但参与者需要一个后续的预约学习测试结果，只有9.2%（8 87）return.Conclusions：艾滋病毒检测是可行的，在这个人群中是可以接受的。所有患者首选Orasure检测血清酶联免疫吸附试验（ELISA）。大多数接受戒毒测试的青年只有在治疗期间才能了解结果。快速艾滋病毒检测与同一天的结果可以提高后续率。
Objectives:To examine the feasibility and acceptance of HIV testing among youth in acute substance abuse treatment.Methods:Youth, aged 18 to 25 years old, in state-funded inpatient detoxification completed a confidential demographic/risk behavior questionnaire, and were offered a choice of no testing, serum-based testing, or oral fluid (Orasure, Epitope, Inc., Beaverton, OR, USA) HIV testing.Results:In all, 74% of 204 participants accepted HIV testing. In a multivariate model, female gender (odds ratio [OR], 0.32; 95% confidence interval [CI] 0.14-0.74) and having been recently tested (OR, 0.11; 95% CI, 0.05-0.26) were independently associated with refusing testing. Recent sexual activity (OR, 5.4; 95% CI, 1.5-20.4), recent use of methamphetamines (speed) or a combination of cocaine and heroin (speedball)(OR, 3.8; 95% CI, 1.6-9.0), and a recent perceived risk for HIV (OR, 4.6; 95% CI, 1.9-10.9) were independently associated with test acceptance. Thus, 150 of 150 (100%) chose the Orasure test. Overall, 64.6%(97 of 150) of those tested received their results, but among participants requiring a follow-up appointment to learn test results, only 9.2%(8 of 87) returned.Conclusions:HIV testing is feasible and acceptable in this population. All patients preferred Orasure testing to a serum enzyme-linked immunosorbent assay (ELISA). Most youth tested in detoxification will only learn their results if they are provided during treatment. Rapid HIV testing with same-day results could improve follow-up rates.