HIV voluntary counseling and testing and HIV incidence in male injecting drug users in northern Thailand evidence of an urgent need for HIV prevention
HIV voluntary counseling and testing and HIV incidence in male injecting drug users in northern Thailand evidence of an urgent need for HIV prevention
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DOI：
10.1097/01.qai.0000179431.42284.3e
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发表时间：
2006-02-01
影响因子：
3.6
通讯作者：
Jittiwutikarn, J
中科院分区：
文献类型：
--
作者：
Kawichai, S;Celentano, DD;Jittiwutikarn, J
自1992年以来，泰国所有政府医院都提供艾滋病毒自愿咨询和检测，这是艾滋病毒预防和护理的一项重要战略。我们评估了与艾滋病毒检测相关的因素，它的吸收，艾滋病毒检测后的艾滋病毒感染率估计泰国北方男性注射吸毒者（IDUs）住院药物治疗。在提供VCT作为研究的一部分之前，对参与者进行了有关风险行为和HIV检测史的采访。在参与的825名注射吸毒者中，36%报告先前进行过艾滋病毒检测。多元logistic回归分析中与既往HIV检测相关的因素包括高等教育和终生性伴侣> 1。共用针头与先前的艾滋病毒检测无关。在298名既往接受过HIV检测的男性中，80%的人在上次HIV检测中报告阴性结果，其中28%在我们的研究中检测为阳性，估计发病率为每100人年10.2例。在报告曾接受过艾滋病毒检测的注射吸毒者中，59%的人说他们没有接受过检测前和/或检测后咨询。尽管有自愿咨询和检测，注射吸毒者中的艾滋病毒感染率仍然很高。该区域迫切需要扩大针对注射吸毒者的艾滋病毒预防和减少危害方案。
HIV voluntary counseling and testing (VCT), an important strategy for HIV prevention and care, has been available in all government hospitals in Thailand since 1992. We assessed factors associated with HIV testing, its uptake, and estimates of HIV incidence after HIV testing among male northern Thai injecting drug users (IDUs) admitted for inpatient drug treatment. Participants were interviewed about risk behaviors and HIV testing history before VCT was provided as part of the study. Of 825 IDUs who participated, 36% reported a prior HIV test. Factors associated with prior HIV testing in multiple logistic regression analysis included higher education and having > 1 lifetime sex partner. Needle sharing was not associated with prior HIV testing. Of the 298 men with a prior test, 80% reported a negative result, on their last prior HIV test, of whom 28% tested positive in our study, leading to an estimated incidence rate of 10.2 per 100 person-years. Fifty-nine percent of the IDUs who reported a prior HIV test stated that they did not receive pre- and/or posttest counseling. HIV incidence among IDUs remains high despite having VCT. Extending HIV prevention and harm reduction programs is urgently needed for IDUs in the region.