A randomized trial on acceptability of voluntary HIV counselling and testing
A randomized trial on acceptability of voluntary HIV counselling and testing
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DOI：
10.1111/j.1365-3156.2004.01231.x
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发表时间：
2004-05-01
影响因子：
3.3
通讯作者：
Siziya, S
中科院分区：
文献类型：
--
作者：
Fylkesnes, K;Siziya, S
目的 研究影响自愿艾滋病毒咨询和检测 (VCT) 准备度和可接受性的因素。方法 1996 年在赞比亚城市人口中进行的一项基于人口的艾滋病毒调查的参与者接受了 VCT。尽管其中 29% 的人表示有兴趣接受测试（准备情况），但只有 4% 的人使用了这些服务（即可接受性）。三年后再次进行调查时，VCT 的设计有所不同，以评估可接受性。在集群层面，参与者被随机分配到当地诊所（类似于 1996 年，n = 1102）或可选地点（n = 1343）进行 VCT。 结果 准备情况因年龄组而异（20-24 岁年龄组为 47%，40-49 岁年龄组为 18%）。在与准备度相关的主要因素方面，年轻群体（15-24 岁）和老年群体（2549 岁）之间存在差异。在年轻人中，自我感知的艾滋病毒感染风险是唯一重要因素，而在老年人中，自评健康状况不佳和曾经接受过艾滋病毒检测则是重要因素。在当地诊所分配到 VCT 的组中，接受度为 11.8%，而分配到可选地点的组的接受度为 55.8%（RR，4.7）。结论 HIV 感染感知风险对年轻人的 VCT 准备程度有重大影响，而自评健康状况表明，总体健康状况下降在老年人中最为明显。事实证明，安置对 VCT 的可接受性有很大影响，表明这一障碍对于解释过去对 VCT 的低需求很重要。两个地点对如何处理机密性的看法差异可能是一个重要的潜在因素。
OBJECTIVES To examine factors affecting readiness for and acceptability of voluntary HIV counselling and testing (VCT).METHODS Participants in a population-based HIV survey conducted in an urban population in Zambia in 1996 were offered VCT. Although 29% of them expressed interest in being tested (readiness), only 4% of this group used the services (i.e. acceptability). When the survey was repeated 3 years later, VCT was designed differently to assess acceptability. At the cluster level the participants were randomly allocated to VCT either at the local clinic (similar to 1996, n = 1102) or at an optional location (n = 1343).RESULTS Readiness varied significantly by age group (47% in age group 20-24 years vs. 18% in age group 40-49 years). There were contrasts between young (15-24 years) and older age groups (2549 years) regarding the main factors associated with readiness. Whereas self-perceived risk of being HIV infected was the only significant factor among the young, poor self-rated health and ever HIV tested were important factors among the older. The acceptability was 11.8% among the group allocated to VCT at the local clinic compared with 55.8% for the group allocated to an optional location (RR, 4.7).CONCLUSIONS Perceived risk of HIV infection had a major influence on VCT readiness among young people, whereas declining general health status, as indicated by self-rated health, was most evident among those of older age. A strong effect of placement on acceptability of VCT was demonstrated, indicating this barrier to be important in explaining low demands for VCT in the past. Differences in perceptions of how confidentiality is handled at the two locations might be an important underlying factor.