HIV testing among financially disadvantaged women diagnosed with cervical cancer.
HIV testing among financially disadvantaged women diagnosed with cervical cancer.
复制标题
对诊断为宫颈癌的经济困难妇女进行艾滋病毒检测。
DOI：
10.1089/jwh.2014.4895
复制
发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Glover,SaundraH
中科院分区：
文献类型：
--
作者：
Wigfall,LisaT;Brandt,HeatherM;Kirby,Heather;Iyer,Medha;Levkoff,SueE;Glover,SaundraH
2010年底美国的艾滋病毒感染情况。1 65岁以上成年人的艾滋病毒感染率从2008年的68.3/10万上升到2010年的85.7/10万，上升了26%。1中老年人中艾滋病毒感染率上升的主要原因是，抗逆转录病毒治疗增加了艾滋病毒感染者的寿命和生活质量。2这意味着，在30多岁和40多岁感染艾滋病毒的中年人很有可能成为感染艾滋病毒/艾滋病(AIDS)的50岁以上的成年人。这种现象被称为艾滋病毒/艾滋病流行的灰色。3尽管疾病预防控制中心(CDC)S修订了对13-年龄段的所有成年人进行艾滋病毒常规检测的建议，4不成比例的是，50岁以上的成年人将被诊断为艾滋病毒感染较晚(即，在首次艾滋病毒阳性诊断后一年内被诊断为艾滋病)。这是不幸的，因为及时获得艾滋病毒护理和治疗的成年人能够在其艾滋病毒感染进展为艾滋病之前存活许多年。Duffus及其同事在他们的文章《女性中的艾滋病毒检测：错失的机会》[J Women Health(Larchmt)2012；21：170-178]中报告称，与年轻女性相比，44岁的女性在疾病进程后期被诊断为艾滋病毒感染的可能性显著增加7倍(调整后的优势比7.85，95%可信区间4.49-13.7)。5.
(HIV) infection in the United States at the end of 2010. 1 The prevalence of HIV infection among adults 65+ years old increased 26% from 68.3 per 100,000 in 2008 to 85.7 per 100,000 in 2010. 1 Increased prevalence of HIV infection among middle-aged and older adults is largely attributed to the fact that antiretroviral therapy has increased the number of years and quality of life of persons living with HIV infection. 2 That means that there is a good likelihood that middle-aged adults who acquired HIV infection in their 30s and 40s will become adults 50+ years old living with HIV/AIDS (AIDS). This phenomenon is referred to as the ‘‘graying of the HIV/AIDS epidemic.’’3Despite the Centers for Disease Control and Prevention (CDC)’s revised recommendations for routine HIV testing among all adults 13–64 years old, 4 a disproportionate number of adults 50+ years old will be diagnosed with HIV infection late (ie, being diagnosed with AIDS within one year of an initial HIV-positive diagnosis). This is unfortunate because adults who receive timely access to HIV care and treatment are able to live many years before their HIV infection progresses to AIDS. Duffus and colleagues reported in their article ‘‘HIV testing in women: Missed opportunities’’[J Womens Health (Larchmt) 2012; 21: 170–178] that women> 44 years old were seven times significantly more likely to be diagnosed with HIV infection late in the disease process compared with their younger counterparts (adjusted odds ratio 7.85, 95% confidence interval 4.49–13.7). 5