Uptake of provider-initiated HIV testing and counseling among women attending an urban sexually transmitted disease clinic in South Africa - missed opportunities for early diagnosis of HIV infection.
Uptake of provider-initiated HIV testing and counseling among women attending an urban sexually transmitted disease clinic in South Africa - missed opportunities for early diagnosis of HIV infection.
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DOI：
10.1080/09540120903254005
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发表时间：
2010-05
期刊：
影响因子：
1.7
通讯作者：
Karim SS
中科院分区：
文献类型：
--
作者：
Kharsany AB;Karim QA;Karim SS
本研究评估了南非一家城市性传播疾病（STD）诊所的妇女接受提供者发起的艾滋病毒检测和咨询（PITC）的情况。从2005年7月到2006年6月，妇女在诊所等候区接受艾滋病毒和性传播疾病的群体信息和教育后接受了艾滋病毒检测。在接受教育、信息和艾滋病毒检测的人中，感染率为43.5%（2439/5612）。受测者的总体艾滋病毒感染率为56.5%，急性艾滋病毒感染率为1.2%。在56.5%（3173/5612）拒绝检测的人中，拒绝检测的原因是已经做过艾滋病毒检测（61.8%）、害怕检测或感觉没有准备好检测（32.5%）、需要咨询伴侣（0.9%）和拒绝且没有解释（4.2%）。在高风险患者等待卫生保健服务的环境中，例如性病诊所，如果不执行PITC，患者就失去了从艾滋病毒感染咨询、预防、早期诊断和转诊到护理和治疗中受益的机会。
This study assessed the uptake of Provider Initiated HIV Testing and Counseling (PITC) amongst women attending an urban sexually transmitted diseases (STD) clinic in South Africa. From July 2005 to June 2006, women were offered HIV testing following group information and education on HIV and STDs in the clinic waiting area. Of those who were provided with education, information and offered HIV testing, uptake was 43.5% (2439/5612). The overall HIV prevalence among those tested was 56.5% and the prevalence of acute HIV infection was 1.2%. Of the 56.5% (3173/5612) refusing to test, the reasons for not testing were having already been tested for HIV (61.8%), being afraid to test or felt unready to test (32.5%), the need to consult with partner (0.9%) and refusing with no explanation (4.2%). In settings where high risk patients await health care services, such as an STD clinic, failure to implement PITC is a missed opportunity for patients to benefit from counseling, prevention, early diagnosis and referral into care and treatment for HIV infection.
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影响因子：
12.7
作者：
Karim, QA;Karim, SSA;Susser, M
通讯作者：
Susser, M
影响因子：
3.8
作者：
Barnighausen, Till;Tanser, Frank;Newell, Marie-Louise
通讯作者：
Newell, Marie-Louise
DOI：
10.1097/qai.0b013e31814277c8
发表时间：
2007-10-01
影响因子：
3.6
作者：
Bassett, Ingrid V.;Giddy, Janet;Walensky, Rochelle P.
通讯作者：
Walensky, Rochelle P.
影响因子：
3.7
作者：
Mkwanazi, Ntombizodumo B.;Patel, Deven;Bland, R. M.
通讯作者：
Bland, R. M.
影响因子：
3.3
作者：
Karim, Q. A.;Meyer-Weitz, A.;Karim, S. S. A.
通讯作者：
Karim, S. S. A.