A Comparison of Home-Based Versus Outreach Event-Based Community HIV Testing in Ugandan Fisherfolk Communities
A Comparison of Home-Based Versus Outreach Event-Based Community HIV Testing in Ugandan Fisherfolk Communities
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DOI：
10.1007/s10461-016-1629-x
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发表时间：
2017-02-01
影响因子：
4.4
通讯作者：
Wanyenze, Rhoda K.
中科院分区：
文献类型：
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作者：
Bogart, Laura M.;Wagner, Glenn J.;Wanyenze, Rhoda K.
我们比较了乌干达维多利亚湖的两种社区艾滋病病毒检测模式。2015年5月至7月，一个岛上的1364名土著居民接受了家庭检测（822人接受了检测），另一个岛上的344名土著居民在8次社区动员活动（基于外联活动的检测）中接受了检测。在207名被确定为艾滋病毒阳性的家庭检测客户（占居民的15%）中，82人是新诊断的，其中31人（38%）在3个月内与护理有关。在41名在基于事件的测试中筛选出阳性的人（占测试人数的12%）中，33名是新诊断的，其中24名（75%）与3个月内的护理有关。家庭测试（45.09美元）和基于事件的测试（46.99美元）的人均测试成本相似。与基于事件的检测相比，基于家庭的检测发现了更多的新艾滋病毒病例，但与护理的联系较低。需要新的以社区为基础的测试和治疗计划，以确保及时联系到照顾新诊断的残疾人。
We compared two community-based HIV testing models among fisherfolk in Lake Victoria, Uganda. From May to July 2015, 1364 fisherfolk residents of one island were offered (and 822 received) home-based testing, and 344 fisherfolk on another island were offered testing during eight community mobilization events (outreach event-based testing). Of 207 home-based testing clients identified as HIV-positive (15% of residents), 82 were newly diagnosed, of whom 31 (38%) linked to care within 3 months. Of 41 who screened positive during event-based testing (12% of those tested), 33 were newly diagnosed, of whom 24 (75%) linked to care within 3 months. Testing costs per capita were similar for home-based ($45.09) and event-based testing ($46.99). Compared to event-based testing, home-based testing uncovered a higher number of new HIV cases but was associated with lower linkage to care. Novel community-based test-and-treat programs are needed to ensure timely linkage to care for newly diagnosed fisherfolk.