High acceptance of home-based HIV counseling and testing in an urban community setting in Uganda.
High acceptance of home-based HIV counseling and testing in an urban community setting in Uganda.
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在乌干达的城市社区环境中，高度接受家庭艾滋病毒咨询和测试。
DOI：
10.1186/1471-2458-11-730
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发表时间：
2011-09-26
影响因子：
4.5
通讯作者：
Whalen CC
中科院分区：
文献类型：
--
作者：
Sekandi JN;Sempeera H;List J;Mugerwa MA;Asiimwe S;Yin X;Whalen CC
艾滋病毒检测是预防的关键组成部分，也是艾滋病毒/艾滋病治疗和护理的切入点，但乌干达的检测覆盖率和获得率仍然很低。家庭艾滋病毒咨询和检测 (HBHCT) 有可能增加未知艾滋病毒/艾滋病疾病的获取和早期识别。本研究调查了城市环境中家庭 HIV 咨询和检测 (HBHCT) 的接受程度、HIV 血清流行率以及与 HBHCT 接受程度相关的因素。 2009 年 1 月至 6 月，在坎帕拉鲁巴加区进行了一项横断面挨家调查。对 15 岁以上的居民进行了访谈，并由经过培训的护士顾问根据国家标准指南进行了艾滋病毒检测。接受 HBHCT 的定义是同意、接受 HIV 检测并收到家访期间提供的结果。进行多变量逻辑回归分析以确定与接受 HBHCT 相关的重要因素。我们招募了 588 名参与者，其中 408 名（69%，95% CI：66%-73%）接受了测试。调整混杂因素后，男性（调整 OR 1.65；95% CI 1.03, 2.73），年龄 25-34 岁（调整 OR 0.63；95% CI 0.40, 0.94）且≥35 岁（调整 OR 0.30；95% CI 0.17, 0.56），以前已婚（调整 OR 3.22；95%CI 1.49，6.98）和既往 HIV 检测（调整 OR 0.50；95%CI 0.30，0.74）与 HBHCT 接受显着相关。在 408 名接受检测的人中，发现了 30 名（7.4%，95% CI：4.8%- 9.9%）以前未知的 HIV 阳性个体，并与 HIV 护理相关。在这个城市环境中，家庭咨询和测试的接受度相对较高。该策略为社区中以前未经检测和未知的艾滋病毒感染者提供了艾滋病毒检测的机会。在乌干达城市环境中设计家庭艾滋病毒检测项目时，年龄、性别、婚姻状况和既往艾滋病毒检测史是可以考虑的重要因素。
HIV testing is a key component of prevention and an entry point into HIV/AIDS treatment and care however, coverage and access to testing remains low in Uganda. Home-Based HIV Counseling and Testing (HBHCT) has potential to increase access and early identification of unknown HIV/AIDS disease. This study investigated the level of acceptance of Home-Based HIV Counseling and Testing (HBHCT), the HIV sero-prevalence and the factors associated with acceptance of HBHCT in an urban setting. A cross-sectional house-to-house survey was conducted in Rubaga division of Kampala from January-June 2009. Residents aged ≥ 15 years were interviewed and tested for HIV by trained nurse-counselors using the national standard guidelines. Acceptance of HBHCT was defined as consenting, taking the HIV test and receipt of results offered during the home visit. Multivariable logistic regression analysis was performed to determine significant factors associated with acceptance of HBHCT. We enrolled 588 participants, 408 (69%, 95% CI: 66%-73%) accepted testing. After adjusting for confounding, being male (adj. OR 1.65; 95%CI 1.03, 2.73), age 25-34 (adj. OR 0.63; 95% CI 0.40, 0.94) and ≥35 years (adj. OR 0.30; 95%CI 0.17, 0.56), being previously married (adj. OR 3.22; 95%CI 1.49, 6.98) and previous HIV testing (adj. OR 0.50; 95%CI 0.30, 0.74) were significantly associated with HBHCT acceptance. Of 408 who took the test, 30 (7.4%, 95% CI: 4.8%- 9.9%) previously unknown HIV positive individuals were identified and linked to HIV care. Acceptance of home-based counseling and testing was relatively high in this urban setting. This strategy provided access to HIV testing for previously untested and unknown HIV-infected individuals in the community. Age, sex, marital status and previous HIV test history are important factors that may be considered when designing programs for home-based HIV testing in urban settings in Uganda.
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影响因子：
3.8
作者：
Bunnell, Rebecca;Opio, Alex;Mermin, Jonathan
通讯作者：
Mermin, Jonathan
影响因子：
4.9
作者：
Tumwesigye, Elioda;Wana, Goodwill;Nuwaha, Fred
通讯作者：
Nuwaha, Fred
影响因子：
3.3
作者：
Matovu, Joseph K. B.;Makumbi, Fredrick E.
通讯作者：
Makumbi, Fredrick E.
影响因子：
3.6
作者：
Obare F;Fleming P;Anglewicz P;Thornton R;Martinson F;Kapatuka A;Poulin M;Watkins S;Kohler HP
通讯作者：
Kohler HP
影响因子：
6.8
作者：
AKAIKE, H
通讯作者：
AKAIKE, H