Feasibility and acceptability of rapid HIV testing in jail
Feasibility and acceptability of rapid HIV testing in jail
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DOI：
10.1089/apc.2006.006
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发表时间：
2007-01-01
影响因子：
4.9
通讯作者：
Lally, Michelle A.
中科院分区：
文献类型：
--
作者：
Beckwith, Curt G.;Atunah-Jay, Sarah;Lally, Michelle A.
对于惩教艾滋病毒检测项目，由于许多囚犯的监禁时间较短，提供艾滋病毒检测结果可能很困难。快速艾滋病毒检测能够立即提供检测结果，并可与降低风险咨询一起进行。这项研究的目的是确定在罗德岛惩教部门监狱内进行艾滋病毒快速检测的可行性和可接受性。监狱在押人员被随机要求参与这项研究。这项研究包括：(1)完成一份调查艾滋病毒风险行为、监禁史、艾滋病毒检测史以及对监狱中常规艾滋病毒检测和对伴侣通知服务的态度的问卷；(2)个性化的艾滋病毒风险降低咨询；以及(3)提供检测结果的快速艾滋病毒检测选项。113名囚犯被要求参加，其中100人(88%)参与。在受试者中，监禁的频率很高，受试者感染艾滋病毒的风险很大，但感知到的风险很低。95%的参与者接受了快速艾滋病毒检测。在这些人中，99%的测试结果为阴性，一名受试者的初步结果为阳性。所有受试者都接受了快速检测结果和个性化的降低风险咨询。大多数受试者支持监狱中的常规艾滋病毒检测和伴侣通知服务的概念。在这群监狱被拘留者中，快速艾滋病毒检测是可行的，也是高度可接受的。要成功地将快速艾滋病毒检测纳入监狱艾滋病毒筛查计划，还需要进一步的研究。
For correctional HIV testing programs, delivery of HIV test results can be difficult because of short incarceration times for many inmates. Rapid HIV testing enables immediate delivery of test results and can be performed in conjunction with risk reduction counseling. The objective of this study was to determine the feasibility and acceptability of rapid HIV testing within the Rhode Island Department of Corrections jail. Jail detainees were randomly asked to participate in the study. The study included: ( 1) completing a questionnaire that investigated HIV risk behavior, incarceration history, HIV testing history, and attitudes toward routine HIV testing in jail and toward partner notification services; ( 2) individualized HIV risk reduction counseling; and ( 3) the option of rapid HIV testing with delivery of test results. One hundred thirteen inmates were asked to participate and 100 (88%) participated. Among the subjects, there was a high frequency of incarceration and subjects were at significant risk of HIV infection, yet there was low perceived risk. Ninety-five percent of participants underwent rapid HIV testing. Of those, 99% had negative test results and one subject had a preliminary positive result. All subjects received rapid test results and individualized risk reduction counseling. The majority of subjects supported routine HIV testing in jail and the concept of partner notification services. In this population of jail detainees, rapid HIV testing was feasible and highly acceptable. Further studies are needed to successfully incorporate rapid HIV testing into jail HIV screening programs.