Results from a Multiple Morbidities Testing Program Offering Rapid HIV Testing Bundled with Hepatitis and Sexually Transmitted Infection Testing
Results from a Multiple Morbidities Testing Program Offering Rapid HIV Testing Bundled with Hepatitis and Sexually Transmitted Infection Testing
复制标题
DOI：
10.1177/00333549081230s308
复制
发表时间：
2008-11-01
影响因子：
3.3
通讯作者：
Brooks, Ryan
中科院分区：
文献类型：
--
作者：
Reynolds, Grace L.;Fisher, Dennis G.;Brooks, Ryan
目标.将人类免疫缺陷病毒（HIV）检测与其他传染病（如丙型肝炎、梅毒或淋病）检测捆绑在一起，已被提议作为招募高危人群进行HIV检测的方法。本研究的目的是确定（1）与肝炎和性传播感染（STI）检测捆绑在一起时选择快速与标准HIV检测的高危客户类型，以及（2）接受快速HIV检测的客户是否更有可能按时返回以获得肝炎和STI检测结果。我们从2005年1月至2007年11月招募了来自药物治疗项目、美沙酮维持项目、针头交换项目、一个为同性恋社区服务的社区机构以及加州州立大学（长滩）行为研究和服务中心办公室测试机构的个人。2005年1月至2007年11月，在加州的长滩进行了一项多发病率测试计划，共对2,031名客户进行了测试。对于接受肝炎和性传播感染检测的客户，大多数人选择了标准的艾滋病毒检测。接受艾滋病毒快速检测的客户比接受标准艾滋病毒检测的客户返回的天数少得多。注射吸毒者和性交易者更有可能选择标准的HIV检测，更有可能无法按时返回检测结果。艾滋病毒快速检测与肝炎和性传播感染检测相结合，使客户更有可能按时返回医院检查肝炎和性传播感染结果。公共卫生工作的重点应是通过快速艾滋病毒检测为高风险客户提供服务。
Objectives. Bundling human immunodeficiency virus (HIV) testing with tests for other infectious diseases such as hepatitis C, syphilis, or gonorrhea has been proposed as a method to recruit at-risk individuals into HIV testing. The objectives of this study were to determine (1) the types of at-risk clients who choose the rapid vs. standard HIV test when bundled with hepatitis and sexually transmitted infection (STI) tests, and (2) whether clients receiving a rapid HIV test are more likely to return on time for hepatitis and STI test results.Methods. We recruited individuals from drug treatment programs, methadone maintenance programs, needle-exchange programs, a community-based agency serving the gay and lesbian community, and the Center for Behavioral Research and Services' office-based testing facility at California State University, Long Beach from January 2005 through November 2007.Results. A total of 2,031 clients from a multiple morbidities testing program in Long Beach, California, were tested between January 2005 and November 2007. For clients receiving hepatitis and STI testing, the majority chose the standard HIV test. Clients who received a rapid HIV test returned in significantly fewer days than clients who received a standard HIV test. Injection drug users and sex traders were more likely to choose the standard HIV test and more likely to fail to return for test results on time.Conclusion. The rapid HIV test, in conjunction with hepatitis and STI tests, results in clients being more likely to return on time for hepatitis and STI results. Public health efforts should focus on acquainting high-risk clients with rapid HIV testing.