HIV risk behaviors in sub-Saharan Africa and Northern Thailand: baseline behavioral data from Project Accept.
HIV risk behaviors in sub-Saharan Africa and Northern Thailand: baseline behavioral data from Project Accept.
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DOI：
10.1097/qai.0b013e3181893ed0
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发表时间：
2008-11-01
期刊：
影响因子：
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通讯作者：
NIMH Project Accept Study Team (HPTN 043)
中科院分区：
文献类型：
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作者：
Genberg BL;Kulich M;Kawichai S;Modiba P;Chingono A;Kilonzo GP;Richter L;Pettifor A;Sweat M;Celentano DD;NIMH Project Accept Study Team (HPTN 043)
2007年，全世界有250万新的艾滋病毒感染者，其中大多数发生在撒哈拉以南非洲和东南亚。我们目前的基线数据艾滋病毒的危险行为和艾滋病毒检测在撒哈拉以南非洲和北方泰国接受项目，社区随机对照试验的社区动员，移动的自愿咨询和检测（VCT），和测试后的支持服务。对18-32岁的个人进行随机住户概率抽样，得到14 657个样本，五个地点（泰国、津巴布韦、坦桑尼亚和南非两个）的答复率为84-94%。个人完成了一个访谈管理的人口统计学特征，艾滋病毒的危险行为和VCT的历史调查。在多因素分析中，女性、已婚、教育程度低、过去6个月内只有一个性伴侣的人更有可能在过去6个月内进行无保护性行为。终生艾滋病毒检测率从津巴布韦男性的5.4%到索韦托女性的52.6%不等。尽管开展了20年的预防工作，但“接受项目”社区仍存在感染艾滋病毒的重大风险。最近的艾滋病毒检测水平较低，这表明通过提供自愿咨询和检测服务提高对艾滋病毒状况的认识可能会减少艾滋病毒的传播。
Of 2.5 million new HIV infections worldwide in 2007, most occurred in Sub-Saharan Africa and Southeast Asia. We present the baseline data on HIV risk behaviors and HIV testing in Sub-Saharan Africa and northern Thailand from Project Accept, a community-randomized controlled trial of community mobilization, mobile voluntary counseling and testing (VCT), and post-test support services. A random household probability sample of individuals aged 18–32 years yielded a sample of 14,657 with response rates ranging from 84–94% across the five sites (Thailand, Zimbabwe, Tanzania and two in South Africa). Individuals completed an interviewer-administered survey on demographic characteristics, HIV risk behaviors and history of VCT. In multivariate analysis, females, married individuals, less educated with one sexual partner in the past 6 months were more likely to have had unprotected intercourse in the previous 6 months. Rates of lifetime HIV testing ranged from 5.4% among males in Zimbabwe to 52.6% among females in Soweto. Significant risk of HIV acquisition in Project Accept communities exists despite two decades of prevention efforts. Low levels of recent HIV testing suggest that increasing awareness of HIV status through accessible VCT services may reduce HIV transmission.