Predictors of chlamydia or gonorrhea among people with HIV in Miami-Dade County Ryan White Program in 2017.
Predictors of chlamydia or gonorrhea among people with HIV in Miami-Dade County Ryan White Program in 2017.
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DOI：
10.1080/09540121.2021.1883510
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发表时间：
2022-05
期刊：
影响因子：
1.7
通讯作者：
Trepka MJ
中科院分区：
文献类型：
--
作者：
Gebrezgi MT;Fennie KP;Sheehan DM;Ibrahimou B;Jones SG;Brock P;Ladner RA;Trepka MJ
本研究的目的是评估佛罗里达州迈阿密-戴德县Ryan White项目A部分（RWP）中HIV感染者（PHIV）衣原体或淋病的患病率以及与诊断相关的因素。我们使用2017日历年的数据，使用逻辑回归来确定与衣原体或淋病诊断相关的因素。在2017年接受Ryan White积极护理的7110名年龄≥18岁的hiv患者中，约有50%的人报告接受了衣原体或淋病筛查。在接受筛查的人群中，2.3%报告被诊断出衣原体、淋病或两者兼而有之。在校正模型中，与≥40岁的PHIV相比，18-24岁和25-39岁的PHIV的诊断几率更高（校正比值比[aOR] 4.29； 95%可信区间[CI]: 1.73 ~ 10.63， aOR为4.58;95% CI: 2.62 ~ 7.99）。那些在过去12个月内有多个性伴侣的人报告了更高的诊断几率(aOR 1.67; （95% CI; 1.04-2.69）。相对于疾病预防控制中心的指导方针，衣原体或淋病的筛查率很低。需要采取干预措施以提高筛查率，并强烈建议在18-39岁的人群和有多个性伴侣的人群中采用有针对性的行为风险降低技术。
The purpose of this study was to assess the prevalence of chlamydia or gonorrhea and factors associated with the diagnoses among people with HIV (PHIV) in the Ryan White Program Part A (RWP) in Miami-Dade County, Florida. We used 2017 calendar year data to identify factors associated with a chlamydia or gonorrhea diagnoses using logistic regression. About 50% of the 7110 PHIV who were ≥18 years old in active Ryan White care in 2017 reported being screened for chlamydia or gonorrhea. Of those screened, 2.3% reported diagnoses of chlamydia, gonorrhea or both. In the adjusted model, compared to PHIV ≥40 years-old, PHIV aged 18–24 and 25–39 years reported higher odds of diagnoses (adjusted odds ratio [aOR] 4.29; 95% confidence interval [CI]: 1.73–10.63 and aOR 4.58; 95% CI; 2.62–7.99 respectively). Those with multiple sexual partners in the last 12 months reported higher odds of diagnoses (aOR 1.67; (95% CI; 1.04–2.69). Screening rates for chlamydia or gonorrhea are low, relative to CDC guidelines. Interventions are needed to increase rates of screening and targeted behavioral risk reduction techniques are highly recommended among those 18–39 years of age and those who have multiple sexual partners.
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影响因子：
3.1
作者：
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影响因子：
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通讯作者：
Crum-Cianflone NF
影响因子：
3.6
作者：
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通讯作者：
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