Correlates of having never been HIV tested among entrants to substance abuse treatment clinics: empiric findings from real-world New England settings.

Correlates of having never been HIV tested among entrants to substance abuse treatment clinics: empiric findings from real-world New England settings.
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DOI:
10.1080/02791072.2014.915363
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发表时间:
2014-07
影响因子:
2.8
通讯作者:
Petry NM
Petry NM
中科院分区:
医学4区
文献类型:
--
作者:
Chadwick JJ;Andrade LF;Altice FL;Petry NM

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常规检测是识别艾滋病毒的基石,但并不是所有接受药物滥用治疗的患者都进行了检测。这项研究是对开始药物滥用治疗的患者中从未接受过艾滋病毒检测的预测因素的真实评估。来自新英格兰六家诊所的参与者(N=614)被问及是否接受过艾滋病毒检测。85名患者(13.8%)报告从未接受过测试,并与接受过测试的患者进行了比较。临床、男性(调整后优势比(AOR)=1.91,95%可信区间(CI)=1.07~3.41)、工作较少(AOR=0.31;95%CI=0.11~0.88)和医疗问题(AOR=0.40,95%CI=0.17~0.99)与从未做过HIV检测独立相关。因此,仍有相当大的空间改进检测策略,因为临床上有重要意义的少数药物滥用患者在开始治疗时从未接受过艾滋病毒检测。
Routine testing is the cornerstone to identifying HIV, but not all substance abuse treatment patients have been tested. This study is a real-world evaluation of predictors of having never been HIV tested among patients initiating substance abuse treatment. Participants (N=614) from six New England clinics were asked whether they had ever been HIV tested. Eighty-five patients (13.8%) reported having never been tested and were compared to those who had undergone testing. Clinic, male gender (adjusted odds ratio (AOR)=1.91, 95% confidence interval (CI)=1.07-3.41) and having fewer employment (AOR=0.31; 95% CI=0.11-0.88) and medical problems (AOR=0.40, 95% CI=0.17-0.99) were independently correlated with having never been HIV tested. Thus, there is still considerable room for improved testing strategies as a clinically significant minority of substance abuse patients have never undergone HIV testing when they initiate treatment.