2023年Debre Markos镇高负荷卫生机构成人HIV指数病例早期指标病例检测数量及相关因素

IF 1.8 Q4 INFECTIOUS DISEASES
AIDS Research and Treatment Pub Date : 2025-06-27 eCollection Date: 2025-01-01 DOI:10.1155/arat/8237131
Dessie Tarekegn, Samuel Derbie Habtegiorgis, Animut Takele Telayneh, Kalkidan Worku Mitiku, Adane Adugna, Dawit Alemayehu, Muluken Teshome
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引用次数: 0

摘要

导言:对指示病例的伴侣或家庭进行早期人类免疫缺陷病毒(HIV)检测是一种创新类型的检测,使用合同转诊方法在接触引发后14天内进行。在这段时间内进行检测非常重要,因为这有助于及早发现接触者并及时为其登记进行干预。在大多数保健设施中,没有实行合同办法;通过实施这种早期索引病例检测,大多数接触者可得到早期检测,并可防止他们与艾滋病毒相关的死亡。目的:本研究旨在评估德布雷马科斯镇高病例负荷卫生机构成人艾滋病毒指数病例早期指标病例检测的规模及其相关因素。方法:对2018年12月1日至2022年8月30日开始抗逆转录病毒治疗的成人指标病例进行基于机构的横断面研究。采用系统随机抽样的方法,采用2023年1月23日至2023年2月28日病案号,抽取384份指标病例图。使用结构化检查表收集数据后,将数据输入EpiData Version 4.6,然后导出到SPSS Version 25进行数据清理、编码、分类和进一步分析。采用Hosmer-Lemeshow检验拟合优度。采用双变量和多变量logistic回归分析对指标病例家庭进行早期检测,以确定显著因素。最后,在多变量逻辑回归中,p值< 0.05且CI为95%的变量被认为是显著因素。结果:本研究中,成人指数患者早期指数病例检测幅度为28.6% (95% CI: 27.17% ~ 30.0%)。女性(AOR = 1.89, 95% CI(1.17-3.06))、城市居民指标病例(AOR = 1.88, 95% CI(1.16-3.03))和信息披露状态(AOR = 2.34, 95% CI(1.40-3.92))与早期指标病例检测显著相关。结论:本研究调查了德布雷马科斯镇成年患者早期指标HIV检测的流行情况及影响因素。通过确定性别、居住地和信息披露状况等关键决定因素,它为如何加强早期检测以减少传播和改善健康结果提供了宝贵的见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Magnitude and Associated Factors of Early Index Case Testing Among Adult HIV Index Cases at Debre Markos Town High Load Health Facilities 2023.

The Magnitude and Associated Factors of Early Index Case Testing Among Adult HIV Index Cases at Debre Markos Town High Load Health Facilities 2023.

Introduction: Early human immunodeficiency virus (HIV) testing of partners or families of the index case is an innovative type of testing which is performed within 14 days after contact elicitation using a contractual referral approach. Testing within this time is very important because it helps to identify contacts early and enroll them for intervention timely. In most health facilities, the contractual approach was not practiced; by implementing this early index case testing, most contacts could be tested early and it could prevent them from HIV-related death. Objective: This study aimed to assess the magnitude and associated factors of early index case testing among adult HIV index cases in Debre Markos town high case load health facilities. Methods: Institution-based cross-sectional study was conducted on adult index cases who started antiretroviral therapy from December 1/2018 to August 30/2022. A total of 384 index case charts were selected by the systematic random sampling technique using their medical record number from January 23/2023 up to February 28/2023. After the data were collected using a structured checklist, they were entered into EpiData Version 4.6 and then exported to SPSS software Version 25 for data cleaning, coding, categorizing, and further analysis. The Hosmer-Lemeshow test goodness of fit was checked for model fitness. Both bivariable and multivariable logistic regression analyses were used to identify significant factors with early testing of index cases' families. Finally, variables having pvalue < 0.05 with 95% CI in the multivariable logistic regression are considered as significant factors. Result: In this study, the magnitude of early index case testing among adult index patients was 28.6% (95% CI: 27.17%-30.0%). Being female (AOR = 1.89, 95% CI (1.17-3.06)), urban resident index cases (AOR = 1.88, 95% CI (1.16-3.03)), and having disclosure status (AOR = 2.34, 95% CI (1.40-3.92)) were significantly associated with early index case testing. Conclusion: This study examines the prevalence and key factors influencing early index case HIV testing among adult patients in Debre Markos town. By identifying critical determinants such as gender, residence, and disclosure status, it provides valuable insights into how early testing can be enhanced to reduce transmission and improve health outcomes.

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来源期刊
AIDS Research and Treatment
AIDS Research and Treatment INFECTIOUS DISEASES-
CiteScore
3.10
自引率
0.00%
发文量
13
审稿时长
18 weeks
期刊介绍: AIDS Research and Treatment is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies focused on all aspects of HIV and AIDS, from the molecular basis of disease to translational and clinical research. In addition, articles relating to prevention, education, and behavior change will be considered
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