摘要
目的探讨疾病预防控制中心与社区组织(CBO)合作,开展对男男性行为人群(MSM)艾滋病病毒(HIV)抗体检测和随访管理的效果。方法 2011-2013年,在上海市虹口区建立疾病预防控制中心、社区卫生服务中心和社区组织合作网络,针对MSM开展HIV抗体动员检测、阳性发现和随访管理服务,收集HIV检测和随访管理的数据,并与同期疾病预防控制中心艾滋病自愿咨询检测门诊(VCT)以及医疗机构来源的数据进行比较。结果三年间与社区组织合作共动员2190人次MSM接受HIV检测,累计发现报告HIV阳性者77例,占虹口区累计新发现MSM HIV阳性者人数的37.56%(77/205),累计管理MSM HIV阳性者54例,占虹口区累计新管理MSM HIV阳性者人数的40.00%(54/135)。社区组织动员新发现的HIV感染者和艾滋病病人(PLWHA)数、管理数、随访率和首次CD+4T淋巴细胞均值均高于疾病预防控制中心VCT门诊及医疗机构途径发现的PLWHA。结论与社区组织合作能有效提高MSM PLWHA发现和随访管理质量。
Objective To investigate on effects of center for disease control and prevention（CDC） cooperate with community-based organizations （CBO） in HIV testing and follow-up among men who have sex with men （MSM）. Methods The cooperative service networks which integrated with HIV testing mobilization, positive case identification and follow-up for MSM were established based on CDC, community health service center（CHS） and CBO in Hongkou District of Shanghai during 2011 to 2013. Informatior of HIV testing mobilization and follow-up among MSM through cooperation networks were collected and compared with corresponding data from medical institution and HIV voluntary counseling and testing（VCT） clinic in CDC, respectively. Results A total of 2190 MSM were mobilized by CBO and tested for HIV. Accumulatively, 77 new HIV cases were detected, accounting for 37.56% （77/205） of all newly confirmed HIV cases and 54 HIV positive MSM were followed-up, accounting for 40.00% （54/135） of all new HIV cases among MSM in the last three years. The number of newly detected people lived with HIV/AIDS （PLWHA）, number of followed up patients and initial CD4 cell counts from CBO mobilization were higher than those from medical institutions and VCT clinics. Conclusion PLWHA detection and their follow-up among MSM were promoted by cooperation with CBO.
出处
《中国艾滋病性病》
CAS
北大核心
2015年第1期62-64,共3页
Chinese Journal of Aids & STD
基金
中国卫生部-比尔及梅琳达.盖茨基金会艾滋病防治合作项目资助(49277)
上海市虹口区卫生局资助(虹卫1202-14)~~
