与社区组织合作开展MSM的HIV抗体检测和随访管理效果分析

发布时间：2018-06-09 13:50

本文选题：社区组织 + 男男性行为人群　；参考：《中国艾滋病性病》2015年01期

【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。
[Abstract]:Objective to investigate the effectiveness of HIV antibody detection and follow-up management in MSMMMSM by the Centers for Disease Control and Prevention (CDC) and CBO (a community organization). Methods from 2011 to 2013, the Center for Disease Control and Prevention, the Community Health Service Center and the community organization cooperation network were established in Hongkou District of Shanghai to carry out HIV antibody mobilization testing, positive detection and follow-up management services for MSM. The data of HIV testing and follow-up management were collected and compared with the data of VCTs and medical institutions in the same period. Results in the past three years, 2190 MSMs were mobilized to be tested for HIV in cooperation with community organizations. A total of 77 HIV positive cases were reported, accounting for 37.56 / 205 of the total new MSM HIV positive cases in Hongkou District, and 54 cases were managed by MSM HIV positive. The total number of new MSM HIV positive people in Hongkou District was 54 / 135. The number of PLWHAs, the number of management, the rate of follow-up and the mean value of CD4T lymphocytes of newly found HIV infected and AIDS patients in community organizations were higher than that of PLWHAfound in VCT outpatients and medical institutions of the Centers for Disease Control and Prevention. Conclusion Cooperation with community organizations can effectively improve the quality of MSM PLWHA discovery and follow-up management.
【作者单位】：上海市虹口区疾病预防控制中心;
【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)~~
【分类号】：R512.91

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