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Knowledge of HIV status and antiretroviral therapy use among sexually transmitted infections service attendees and the case for improving the integration of services in South Africa

机译：性传播感染服务参与者中艾滋病毒状况和抗逆转录病毒疗法的使用知识以及在南非改善服务整合的案例

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We describe knowledge of human immunodeficiency virus (HIV) status, correct report of HIV status and antiretroviral therapy (ART) use among sexually transmitted infection (STI) service attendees in South Africa.An anonymous questionnaire was administered and serological HIV testing done. Proportions of attendees reporting knowledge of HIV status and HIV status consistent with laboratory results and ART use (among HIV positives) were determined as were factors associated with knowledge and inconsistent report of HIV status.Of 1054 attendees, 288 (27.3%) were HIV positive and 830 (78.8%) self-reported knowledge of HIV status. Not knowing one's HIV status was associated with male gender [adjusted Odds Ratio (aOR) 2.66 (95% confidence interval (CI) 1.70–4.18] medical circumcision [aOR 0.48 (95% CI 0.24–0.95)] and site [Gauteng Province (GP)-aOR 6.20 (95% CI 3.51–10.95), Eastern Cape (EC)-aOR 17.29 (95% CI 10.08– 29.66) versus Free State (FS)/Western Cape (WC) sites]. Of 219 HIV positive attendees with knowledge of HIV status, 136 (62.1%) self-reported being HIV positive, of whom 80 (58.8%) reported taking ARVs in the preceding 3 days. Inconsistent report of status was associated with males [aOR 2.26 (95%CI 1.05–4.87)], prior STI treatment [aOR 0.33 (95% CI 0.16–0.69)], recent HIV testing (6months) [aOR 3.20 (95% CI 1.62–6.36)] and site [GP-aOR 6.89 (95% 3.21–14.82), EC-aOR 5.08 (95% CI 2.15–11.64) versus FS/WC sites]. Knowledge of HIV status was lower than targeted. HIV testing and linkage to care services are essential in STI-related care and validation of self-reported indicators in this population maybe necessary.
机译：我们描述了在南非的性传播感染（STI）服务参加者中人类免疫缺陷病毒（HIV）状况的知识，艾滋病毒状况的正确报告和抗逆转录病毒疗法（ART）的使用。我们进行了匿名问卷调查并进行了血清HIV检测。确定与实验室检查结果和抗病毒药物使用情况相符的报告HIV状态和HIV状态知识的参与者的比例（与HIV阳性相关的因素）以及1054位参与者中的288人（27.3％）是HIV阳性的830人（78.8％）自我报告的艾滋病毒状况知识。不知道自己的HIV状况与男性性别[调整后的赔率（aOR）2.66（95％置信区间（CI）1.70-4.18]）包皮环切术[aOR 0.48（95％CI 0.24–0.95）]和地点[豪登省（ GP）-aOR 6.20（95％CI 3.51–10.95），东开普（EC）-aOR 17.29（95％CI 10.08–29.66）与自由州（FS）/西开普（WC）站点]。219名HIV阳性参与者在了解艾滋病毒状况的情况下，有136（62.1％）人自我报告为HIV阳性，其中80（58.8％）报告称在前三天服用了抗逆转录病毒药物。男性与艾滋病毒的状况不一致[aOR 2.26（95％CI 1.05） –4.87）]，先前的STI治疗[aOR 0.33（95％CI 0.16-0.69）]，最近的HIV检测（6个月）[aOR 3.20（95％CI 1.62-6.36）]和部位[GP-aOR 6.89（95％3.21） –14.82），EC-aOR 5.08（95％CI 2.15–11.64）与FS / WC站点相比。对艾滋病毒状况的了解低于目标人群；艾滋病毒检测以及与护理服务的联系对于与性传播感染相关的护理和自我验证至关重要人口中的报告指标可能需要必要的。

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