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首页> 外文期刊>Kaohsiung Journal of Medical Sciences >Essentiality of HIV testing and education for effective HIV control in the national pilot harm reduction program: The Taiwan experience
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Essentiality of HIV testing and education for effective HIV control in the national pilot harm reduction program: The Taiwan experience

机译：在国家减少危害试点计划中进行艾滋病毒检测和教育对有效控制艾滋病毒的必要性：台湾经验

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In 2005, a national pilot harm reduction program (PHRP), which mainly included a methadone maintenance treatment program (MMTP) and a needle/syringe exchange program (NSP), was implemented in Taiwan. We conducted this study to evaluate the effectiveness of harm reduction measures on HIV control among injecting drug users (IDUs) between PHRP and nonPHRP. The data on HIV, collected from incumbent Taiwanese authorities, were analyzed for their associations, risk and protective factors with PHRP measures. While the monthly HIV incidences did not show significant differences before and after PHRP in the four areas with PHRP (Taipei City, Taipei County, Taoyuan County and Tainan County), a significant increase in the HIV incidence was found in the 21 areas without PHRP. Hence, the implementation of the PHRP did result in a significant difference in the monthly HIV incidence between areas with and without the PHRP. Mandatory HIV testing was significantly associated with the HIV incidence according to the generalized estimation equations (GEE) model. With adjustments of time period and area with PHRP, and urban area, protective factors associated with HIV incidence were: educational materials, condoms, dilution water, and alcohol sponges/swabs. MMTP contributed to a higher HIV incidence, probably due to the concurrent HIV testing upon admission. Since HIV testing was not required in the NSP, the HIV testing-dependent MMTP may explain the association of the PHRP intervention and an increased HIV incidence. In summary, HIV testing and education were essential for effective HIV control upon implementing the?PHRP.
机译：2005年，在台湾实施了国家飞行员减低伤害计划（PHRP），主要包括美沙酮维持治疗计划（MMTP）和针头/注射器更换计划（NSP）。我们进行了这项研究，以评估在PHRP和非PHRP之间注射吸毒者（IDU）中减少伤害的措施对HIV控制的有效性。从台湾现任当局收集的HIV数据通过PHRP措施分析了它们的关联，风险和保护因素。虽然在四个有PHRP的地区（台北市，台北县，桃园县和台南县），每月的HIV感染率在PHRP前后没有显着差异，但在21个没有PHRP的地区，发现HIV的发生率显着增加。因此，实施PHRP确实导致有和没有PHRP的地区之间每月的HIV发生率有显着差异。根据广义估计方程（GEE）模型，强制性HIV检测与HIV发生率显着相关。通过使用PHRP调整时间段和面积以及城市地区，与HIV发生率相关的保护因素是：教材，避孕套，稀释水和酒精海绵/棉签。 MMTP导致较高的HIV发生率，可能是由于入院时同时进行了HIV检测。由于NSP不需要进行HIV检测，因此依赖HIV检测的MMTP可以解释PHRP干预与HIV发生率增加之间的关系。总之，在实施PHRP时，HIV检测和教育对于有效控制HIV是必不可少的。

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