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首页> 外文期刊>The open AIDS journal >Using HIV Surveillance Data to Monitor Missed Opportunities for Linkage and Engagement in HIV Medical Care
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Using HIV Surveillance Data to Monitor Missed Opportunities for Linkage and Engagement in HIV Medical Care

机译：使用艾滋病毒监测数据来监测错过的艾滋病毒医疗保健联系和参与机会

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Monitoring delayed entry to HIV medical care is needed because it signifies that opportunities to prevent HIV transmission and mitigate disease progression have been missed. A central question for population-level monitoring is whether to consider a person linked to care after receipt of one CD4 or VL test. Using HIV surveillance data, we explored two definitions for estimating the number of HIV-diagnosed persons not linked to HIV medical care. We used receipt of at least one CD4 or VL test (definition 1) and two or more CD4 or VL tests (definition 2) to define linkage to care within 12 months and within 42 months of HIV diagnosis. In five jurisdictions, persons diagnosed from 12/2006-12/2008 who had not died or moved away and who had zero, or less than two reported CD4 or VL tests by 7/31/2010 were considered not linked to care under definitions 1 and 2, respectively. Among 13,600 persons followed up for 19-42 months; 1,732 (13%) had no reported CD4 or VL tests; 2,332 persons (17%) had only one CD4 or VL test and 9,536 persons (70%) had two or more CD4 or VL tests. To summarize, after more than 19 months, 30% of persons diagnosed with HIV had less than two CD4 or VL tests; more than half of them were considered to have entered care if entering care is defined as having one CD4 or VL test. Defining linkage to care as a single CD4 or VL may overestimate entry into care, particularly for certain subgroups.
机译：需要监测延迟进入艾滋病毒医疗的时间，因为这表明错过了预防艾滋病毒传播和减轻疾病进展的机会。人群水平监测的中心问题是在接受一项CD4或VL测试后是否考虑与护理相关的人。使用艾滋病毒监测数据，我们探索了两种定义来估计与艾滋病毒医疗服务无关的艾滋病毒诊断人数。我们使用了至少一项CD4或VL测试（定义1）和两项或多项CD4或VL测试（定义2）的接收来定义在HIV诊断后12个月内和42个月内与护理之间的联系。在五个司法管辖区中，根据定义1，从12 / 2006-12 / 2008起被诊断的未死亡或搬走，且零，或到2010年7月31日之前报告的CD4或VL测试为零或少于两次的人员被认为与护理无关和2。在13,600人中随访了19-42个月; 1,732（13％）没有报告CD4或VL测试; 2,332人（17％）仅进行了一项CD4或VL测试，而9,536人（70％）进行了两项或多项CD4或VL测试。总而言之，在超过19个月后，被诊断为HIV的人中有30％的CD4或VL测试少于两次。如果将进入护理定义为进行了一次CD4或VL测试，则超过一半的人被视为已进入护理。将与护理的联系定义为单个CD4或VL可能会高估进入护理的机会，尤其是对于某些亚组。

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