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首页> 外文期刊>The Open Infectious Diseases Journal >HIV Co-Testing Among Veterans with Chronic Hepatitis C in theVeterans Health Administration
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HIV Co-Testing Among Veterans with Chronic Hepatitis C in theVeterans Health Administration

机译：退伍军人卫生管理局对患有慢性丙型肝炎的退伍军人进行艾滋病毒共同检测

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Objective: This retrospective study analyzed the testing rates of individuals enrolled in the Hepatitis C ClinicalCase Registry for the Veterans Health Administration (VHA) in order to determine Human Immunodeficiency Virus(HIV) co-testing rates for veterans with hepatitis C (HCV). Design: A chart review of 247,006 veterans enrolled in theNational HCV Clinical Case Registry was examined retrospectively. Regression analysis identified factors that increasedthe probability of being tested for HIV. Methods: Simple odds ratios and a complex regression were applied to this datasetto calculate testing incidence and prevalence of HIV. Results: Only approximately one third of veterans with HCV weretested for HIV and, of these, 13.2% were positive. Sixty eight percent of veterans with HCV were not co-tested for HIVand within this group there may be a significant number of unidentified cases of HIV. Veterans with severe mental illness,substance use disorders and marijuana abuse/dependence treatment were more likely to be tested for HIV. Antiviraltherapy for HCV had no impact on likelihood of co-testing prior to treatment initiation. Conclusions: Most veterans withHCV are not co-tested for HIV despite common risk factors for HIV and HCV infection. Mandatory testing for HIV, atleast among veterans with HCV, as well as identification and removal of barriers to HIV testing within the VHA wouldserve to facilitate disease management for veterans in the future.
机译：目的：这项回顾性研究分析了退伍军人卫生管理局（VHA）的丙型肝炎临床病例登记册中注册个体的测试率，以确定丙型肝炎（HCV）退伍军人的人类免疫缺陷病毒（HIV）联合测试率。设计：回顾性研究了纳入国家HCV临床病例注册中心的247,006名退伍军人的病历图。回归分析确定了增加艾滋病毒检测可能性的因素。方法：将简单比值比和复杂回归应用于此数据集，以计算艾滋病毒的检测发生率和患病率。结果：只有大约三分之一的HCV退伍军人接受了HIV检测，其中13.2％呈阳性。没有对HCV的退伍军人中的68％未进行HIV共同检测，并且在这一组中可能存在大量未确认的HIV病例。患有严重精神疾病，物质使用障碍和大麻滥用/依赖性治疗的退伍军人更有可能接受艾滋病毒检测。 HCV的抗病毒治疗对治疗开始前进行共同测试的可能性没有影响。结论：尽管有常见的HIV和HCV感染危险因素，大多数HCV退伍军人并未进行HIV共同测试。强制性艾滋病毒检测，至少是丙型肝炎病毒的退伍军人，以及在VHA中识别和消除艾滋病毒检测的障碍，将有助于将来对退伍军人进行疾病管理。

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