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首页> 外文期刊>AIDS care. >Population movements and the HIV cascade in recently diagnosed patients at the French Guiana -Suriname border
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Population movements and the HIV cascade in recently diagnosed patients at the French Guiana -Suriname border

机译：人口运动和艾滋病毒级联在最近诊断的法国圭亚那 - 抵抗症患者边境

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摘要

Border areas are particular hot spots generating high levels of HIV vulnerability and facing great challenges to control epidemics. The objective of this study is to describe the sociodemographic, clinical and biological profiles of newly HIV diagnosed people at the French Guiana - Suriname border, to construct an HIV care cascade and compare it with the Surinamese one. HIV-patients aged over 15 years newly diagnosed in western French Guiana in 2011 and 2012 were included in a retrospective cohort study. Patients were identified using different sources (n=121). The male-to-female ratio was 0.8, 85% of the patients were of foreign origin, 72% were undocumented migrants, 21% were living in Suriname and 48% had baseline CD4 cell counts <200cells/mm(3). After one year, 34% were lost to follow-up, 54% received treatment, 34% had controlled viremia and 6% died. We observed a disappointing HIV cascade, like that of Suriname, requiring to develop a coordinated healthcare offer on both sides of the border. Targeted efforts through a bi-national collaboration are needed to address the specific issues of cross-border patients to reach the 90*3 UNAIDS's diagnosis, link to care and treatment targets and better control the local epidemic.
机译：边境地区是特殊的热点，产生高水平的艾滋病毒脆弱性，并面临控制流行病的巨大挑战。本研究的目的是描述法国圭亚那 - 苏里南边境的新艾滋病诊断的人的社会阶段，临床和生物学和生物学谱，以构建艾滋病毒护理级联，并将其与苏里南人进行比较。艾滋病毒患者在2011年和2012年在西方法国圭亚那核查过15年以上的患者被列入回顾性队列研究。使用不同来源鉴定患者（n = 121）。雄性与女性比例为0.8，85％的患者是异物，72％是无证移民，21％生活在苏里南，48％的基线CD4细胞计数<200cells / mm（3）。一年后，34％的人失去后续，接受治疗54％，34％受到控制的病毒血症，6％死亡。我们观察到令人失望的艾滋病毒级联，如苏里南，要求在边境的两侧发展协调的医疗保健。需要通过双国国合作的针对性努力来解决跨境患者达到90 * 3艾滋病规划署的诊断的具体问题，链接护理和治疗目标，并更好地控制当地的流行病。

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  • 来源
    《AIDS care.》 |2017年第12期|共5页
  • 作者

    Jaries Raphael; Vantilcke Vincent; Clevenbergh Philippe; Adoissi Jocelyne; Boukhari Rachida; Misslin Caroline; Nacher Mathieu; Vreden Stephen; Jolivet Anne;

  • 作者单位

    Ctr Hosp Ouest Guyanais Dept Publ Hlth 16 Blvd Gen Gaulle BP 24597 393 St Laurent Du Maroni;

    Ctr Hosp Ouest Guyanais Dept Publ Hlth 16 Blvd Gen Gaulle BP 24597 393 St Laurent Du Maroni;

    Ctr Hosp Ouest Guyanais Dept Med St Laurent Du Maroni French Guiana;

    Ctr Hosp Ouest Guyanais Dept Publ Hlth 16 Blvd Gen Gaulle BP 24597 393 St Laurent Du Maroni;

    Ctr Hosp Ouest Guyanais Dept Biol Clin St Laurent Du Maroni French Guiana;

    Ctr Hosp Ouest Guyanais Dept Med St Laurent Du Maroni French Guiana;

    Ctr Hosp Andree Rosemon Ctr Invest Clin Antilles Guyane INSERM 1424 Cayenne French Guiana;

    Acad Hosp Dept Med Paramaribo Surinam;

    Ctr Hosp Ouest Guyanais Dept Publ Hlth 16 Blvd Gen Gaulle BP 24597 393 St Laurent Du Maroni;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 传染病;
  • 关键词

    HIV; French Guiana; Suriname; migrant; health policy;

    机译：艾滋病毒;法国圭亚那;苏里南;移民;健康政策;

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