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Low rates of child testing for HIV persist in a high-risk area of East Africa

机译：东非高风险地区的儿童艾滋病毒检测率低

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Children in low- and middle-income countries (LMIC) are the least touched by recent successes in the diagnosis and treatment of HIV/AIDS globally. Early treatment is essential for a child's longer and higher quality of life; however, by 2011, only a small proportion of HIV-seropositive children in LMIC countries were receiving treatment, in part because of persisting low rates of diagnosis. This study of the prevalence and characteristics of children tested for HIV was embedded in the Coping with HIV/AIDS in Tanzania (CHAT) study in which HIV-seropositive and HIV-seronegative adults, and adults with unknown HIV status were asked about HIV testing for their children. Data were gathered from November 2009 to August 2010 during the scale-up of Prevention of Mother To Child Transmission and Early Infant Diagnosis programs in the region. Reports on 1776 children indicate that 31.7% of all children were reported to have been tested, including only 42.9% of children with an HIV-seropositive caregiver. In general, children more likely to be HIV tested were biological children of study participants, younger, of widowed adults, living in urban areas, and of HIV-seropositive parents/caregivers. Children belonging to the two indigenous tribes, Chagga and Pare, were more likely to be tested than those from other tribes. Rates of testing among children less than two years old were low, even for the HIV-seropositive caregiver group. The persistence of low testing rates is discussed in terms of the accessibility and acceptability of child testing in resource poor settings.
机译：低收入和中等收入国家（LMIC）的儿童对全球艾滋病毒/艾滋病的诊断和治疗最近取得的成就感动最少。早期治疗对于儿童更长，更高的生活质量至关重要。但是，到2011年，中低收入和中等收入国家中只有一小部分艾滋病毒血清阳性儿童正在接受治疗，部分原因是诊断率持续低下。这项针对接受艾滋病毒检测的儿童的患病率和特征的研究已纳入坦桑尼亚应对艾滋病毒/艾滋病（CHAT）研究，该研究中询问了艾滋病毒血清阳性和艾滋病毒阴性的成年人以及艾滋病毒状况不明的成年人有关艾滋病毒检测的信息他们的孩子。在该地区扩大预防母婴传播和早期婴儿诊断计划期间，收集了从2009年11月至2010年8月的数据。关于1776名儿童的报告显示，据报告所有儿童中有31.7％接受了测试，其中只有42.9％的HIV血清阳性护理者。一般而言，更容易接受艾滋病毒检测的儿童是研究参与者，较年轻的丧偶成年人，生活在城市地区以及艾滋病毒血清阳性的父母/照顾者的亲生子女。与其他部落的孩子相比，属于查加和帕尔这两个土著部落的孩子更容易受到测试。小于2岁的儿童的检测率很低，即使对于HIV阳性的照顾者组也是如此。关于低测试率的持久性，在资源匮乏的环境中就子测试的可访问性和可接受性进行了讨论。

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