Linkage to HIV Care and Survival Following Inpatient HIV Counseling and Testing

被引：49

作者：

Wanyenze, Rhoda K. ^{[1
]}

Hahn, Judith A. ^{[2
]}

Liechty, Cheryl A. ^{[3
]}

Ragland, Kathie ^{[2
]}

Ronald, Allan ^{[4
]}

Mayanja-Kizza, Harriet ^{[5
]}

Coates, Thomas ^{[6
]}

Kamya, Moses R. ^{[5
]}

Bangsberg, David R. ^{[7
]}

机构：

[1] Makerere Univ, Sch Publ Hlth, Kampala, Uganda

[2] Univ Calif San Francisco, San Francisco, CA 94143 USA

[3] Glen Cove Internal Med, Rockport, ME USA

[4] Infect Dis Inst, Kampala, Uganda

[5] Makerere Univ, Sch Med, Kampala, Uganda

[6] Univ Calif Los Angeles, Los Angeles, CA USA

[7] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Ctr Global Hlth, Boston, MA USA

来源：

AIDS AND BEHAVIOR | 2011年 / 15卷 / 04期

关键词：

Provider Initiated HIV Testing and Counseling (PITC); Inpatient; Access to care; Survival; Africa; ANTIRETROVIRAL THERAPY; SEROCONVERSION; PREVALENCE; SEROSTATUS; EXPERIENCE; PROGRAMS; HIV/AIDS; OUTCOMES; COUPLES; KAMPALA;

D O I：

10.1007/s10461-010-9704-1

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Linkage to HIV care and survival in sub-Saharan Africa is not well documented. In 2004 we conducted a randomized trial among medical inpatients in Mulago Hospital to assess the impact of HIV counseling and testing (HCT) on linkage to care and survival. Participants were randomized to inpatient HCT (intervention) or outpatient HCT 1 week post-discharge (control); inpatient HCT was not available at Mulago during the study. Among 590 eligible patients, 85% (500) agreed to participate; 98.8% (248) in the intervention arm received HCT compared to 68.7% (171) in the control arm. Within 6 months, 62.2% (92) of surviving HIV-infected participants received HIV care; 15.0% (20) received antiretroviral medications (ARVs). Overall mortality among HIV-infected participants was 34.6% (72). HCT had significant impact on linkage to care among surviving participants. Referral for HCT was a missed opportunity for diagnosis. There is need for earlier diagnosis and linkage to HIV care among inpatients.

引用

页码：751 / 760

页数：10

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